Multimorbidity patterns in a national representative sample of the Spanish adult population.

<h4>Background</h4>In the context of population aging, multimorbidity has emerged as a growing concern in public health. However, little is known about multimorbidity patterns and other issues surrounding chronic diseases. The aim of our study was to examine multimorbidity patterns, the...

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Autores principales:	Noe Garin, Beatriz Olaya, Jaime Perales, Maria Victoria Moneta, Marta Miret, Jose Luis Ayuso-Mateos, Josep Maria Haro
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2014
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/50f94a4509444c549e78df309b2e385a
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spelling	oai:doaj.org-article:50f94a4509444c549e78df309b2e385a2021-11-18T08:37:20ZMultimorbidity patterns in a national representative sample of the Spanish adult population.1932-620310.1371/journal.pone.0084794https://doaj.org/article/50f94a4509444c549e78df309b2e385a2014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24465433/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>In the context of population aging, multimorbidity has emerged as a growing concern in public health. However, little is known about multimorbidity patterns and other issues surrounding chronic diseases. The aim of our study was to examine multimorbidity patterns, the relationship between physical and mental conditions and the distribution of multimorbidity in the Spanish adult population.<h4>Methods</h4>Data from this cross-sectional study was collected from the COURAGE study. A total of 4,583 participants from Spain were included, 3,625 aged over 50. An exploratory factor analysis was conducted to detect multimorbidity patterns in the population over 50 years of age. Crude and adjusted binary logistic regressions were performed to identify individual associations between physical and mental conditions.<h4>Results</h4>THREE MULTIMORBIDITY PATTERNS ROSE: 'cardio-respiratory' (angina, asthma, chronic lung disease), 'mental-arthritis' (arthritis, depression, anxiety) and the 'aggregated pattern' (angina, hypertension, stroke, diabetes, cataracts, edentulism, arthritis). After adjusting for covariates, asthma, chronic lung disease, arthritis and the number of physical conditions were associated with depression. Angina and the number of physical conditions were associated with a higher risk of anxiety. With regard to multimorbidity distribution, women over 65 years suffered from the highest rate of multimorbidity (67.3%).<h4>Conclusion</h4>Multimorbidity prevalence occurs in a high percentage of the Spanish population, especially in the elderly. There are specific multimorbidity patterns and individual associations between physical and mental conditions, which bring new insights into the complexity of chronic patients. There is need to implement patient-centered care which involves these interactions rather than merely paying attention to individual diseases.Noe GarinBeatriz OlayaJaime PeralesMaria Victoria MonetaMarta MiretJose Luis Ayuso-MateosJosep Maria HaroPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 1, p e84794 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Noe Garin Beatriz Olaya Jaime Perales Maria Victoria Moneta Marta Miret Jose Luis Ayuso-Mateos Josep Maria Haro Multimorbidity patterns in a national representative sample of the Spanish adult population.
description	<h4>Background</h4>In the context of population aging, multimorbidity has emerged as a growing concern in public health. However, little is known about multimorbidity patterns and other issues surrounding chronic diseases. The aim of our study was to examine multimorbidity patterns, the relationship between physical and mental conditions and the distribution of multimorbidity in the Spanish adult population.<h4>Methods</h4>Data from this cross-sectional study was collected from the COURAGE study. A total of 4,583 participants from Spain were included, 3,625 aged over 50. An exploratory factor analysis was conducted to detect multimorbidity patterns in the population over 50 years of age. Crude and adjusted binary logistic regressions were performed to identify individual associations between physical and mental conditions.<h4>Results</h4>THREE MULTIMORBIDITY PATTERNS ROSE: 'cardio-respiratory' (angina, asthma, chronic lung disease), 'mental-arthritis' (arthritis, depression, anxiety) and the 'aggregated pattern' (angina, hypertension, stroke, diabetes, cataracts, edentulism, arthritis). After adjusting for covariates, asthma, chronic lung disease, arthritis and the number of physical conditions were associated with depression. Angina and the number of physical conditions were associated with a higher risk of anxiety. With regard to multimorbidity distribution, women over 65 years suffered from the highest rate of multimorbidity (67.3%).<h4>Conclusion</h4>Multimorbidity prevalence occurs in a high percentage of the Spanish population, especially in the elderly. There are specific multimorbidity patterns and individual associations between physical and mental conditions, which bring new insights into the complexity of chronic patients. There is need to implement patient-centered care which involves these interactions rather than merely paying attention to individual diseases.
format	article
author	Noe Garin Beatriz Olaya Jaime Perales Maria Victoria Moneta Marta Miret Jose Luis Ayuso-Mateos Josep Maria Haro
author_facet	Noe Garin Beatriz Olaya Jaime Perales Maria Victoria Moneta Marta Miret Jose Luis Ayuso-Mateos Josep Maria Haro
author_sort	Noe Garin
title	Multimorbidity patterns in a national representative sample of the Spanish adult population.
title_short	Multimorbidity patterns in a national representative sample of the Spanish adult population.
title_full	Multimorbidity patterns in a national representative sample of the Spanish adult population.
title_fullStr	Multimorbidity patterns in a national representative sample of the Spanish adult population.
title_full_unstemmed	Multimorbidity patterns in a national representative sample of the Spanish adult population.
title_sort	multimorbidity patterns in a national representative sample of the spanish adult population.
publisher	Public Library of Science (PLoS)
publishDate	2014
url	https://doaj.org/article/50f94a4509444c549e78df309b2e385a
work_keys_str_mv	AT noegarin multimorbiditypatternsinanationalrepresentativesampleofthespanishadultpopulation AT beatrizolaya multimorbiditypatternsinanationalrepresentativesampleofthespanishadultpopulation AT jaimeperales multimorbiditypatternsinanationalrepresentativesampleofthespanishadultpopulation AT mariavictoriamoneta multimorbiditypatternsinanationalrepresentativesampleofthespanishadultpopulation AT martamiret multimorbiditypatternsinanationalrepresentativesampleofthespanishadultpopulation AT joseluisayusomateos multimorbiditypatternsinanationalrepresentativesampleofthespanishadultpopulation AT josepmariaharo multimorbiditypatternsinanationalrepresentativesampleofthespanishadultpopulation
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Multimorbidity patterns in a national representative sample of the Spanish adult population.

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