Department of Community Medicine and Behavioural Sciences, College of Medicine, Kuwait University, PO Box 24923, 13110, Safat, Kuwait.
BMC Public Health. 2024 Mar 12;24(1):768. doi: 10.1186/s12889-024-18298-z.
This cross-sectional study aimed to assess the prevalence of morbidity i.e., one morbidity and multimorbidity (≥ 2 morbid conditions) among adults in Kuwait and to examine the sociodemographic and lifestyle factors associated with morbidity as a multinomial outcome in the study population.
The data were collected from January 26, 2021, to February 3, 2021, using an electronic questionnaire, which was distributed on social media platforms. The consent form was attached with the questionnaire and the participants were requested to sign the consent form before completing the questionnaire. The prevalences (%) of each morbidity and multimorbidity were computed. Multivariable polychotomous logistic regression analysis was used to evaluate the association between the demographic and lifestyle factors with morbidity as a multinomial outcome.
Of 3572 respondents included, 89% were Kuwaiti, 78.3% females and 66% were 21- 40 years old. The prevalence of multimorbidity and one morbidity respectively was 27.4% and 29.7%. The prevalence of multimorbidity with two, three, four or five ill-health conditions were 14.3%, 7.4%, 3.5%, and 1.2%, respectively. A higher prevalence of multimorbidity was among respondents over 60 years of age (71%) and Kuwaiti nationals (28.9%). The final multivariable polychotomous logistic regression model revealed that age, sex, nativity, sedentary lifestyle, smoking, and alcohol drinking were significantly (p < 0.05) associated with multimorbidity. However, age and alcohol drinking were significant (p < 0.05) predictors of one morbidity.
This study provides evidence that multimorbidity is more prevalent among the elderly, females, and Kuwaiti nationals. Sedentary behaviour, smoking and alcohol consumption were significantly and independently associated with multimorbidity. These findings highlight the burden of multimorbidity and should be considered in the development of future prevention programs.
本横断面研究旨在评估科威特成年人的发病率（即一种疾病和多种疾病（≥2 种疾病）），并研究与发病率相关的社会人口学和生活方式因素，发病率是研究人群中的多项分类结果。
数据于 2021 年 1 月 26 日至 2021 年 2 月 3 日通过电子问卷收集，问卷通过社交媒体平台分发。问卷附有同意书，要求参与者在完成问卷前签署同意书。计算每种疾病和多种疾病的患病率（%）。采用多变量多项逻辑回归分析评估人口统计学和生活方式因素与发病率作为多项分类结果之间的关系。
在 3572 名应答者中，89%为科威特人，78.3%为女性，66%为 21-40 岁。多种疾病和一种疾病的患病率分别为 27.4%和 29.7%。两种、三种、四种或五种疾病的患病率分别为 14.3%、7.4%、3.5%和 1.2%。60 岁以上和科威特国民的多种疾病患病率较高（分别为 71%和 28.9%）。最终的多变量多项逻辑回归模型显示，年龄、性别、原籍国、久坐不动的生活方式、吸烟和饮酒与多种疾病显著相关（p<0.05）。然而，年龄和饮酒是一种疾病的显著预测因素（p<0.05）。
本研究表明，多种疾病在老年人、女性和科威特国民中更为普遍。久坐不动的行为、吸烟和饮酒与多种疾病显著且独立相关。这些发现强调了多种疾病的负担，应在未来的预防计划中考虑。
