Perceived Stress and Its Relationship With Chronic Medical Conditions and Multimorbidity Among 229,293 Community-Dwelling Adults in 44 Low- and Middle-Income Countries

Vancampfort, Davy; Koyanagi, Ai; Ward, Philip B.; Veronese, Nicola; Carvalho, André F.; Solmi, Marco; Mugisha, James; Rosenbaum, Simon; Hert, Marc De; Stubbs, Brendon

doi:10.1093/aje/kwx159

Cited by 76 publications

(78 citation statements)

References 43 publications

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“…In this study, in both genders, the chance of membership in subclasses 1 through 3 increased with age. It is evident that chronic conditions and multimorbidity typically increase with age 50 . Authors state that age is related to the duration of exposure to risk factors 37 .…”

Section: Discussionmentioning

confidence: 99%

The patterns of Non-communicable disease Multimorbidity in Iran: A Multilevel Analysis

Khorrami

Rezapour

Etemad

et al. 2020

Sci Rep

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the prevalence of non-communicable diseases is increasing worldwide. Multimorbidity and long-term medical conditions is common among these patients. this study aimed to investigate the patterns of non-communicable disease multimorbidity and their risk factors at the individual and aggregated level. Data was inquired from the nationwide survey performed in 2011, according to the WHO stepwise approach on NCD risk factors. A latent class analysis on multimorbidity components (11 chronic diseases) was performed and the association of some individual and aggregated risk factors (urbanization) with the latent subclasses was accessed using multilevel multinomial logistic regression. Latent class analysis revealed four distinct subclasses of multimorbidity among the iranian population (10069 participants). Musculoskeletal diseases and asthma classes were seen in both genders. In males, the odds of membership in the diabetes class was 41% less by increasing physical activity; but with increased BMI, the odds of membership in the diabetes class was 1.90 times higher. Tobacco smoking increased the odds of membership in the musculoskeletal diseases class, 1.37 and 2.30 times for males and females, respectively. Increased BMI and low education increased the chances of females' membership in all subclasses of multimorbidity. At the province level, with increase in urbanization, the odds of membership in the diabetes class was 1.28 times higher among males (P = 0.027). Increased age, higher BMI, tobacco smoking and low education are the most important risk factors associated with ncD multimorbidity among iranians. interventions and policies should be implemented to control these risk factors.The World Health Organization (WHO) global status report on non-communicable diseases (NCDs) in 2014 reported that NCDs are globally the leading cause of death 1 . In 2016, NCDs killed 287000 people in Iran and the number of NCD related deaths and disability-adjusted life years (DALYs) have increased during the past decades. In just 2016, 6.5 million years of life loss (YLLs), and 8.2 million years of disability (YLDs) were attributed to NCDs in Iran 2 . According to 2017 reports, in the past 20 years, NCD mortality has risen by 14.5%, in Iran; and an adult Iranian's probability of dying prematurely (between 30 and 70 years) from one of the four main NCDs was 17% 3 .A systematic review in WHO Eastern Mediterranean countries in 2013 showed that the high mortality of NCDs is partially related to their multimorbidity 4 . More than half of the adults with NCDs have multimorbidity or multiple concurrent morbid conditions, and not one single chronic disease 5 .The prevalence of multimorbidity is increasing worldwide 6 . NCD multimorbidity affects more young people in low-and middle-income countries. The mean prevalence of multimorbidity was 7.8% in 28 developing open Scientific RepoRtS | (2020) 10:3034 | https://doi.org/10.1038/s41598-020-59668-y www.nature.com/scientificreports www.nature.com/scientificreports/ countries in 2015 7 . NCD multimor...

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Section: Discussionmentioning

confidence: 99%

The patterns of Non-communicable disease Multimorbidity in Iran: A Multilevel Analysis

Khorrami

Rezapour

Etemad

et al. 2020

Sci Rep

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“…Research has also started to consider the mental or emotional health burden of multimorbidity, such as perceived stress 14 , a state in which one perceives their life situations stressful 15 . The relationship between some single chronic conditions and perceived stress has been investigated to date, partly driven by the potential deleterious influence of stress on the patient's treatment outcomes and wellbeing.…”

Section: Introductionmentioning

confidence: 99%

“…This is an important research gap given that a previous national Danish study identified that perceived stress may contribute to the heightened mortality in those with multimorbidity. 11 Previous research has suggested that multimorbidity is high in LMICs 14,20 and perceived stress levels are high due to considerable economic, environmental and health uncertainties, including less access to physical health care. Thus, this adds to the pressing need to explore this relationship within this context in older adults.…”

Section: Introductionmentioning

confidence: 99%

“…One recent study reported the association between chronic conditions, multimorbidity and perceived stress in LMICs using data from the World Health Survey 14 . Whilst novel, the data were older and the study was not restricted to older adults, who are the population typically with the highest levels of chronic conditions and multimorbidity.…”

Section: Introductionmentioning

confidence: 99%

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Multimorbidity and perceived stress: a population-based cross-sectional study among older adults across six low- and middle-income countries

et al. 2018

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“…Individuals requiring rehabilitation, whether due to developmental, acquired, or degenerative conditions, often experience co-occurring mental health conditions. This is due to the high prevalence of mental health problems and psychiatric disorders in the general population (Antunes et al, 2018, de Jonge et al, 2017 as well as to stressors (Vancampfort et al, 2017) and biological changes related to the various health-related conditions requiring rehabilitation (Ferro et al, 2017) . However, outside of psychiatric rehabilitation (Hutchison et al, 2017) , mental health assessment (MHA) is not always at the forefront of rehabilitation practice (Scanlan et al, 2017) .…”

Section: Introductionmentioning

confidence: 99%

Mental health assessment in rehabilitation: a descriptive study through an international internet survey

Juengst

Nordvik

Junttila

et al. 2018

International Journal of Rehabilitation Research

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This cross-sectional study assessed international rehabilitation practitioners' views of mental health assessment (MHA), related specifically to assessment tools and needs in the field. We delivered an anonymous web-based survey capturing rehabilitation practioners' perspectives on MHA practices, assessment tools, and needs through the American Congress of Rehabilitation Medicine in the USA and through national rehabilitation networks in Finland and Norway. Altogether, 355 rehabilitation professionals answered the survey. Unmet MHA needs, most often attributed to insufficient time (112/269 responders), were recognized among rehabilitation professionals irrespective of the country of practice. When professional experience was weighed against barriers to conducting MHA, cost was statistically significantly linked to professional experience, with those with less experience viewing cost more as a barrier (P=0.019). Rehabilitation professionals from different professions, in different countries, and working with a variety of clinical populations recognize defined barriers to MHA in rehabilitation.

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Perceived Stress and Its Relationship With Chronic Medical Conditions and Multimorbidity Among 229,293 Community-Dwelling Adults in 44 Low- and Middle-Income Countries

Cited by 76 publications

References 43 publications

The patterns of Non-communicable disease Multimorbidity in Iran: A Multilevel Analysis

The patterns of Non-communicable disease Multimorbidity in Iran: A Multilevel Analysis

Multimorbidity and perceived stress: a population-based cross-sectional study among older adults across six low- and middle-income countries

Mental health assessment in rehabilitation: a descriptive study through an international internet survey

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