Trends of multimorbidity in 15 European countries: a population-based study in community-dwelling adults aged 50 and over

Souza, Dyego Leandro Bezerra de; Oliveras-Fabregas, Albert; Minobes-Molina, Eduard; Cancela, Marianna de Camargo; Galbany-Estragués, Paola; Jerez-Roig, Javier

doi:10.21203/rs.3.rs-17055/v2

Cited by 3 publications

(3 citation statements)

References 27 publications

(33 reference statements)

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“…Globally, approximately 37% of the general population has multimorbidity [15] and it is associated with premature death [16], poor health [17,18] depression [19], poor quality of life [20], and increased healthcare utilization [21]. Additionally, age, gender, educational level, smoking, and obesity were associated with multimorbidity in previous research among adults aged 50 and over [22]. Multimorbidity has become increasingly important as changing health behaviors, such as physical activity and obesity, are a core focus in multimorbidity prevention.…”

Section: Table Of Contentsmentioning

confidence: 99%

Multimorbidity and its Associated Factors in Korean Shift Workers: Population-Based Cross-Sectional Study

Hong,

Kim

2024

JMIR Public Health Surveill

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Background: Multimorbidity is a crucial factor that influences premature death rates, poor health, and healthcare utilization. Approximately one-fifth of the global workforce is involved in shift work which is associated with increased risk for several chronic diseases and multimorbidity.Objective: This study aimed to identify multimorbidity patterns and examine the factors associated with multimorbidity among shift workers in Korea.Methods: Data from the Korea National Health and Nutrition Examination Surveys (KNHANES) from 2016 to 2020 were utilized. The study included n = 1,704 (Weighted N = 2,697,228) Korean shift workers aged 19 and older. Multimorbidity patterns were identified by network analysis, and a survey-corrected logistic regression analysis was performed to identify influencing factors of multimorbidity among the workers. Results:The overall prevalence of multimorbidity was 13.7%. Network analysis results revealed that chronic diseases clustered into three groups: 1) cardiometabolic multimorbidity 2) musculoskeletal multimorbidity, and 3) an unclassified disease group. Logistic regression indicated that age, income, regular work, and obesity were significant factors influencing multimorbidity. Conclusions:The findings revealed that several socioeconomic and behavioral factors were associated with multimorbidity among shift workers indicating the need for policy development related to work schedule modification. Further organizationlevel screening and intervention programs are needed to prevent and manage multimorbidity among shift workers.

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Section: Table Of Contentsmentioning

confidence: 99%

Multimorbidity and its Associated Factors in Korean Shift Workers: Population-Based Cross-Sectional Study

Hong,

Kim

2024

JMIR Public Health Surveill

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“…See figure 2.1. However, the increase in men only was observed in Netherlands and the prevalence was relatively stable in other countries in the period under review (Souza et al, 2021). The increase or reduction in the prevalence of multimorbidity was explained by two factors: (1) changes in the prevalence of the main risk factors, such as tobacco and alcohol consumption, diet or practice of physical activity; or (2) changes in the classification system and/or improvement in diagnosis.…”

Section: Prevalence Of Multimorbidity In the Communitymentioning

confidence: 88%

“…Data from 15 European countries have shown that an increase in the prevalence of multimorbidity in both genders in 7 countries (Souza et al, 2021). See figure 2.1.…”

Section: Prevalence Of Multimorbidity In the Communitymentioning

confidence: 99%

Understanding Multimorbidity of Older Adults in Niger State North Central Nigeria.

Ahmed

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Background: Multimorbidity is defined as the co-occurrence of at least two chronic diseases in the same person. With advancing epidemiological and demographic transitions, the burden of multi-morbidity is expected to increase globally, and Nigeria is not an exemption. Overall objectives: The aim of the study was to develop a better understanding of multimorbidity among elderly Nigerians. Methods: A multi-methods (systematic literature review, quantitative and qualitative) survey was conducted. The systematic review was preceded by a designed priori protocol following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist and the PRISMA Protocols statement. Data for the quantitative, and qualitative were administered on a cross-section of 734 and 12 multimorbid participants selected from 4 secondary hospitals and the communities respectively in Niger state over 5 months. SPSS and NVivo were used to analyze the quantitative and qualitative phases data respectively. Results: The prevalence of multimorbidity in Niger state north central Nigeria was 51.9% with multimorbidity prevalence ranging from 27% to 74% across Nigeria. Chronic disease conditions like hypertension, diabetes, and acid peptic diseases were the commonly occurring clusters of multimorbidity. A positive association between adverse childhood experiences (AECs) and multimorbidity was observed. The study also observed an association between adverse childhood experiences (ACEs) and behavioral risk factors. A Positive moderate association was observed between age and multimorbidity and a negative association was found between multimorbidity and levels of education and income. Using Donabedian’s model of healthcare quality revealed the process component of the model to be the primary component in determining the perceived quality of healthcare services among elderly multimorbid patients in Niger state north central Nigeria. Conclusion: There is a need to recognize ACEs and their consequences as a public health problem in Nigeria and commence the practice of public health surveillance to reduce the occurrence of ACEs and their effects. The prevention of multimorbidity should begin from childhood by preventing ACEs through the creation of a positive setting for both children and families and a system that supports healthy families. Additionally, identifying the common pattern of multimorbidity will provide insight to develop more integrative multidisciplinary preventive and better management approach for multimorbidity. Finally, access to and quality of health care can be improved by improving patient-physician relationships, reducing waiting times for seeing physicians and reducing financial cost of medical treatment. improving the These findings are important to better inform policymakers and related stakeholders, in order to ensure equitable access and improve the health outcomes of multimorbid patients and the overall population’s health. Although the result of this study has the potential to illuminate some of the weaknesses of the current multimorbidity care among the elderly, the sample selection is limited to 4 hospitals and some communities in Niger state, thus the findings cannot be generalized for the country. Nevertheless, the study can be replicated elsewhere in the country to increase its impact.

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Towards a standardized approach of assessing social context of persons receiving home care in Flanders, Belgium: the development and test of a social supplement to the interRAI instruments

Doren

Hermans

Declercq

2021

BMC Health Serv Res

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Background Apart from a person’s physical functioning, the early identification of social context indicators which affect patient outcomes - such as environmental and psychosocial issues - is key for high quality and comprehensive care at home. During a home care assessment, a person’s biomedical and functional problems are typically considered. Harder to define concepts, such as psychosocial well-being or living arrangements, are not routinely documented, even though research shows they also affect functioning and health outcomes. The purpose of this study is to develop and test a concise, integrated assessment (BelRAI Social Supplement) that evaluates these social context indicators for persons receiving home care to complement existing interRAI- instruments. Methods The development of the BelRAI Social Supplement is a multi-stage process, based upon the revised MRC-framework, involving both qualitative and quantitative research with stakeholders such as; clients, informal caregivers, care professionals and policy makers. The developmental process encompasses four stages: (I) item generation based on multiple methods and content validation by a panel of stakeholders (II) assessing feasibility and piloting methods, (III) early evaluation, and (IV) final evaluation. Stage II and III are covered in this paper. Results During Stages I and II, a testable version of the BelRAI Social Supplement was developed in an iterative process. In Stage III, 100 care professionals assessed 743 individuals receiving home care in Flanders between December 2018 and December 2019. Using inter-item correlation matrixes, frequency distributions and regular feedback from the participants, the BelRAI Social Supplement was improved and prepared for Stage IV. The updated version of the instrument consists of four main sections: (1) environmental assessment; (2) civic engagement; (3) psychosocial well-being; and (4) informal care and support. In total, the BelRAI Social Supplement contains a maximum of 76 items. Conclusions The BelRAI Social Supplement was reviewed and shortened in close collaboration with care professionals and other experts in Flanders. This study resulted in an instrument that documents need-to-know social context determinants of home dwelling adults.

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Trends of multimorbidity in 15 European countries: a population-based study in community-dwelling adults aged 50 and over

Cited by 3 publications

References 27 publications

Multimorbidity and its Associated Factors in Korean Shift Workers: Population-Based Cross-Sectional Study

Multimorbidity and its Associated Factors in Korean Shift Workers: Population-Based Cross-Sectional Study

Understanding Multimorbidity of Older Adults in Niger State North Central Nigeria.

Towards a standardized approach of assessing social context of persons receiving home care in Flanders, Belgium: the development and test of a social supplement to the interRAI instruments

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