Departamento de Odontologia, Centro de Ciências da Saúde, Universidade Federal do Rio Grande do Norte. Av. Salgado Filho 1787, Lagoa Nova. 59056-000 Natal RN Brasil.
Cien Saude Colet. 2020 Oct;25(10):3869-3877. doi: 10.1590/1413-812320202510.34492018. Epub 2018 Dec 19.
This study aimed to identify the prevalence of multimorbidity in Brazilian older adults and factors associated with socioeconomic and lifestyle variables. This is a cross-sectional, population-based study carried out with data from the National Health Survey database. Seniors with multimorbidity where the ones with a diagnosis of two or more chronic diseases. The chi-square test was used in data analysis, and then prevalence ratios were estimated through Poisson multiple regression, both with 95% confidence level. In total, 11,697 older adults were evaluated and the multimorbidity prevalence was 53.1%. As a result of the multivariate analysis, female seniors (p < 0.001), the oldest elderly (p = 0.002), those who were not single, more strongly associated with widowers (p = 0.001) and those with a health plan at the interview (p < 0.001) were associated with multimorbidity. Also, in comparison with older adults with two chronic diseases, women are associated with three (p = 0.003) and four or more chronic diseases (p < 0.001). We can conclude that multimorbidity in Brazilian older adults is a widespread condition and that it has been influenced by socioeconomic factors and is poorly related to lifestyle.
本研究旨在确定巴西老年人的多种疾病患病率以及与社会经济和生活方式变量相关的因素。这是一项横断面、基于人群的研究，使用了国家健康调查数据库的数据。患有多种疾病的老年人是指被诊断出两种或多种慢性疾病的老年人。数据分析采用卡方检验，然后通过泊松多项回归估计患病率比，置信水平均为 95%。总共评估了 11697 名老年人，其中多种疾病的患病率为 53.1%。多元分析结果表明，女性老年人（p<0.001）、最年长的老年人（p=0.002）、非单身老年人、丧偶老年人（p=0.001）和在访谈时有健康保险的老年人（p<0.001）与多种疾病相关。此外，与患有两种慢性疾病的老年人相比，患有三种（p=0.003）和四种或更多种慢性疾病的女性老年人（p<0.001）与多种疾病相关。我们可以得出结论，巴西老年人的多种疾病是一种普遍存在的情况，它受到社会经济因素的影响，与生活方式的关系较差。
