Dataset Information

Prevalence of multimorbidity with frailty and associations with socioeconomic position in an adult population: findings from the cross-sectional HUNT Study in Norway.

ABSTRACT: OBJECTIVES:To explore prevalences and occupational group inequalities of two measures of multimorbidity with frailty. DESIGN:Cross-sectional study. SETTING:The Nord-Trøndelag Health Study (HUNT), Norway, a total county population health survey, 2006-2008. PARTICIPANTS:Participants older than 25 years, with complete questionnaires, measurements and occupation data were included. OUTCOMES:?2 of 51 multimorbid conditions with ?1 of 4 frailty measures (poor health, mental illness, physical impairment or social impairment) and ?3 of 51 multimorbid conditions with ?2 of 4 frailty measures. ANALYSIS:Logistic regression models with age and occupational group were specified for each sex separately. RESULTS:Of 41 193 adults, 38 027 (55% female; 25-100 years old) were included. Of them, 39% had ?2 multimorbid conditions with ?1 frailty measure, and 17% had ?3 multimorbid conditions with ?2 frailty measures. Prevalence differences in percentage points (pp) with 95% confidence intervals of those in high versus low occupational group with ?2 multimorbid conditions and ?1 frailty measure were largest in women age 30 years, 17 (14 to 20) pp and 55 years, 15 (13 to 17) pp and in men age 55 years, 15 (13 to 17) pp and 80 years, 14 (9 to 18) pp. In those with ?3 multimorbid conditions and ?2 frailty measures, prevalence differences were largest in women age 30 years, 8 (6 to 10) pp and 55 years, 10 (8 to 11) ppand in men age 55 years, 9 (8 to 11) pp and 80 years, 6 (95% CI 1 to 10) pp. CONCLUSION:Multimorbidity with frailty is common, and social inequalities persist until age 80 years in women and throughout the lifespan in men. To manage complex multimorbidity, strategies for proportionate universalism in medical education, healthcare, public health prevention and promotion seem necessary.

SUBMITTER: Vinjerui KH

PROVIDER: S-EPMC7299023 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature

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Prevalence of multimorbidity with frailty and associations with socioeconomic position in an adult population: findings from the cross-sectional HUNT Study in Norway.

Vinjerui Kristin Hestmann KH Boeckxstaens Pauline P Douglas Kirsty A KA Sund Erik R ER

BMJ open 20200615 6

<h4>Objectives</h4>To explore prevalences and occupational group inequalities of two measures of multimorbidity with frailty.<h4>Design</h4>Cross-sectional study.<h4>Setting</h4>The Nord-Trøndelag Health Study (HUNT), Norway, a total county population health survey, 2006-2008.<h4>Participants</h4>Participants older than 25 years, with complete questionnaires, measurements and occupation data were included.<h4>Outcomes</h4>≥2 of 51 multimorbid conditions with ≥1 of 4 frailty measures (poor health ...[more]

PMID: 32546489

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Project description:Knowledge on the occurrence of multimorbidity is important from the viewpoint of public policies, as this condition increases the consumption of medicines as well as the utilization and expenses of health services, affecting life quality of the population. The objective of this study was to estimate prevalence of self-reported multimorbidity in Brazilian adults (≥18 years old) according to socioeconomic and demographic characteristics. A descriptive study is presented herein, based on data from the National Health Survey, which was a household-based survey carried out in Brazil in 2013. Data on 60,202 adult participants over the age of 18 were included. Prevalences and its respective confidence intervals (95%) were estimated according to sex, age, education level, marital status, self-reported skin color, area of residence, occupation and federative units (states). Poisson regression models univariate and multivariate were used to evaluate the association between socioeconomic and demographic variables with multimorbidity. To observe the combinations of chronic conditions the most common groups in pairs, trios, quartets and quintets of chronic diseases were observed. The prevalence of multimorbidity was 23.6% and was higher among women, in individuals over 60 years of age, people with low educational levels, people living with partner, in urban areas and among unemployed persons. The states of the South and Southeast regions presented higher prevalence. The most common groups of chronic diseases were metabolic and musculoskeletal diseases. The results demonstrated high prevalence of multimorbidity in Brazil. The study also revealed that a considerable share of the economically active population presented two or more chronic diseases. Data of this research indicated that socioeconomic and demographic aspects must be considered during the planning of health services and development of prevention and treatment strategies for chronic diseases, and consequently, multimorbidity.

Dataset Information

Prevalence of multimorbidity with frailty and associations with socioeconomic position in an adult population: findings from the cross-sectional HUNT Study in Norway.

Publications

Prevalence of multimorbidity with frailty and associations with socioeconomic position in an adult population: findings from the cross-sectional HUNT Study in Norway.

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