Socioeconomic context, individual characteristics, and multimorbidity among older adults: a nationwide cross-sectional study

<p><b>Objectives:</b> The study investigated the prevalence of multimorbidity among older adults and its association with socioeconomic context and individual characteristics.<br> <b>Methods:</b> This cross-sectional study was based on data from the 2019 National...

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Detalles Bibliográficos
Autores: Rodrigues,João Vitor, Farías-Antúnez,Simone, Corseuil,Claúdia Weber, Gieh,Maruí Weber Corseuil
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2025
País:Brasil
Institución:Sociedade Brasileira de Geriatria e Gerontologia
Repositorio:Geriatrics, Gerontology and Aging (Online)
Idioma:inglés
OAI Identifier:oai:ggaging.com:1861
Acceso en línea:https://ggaging.com/details/1861
Access Level:acceso abierto
Palabra clave:older adult
multimorbidity
social environment
health surveys.
Descripción
Sumario:<p><b>Objectives:</b> The study investigated the prevalence of multimorbidity among older adults and its association with socioeconomic context and individual characteristics.<br> <b>Methods:</b> This cross-sectional study was based on data from the 2019 National Health Survey. Multimorbidity was assessed using a list of 14 physical and mental morbidities, with the cut-off considered &ge; 2 simultaneous conditions. The Municipal Human Development Index represented the contextual factors. The association between multimorbidity, individual characteristics, and socioeconomic context was assessed through multilevel logistic regression with random intercepts.<br> <b>Results:</b> The overall prevalence of multimorbidity was 58.12% (95% CI 57.00–59.23). Individual factors associated with multimorbidity were: female sex, older age, divorced/single marital status, lower education level, physical inactivity, and non-smoking status. The likelihood of multimorbidity was 24% higher among residents of more developed areas (95% CI 1.07–1.44).<br> <b>Conclusion:</b> According to our results, over half of older Brazilians have multimorbidity. One noteworthy finding of this study is the association between multimorbidity and socioeconomic context, i.e., residents of states with a higher Municipal Human Development Index had higher odds of multimorbidity.</p>