@article{ref1,
title="Multimorbidity in adults from a southern Brazilian city: occurrence and patterns",
journal="International journal of public health",
year="2016",
author="Nunes, Bruno Pereira and Camargo-Figuera, Fabio Alberto and Guttier, Marília and de Oliveira, Paula Duarte and Munhoz, Tiago N. and Matijasevich, Alicia and Bertoldi, Andréa Dâmaso and Wehrmeister, Fernando César and Silveira, Marysabel Pinto Telis and Thumé, Elaine and Facchini, Luiz Augusto",
volume="61",
number="9",
pages="1013-1020",
abstract="OBJECTIVES: The aim of this study was to evaluate occurrences and patterns of multimorbidity in adults from a southern Brazilian city. <br><br>METHODS: A population-based cross-sectional study was carried out in 2012 through face-to-face interviews with adults (20 or more years) living in Pelotas, southern Brazil. Multimorbidity was evaluated by a list of 11 morbidities (based on medical diagnosis; Patient Health Questionnaire 9 for depression; and Anatomical Therapeutic Chemical index) and operationalized according to two cutoff points: ≥2 and ≥3 morbidities. Descriptive analysis and factor analysis (FA) were performed. <br><br>RESULTS: The sample was made up of 2927 adults. Multimorbidity reached 29.1 % (95 % CI: 27.1; 31.1) for ≥2, and 14.3 % (95 % CI: 12.8; 15.8) for ≥3 morbidities and was greater in females, older people, those with less schooling and those from lower economic classes. Four pairs (frequency ≥5 %) and four triplets (frequency ≥2 %) were observed. Two patterns of morbidities (cardiometabolic and joint problems; and respiratory diseases) explained 93 % of total variance. <br><br>CONCLUSIONS: Multimorbidity was common in the studied population. The observed patterns may be used to generate and improve Brazilian diseases guidelines.<p /> <p>Language: en</p>",
language="en",
issn="1661-8556",
doi="10.1007/s00038-016-0819-7",
url="http://dx.doi.org/10.1007/s00038-016-0819-7"
}