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Occurrence and inequalities by education in multimorbidity in Brazilian adults between 2013 and 2019: evidence from the National Health Survey

##article.authors##

  • Felipe Mendes Delpino Programa de Pós-graduação em Enfermagem, Universidade Federal de Pelotas, Pelotas, Rio Grande do Sul, Brasil https://orcid.org/0000-0002-3562-3246
  • Andrea Wendt Programa de Pós-Graduação em Epidemiologia, Universidade Federal de Pelotas, Pelotas, Rio Grande do Sul, Brasil
  • Pedro Augusto Crespo Programa de Pós-Graduação em Epidemiologia, Universidade Federal de Pelotas, Pelotas, Rio Grande do Sul, Brasil
  • Cauane Blumenberg Programa de Pós-Graduação em Epidemiologia, Universidade Federal de Pelotas, Pelotas, Rio Grande do Sul, Brasil
  • Doralice Severo da Cruz Teixeira Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, Brasil
  • Sandro Rodrigues Batista Faculdade de Medicina, Universidade Federal de Goiás, Goiânia, Brasil. Secretaria de Estado da Saúde de Goiás, Goiânia, Brasil
  • Deborah Carvalho Malta Departamento de Enfermagem Materno-Infantil e Saúde Pública, Escola de Enfermagem, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brasil
  • J. Jaime Miranda CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru
  • Thaynã Ramos Flores Programa de Pós-Graduação em Epidemiologia, Universidade Federal de Pelotas, Pelotas, Rio Grande do Sul, Brasil
  • Bruno Pereira Nunes Programa de Pós-graduação em Enfermagem, Universidade Federal de Pelotas, Pelotas, Rio Grande do Sul, Brasil
  • Fernando C Wehrmeister Programa de Pós-Graduação em Epidemiologia, Universidade Federal de Pelotas, Pelotas, Rio Grande do Sul, Brasil

DOI:

https://doi.org/10.1590/1980-549720210016.supl.2

Keywords:

Multimorbidity, Chronic Disease, Health Status Disparities, Adult, Cross- Sectional Studies

Abstract

Objective The objectives of this study were: 1) to estimate the prevalence of multimorbidity in 2013 and 2019 in adults aged 20 to 59 years; 2) assess inequalities in the prevalence of multimorbidity in 2013 and 2019 according to educational level. Methods We used data from two cross-sectional surveys from the Brazilian National Health Survey (PNS) in 2013 and 2019. Multimorbidity was assessed from 14 lifetime self-reported morbidities (except back problems) and defined using the cutoff point of ≥ 2 diseases. The prevalence of multimorbidity and individual morbidities were described according to sex, age, skin color, and education. For education, crude, and relative inequalities in prevalence of multimorbidity were calculated using the Slope Index of Inequality (SII) and the Concentration Index (CIX), respectively. Results The prevalence of multimorbidity increased from 18.7% (95%: CI 18.0-19.3) in 2013 to 22.3% (95%: CI 21.7-22.9) in 2019, being higher among women and adults between 30-59 years. Asthma/bronchitis, depression, and back problems were the conditions that increased the most in the study period. Absolute and relative inequalities by education status were observed in the study period, with worse multimorbidity profiles among the less educated. Conclusion The prevalence of multimorbidity increased between 2013 and 2019. Inequalities in the prevalence of multimorbidity were observed according to educational level.

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Posted

2021-09-22

Section

Health Sciences