Bruno Pereira Nunes|Alexandre Dias Porto Chiavegatto Filho|Sanghamitra Pati|Doralice S Cruz Teixeira|Thaynã Ramos Flores|Fabio Alberto Camargo?Figuera|Tiago N. Munhoz|Elaine Thumé??|Luiz Augusto Facchini|Sandro Rodrigues Batista
Contextual and individual inequalities of multimorbidity in Brazilian adults: a cross-sectional national-based study
Universidade Federal de Pelotas|Universidade de São Paulo|Public Health Foundation of India|Institute of Public Health|Universidade Federal de Pelotas|Industrial University of Santander|Universidade Federal de Pelotas|Universidade Federal de Pelotas|Universidade Federal de Pelotas|Universidade Federal de Goiás
study aims evaluate magnitude multimorbidity brazilian adults well measure association individual contextual factors stratified brazilian states regionsa nationalbased crosssectional study carried 2013 brazilian adults multimorbidity evaluated list 22 physical mental morbidities based selfreported medical diagnosis patient health questionnaire9 depression outcome analysed taking 2 3 diseases cutoff points factor analysis fa used identify disease patterns multilevel models used test association individual contextual variablesthe sample comprised 60 202 individuals multimorbidity frequency 222 95 ci 215 229 2 morbidities 102 95 ci 97 107 3 morbidities multilevel adjusted models females older people living partner less schooling presented multiple diseases linear association found according wealth index greater outcome frequency found individuals midrange wealth index living states higher levels education wealthier states associated greater multimorbidity two patterns morbidities cardiometabolic problems respiratorymentalmuscleskeletal disorders explained 92 total variance relationship disease patterns individual contextual variables similar overall multimorbidity differences among brazilian regionsin brazil least 19 million adults multimorbidity frequency similar found low middle income countries contextual individual social inequalities observed