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):3879-3888. doi: 10.1590/1413-812320202510.35632018. Epub 2019 Jan 6.
This study aimed to identify an association between the most frequent multimorbidities in Brazilian older adults and socioeconomic and lifestyle variables. National Health Survey's data were used. The Chi-square test and the Poisson multiple regression were used to analyze data. A total of 5,575 older adults with multimorbidity and mean age of 70.3 years participated in the study. Most of them are female (66.3%), white (56.1%), are sedentary (75.3%), with low schooling (40%), no health plan (65.3%), did not consume alcohol (78.7%) and did not smoke (90.1%). The most prevalent multimorbidities were hypertension and high cholesterol (31.3%), hypertension and stroke (30.9%) and hypertension and diabetes (23.3%). There was an association of the first condition with females, younger adults and no tobacco use. On the other hand, the second condition was associated with females and low level of schooling. The third group was associated with low schooling, sedentary lifestyle and no tobacco use. We can conclude that multimorbidity in Brazilian older adults is a frequent condition in women, younger seniors and those socioeconomically disadvantaged. Also, socioeconomic conditions and lifestyle influenced the prevalence of primary multimorbidities.
本研究旨在确定巴西老年人最常见的多种并存疾病与社会经济和生活方式变量之间的关联。使用了国家健康调查的数据。使用卡方检验和泊松多重回归分析数据。共有 5575 名患有多种并存疾病且平均年龄为 70.3 岁的老年人参与了这项研究。他们大多数是女性（66.3%）、白人（56.1%）、久坐不动（75.3%）、受教育程度低（40%）、没有健康计划（65.3%）、不饮酒（78.7%）和不吸烟（90.1%）。最常见的多种并存疾病是高血压和高胆固醇（31.3%）、高血压和中风（30.9%）以及高血压和糖尿病（23.3%）。第一种情况与女性、年轻成年人和不吸烟有关。另一方面，第二种情况与女性和低教育程度有关。第三组与低教育程度、久坐不动的生活方式和不吸烟有关。我们可以得出结论，巴西老年人的多种并存疾病是女性、年轻老年人和社会经济劣势者的常见疾病。此外，社会经济状况和生活方式影响主要多种并存疾病的患病率。
