Seron Pamela, Valenzuela-Suazo Raúl, Oliveros Maria J, Morales Camilo, Ulloa Constanza, Sanhueza Álvaro, Neculhueque Ximena
Departamento de Ciencias de la Rehabilitación, Universidad de La Frontera, Temuco, Chile.
Centro de Excelencia CIGES, Universidad de La Frontera, Temuco, Chile.
BMJ Open. 2025 Jul 30;15(7):e097173. doi: 10.1136/bmjopen-2024-097173.
This study aims to assess the association of multimorbidity with capacity impairment in the Chilean population.
Cross-sectional study.
We analysed data from the National Health Survey performed in Chile in 2016 and 2017.
Persons aged 15 years and over were selected using a random, stratified and multistage sampling by clusters in all 15 geographical regions of the country.
We consider the WHO's definition of multimorbidity as the coexistence of two or more chronic conditions in the same person. For capacity impairment, the survey included 24 items in eight dimensions that represent functioning as a reflection of the overall health experience perceived by an individual with a health condition and interacting with the environment.
The 2016-2017 ENS () included 6233 participants (mean age 48.9±19.3, and 62% women). There is an association between impairment of capacity and being a woman (OR=1.62; 95% CI 1.37 to 1.92) and between being under 45 years old and conserved capacity (OR=0.8, 95% CI 0.64 to 0.99). The predictive model determined that women classified with five or more chronic conditions of 80 years and over and with less than 8 years of formal education reach the highest probability of having any impairment of capacity.
Multimorbidity is associated with impaired capacity in the adult population in Chile, and these public health problems are present at early ages and have a greater impact on women.
本研究旨在评估智利人群中多种疾病共存与能力受损之间的关联。
横断面研究。
我们分析了2016年和2017年在智利进行的全国健康调查数据。
采用随机、分层和多阶段整群抽样方法，从该国所有15个地理区域中选取15岁及以上的人群。
我们将世界卫生组织对多种疾病共存的定义视为同一人患有两种或更多慢性疾病。对于能力受损，该调查在八个维度中包含24个项目，这些项目代表了功能状况，反映了患有健康问题的个体所感知的整体健康体验以及与环境的相互作用。
2016 - 2017年全国健康调查（ENS）纳入了6233名参与者（平均年龄4８.9±19.3岁，女性占62%）。能力受损与女性（比值比=1.62；95%置信区间1.37至1.92）以及45岁以下且能力保留（比值比=0.8，95%置信区间0.64至0.99）之间存在关联。预测模型确定，80岁及以上患有五种或更多慢性疾病且正规教育年限少于8年的女性出现任何能力受损的概率最高。
在智利成年人群中，多种疾病共存与能力受损相关，这些公共卫生问题在早年就已出现，且对女性的影响更大。
