Socioeconomic variation of multimorbidity in Colombian older adults

Abstract Multimorbidity (MM) prevalence among older adults is increasing worldwide. Variations regarding the socioeconomic characteristics of the individuals and their context have been described, mostly in high-income settings. However, further research is needed to understand the effect of the coe...

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Autores principales:	Silvia Marcela Ballesteros, José Moreno-Montoya, Wilhelmus Johannes Andreas Grooten, Pedro Barrera-López, José A. De la Hoz-Valle
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/f964bb1cffe34688833d740fba531833
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spelling	oai:doaj.org-article:f964bb1cffe34688833d740fba5318332021-11-28T12:18:40ZSocioeconomic variation of multimorbidity in Colombian older adults10.1038/s41598-021-02219-w2045-2322https://doaj.org/article/f964bb1cffe34688833d740fba5318332021-11-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-02219-whttps://doaj.org/toc/2045-2322Abstract Multimorbidity (MM) prevalence among older adults is increasing worldwide. Variations regarding the socioeconomic characteristics of the individuals and their context have been described, mostly in high-income settings. However, further research is needed to understand the effect of the coexistence of infectious diseases along with socioeconomic factors regarding MM. This study aims to examine the variation of MM regarding infectious diseases mortality after adjusting for socioeconomic factors. A cross-sectional multilevel study with a nationally representative sample of 17,571 Colombian adults of 60 years of age or older was conducted. Individual socioeconomic, demographic, childhood and health related characteristics, as well as group level variables (multidimensional poverty index and infectious diseases mortality rate) were analyzed. A two-level stepwise structural equation model was used to simultaneously adjust for the individual and contextual effects. Multimorbidity prevalence was 62.3% (95% CI 61.7–62.9). In the multilevel adjusted models, age, female sex, having functional limitations, non-white ethnicity, high body mass index, higher income, physical inactivity and living in urban areas were associated with multimorbidity among the sample for this study. The median odds ratio for multidimensional poverty was 1.18 (1.16–1.19; p = 0.008) and for infectious diseases was 1.25 (1.22–1.28; p = 0.014). This paper demonstrates that MM varies regarding the mortality of infectious diseases and shows a strong association between MM and poverty in a low-middle income country. Differences in the factors involved in the etiology of multimorbidity are expected among wealthy and poor countries regarding availability and prioritization of health services.Silvia Marcela BallesterosJosé Moreno-MontoyaWilhelmus Johannes Andreas GrootenPedro Barrera-LópezJosé A. De la Hoz-ValleNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Silvia Marcela Ballesteros José Moreno-Montoya Wilhelmus Johannes Andreas Grooten Pedro Barrera-López José A. De la Hoz-Valle Socioeconomic variation of multimorbidity in Colombian older adults
description	Abstract Multimorbidity (MM) prevalence among older adults is increasing worldwide. Variations regarding the socioeconomic characteristics of the individuals and their context have been described, mostly in high-income settings. However, further research is needed to understand the effect of the coexistence of infectious diseases along with socioeconomic factors regarding MM. This study aims to examine the variation of MM regarding infectious diseases mortality after adjusting for socioeconomic factors. A cross-sectional multilevel study with a nationally representative sample of 17,571 Colombian adults of 60 years of age or older was conducted. Individual socioeconomic, demographic, childhood and health related characteristics, as well as group level variables (multidimensional poverty index and infectious diseases mortality rate) were analyzed. A two-level stepwise structural equation model was used to simultaneously adjust for the individual and contextual effects. Multimorbidity prevalence was 62.3% (95% CI 61.7–62.9). In the multilevel adjusted models, age, female sex, having functional limitations, non-white ethnicity, high body mass index, higher income, physical inactivity and living in urban areas were associated with multimorbidity among the sample for this study. The median odds ratio for multidimensional poverty was 1.18 (1.16–1.19; p = 0.008) and for infectious diseases was 1.25 (1.22–1.28; p = 0.014). This paper demonstrates that MM varies regarding the mortality of infectious diseases and shows a strong association between MM and poverty in a low-middle income country. Differences in the factors involved in the etiology of multimorbidity are expected among wealthy and poor countries regarding availability and prioritization of health services.
format	article
author	Silvia Marcela Ballesteros José Moreno-Montoya Wilhelmus Johannes Andreas Grooten Pedro Barrera-López José A. De la Hoz-Valle
author_facet	Silvia Marcela Ballesteros José Moreno-Montoya Wilhelmus Johannes Andreas Grooten Pedro Barrera-López José A. De la Hoz-Valle
author_sort	Silvia Marcela Ballesteros
title	Socioeconomic variation of multimorbidity in Colombian older adults
title_short	Socioeconomic variation of multimorbidity in Colombian older adults
title_full	Socioeconomic variation of multimorbidity in Colombian older adults
title_fullStr	Socioeconomic variation of multimorbidity in Colombian older adults
title_full_unstemmed	Socioeconomic variation of multimorbidity in Colombian older adults
title_sort	socioeconomic variation of multimorbidity in colombian older adults
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/f964bb1cffe34688833d740fba531833
work_keys_str_mv	AT silviamarcelaballesteros socioeconomicvariationofmultimorbidityincolombianolderadults AT josemorenomontoya socioeconomicvariationofmultimorbidityincolombianolderadults AT wilhelmusjohannesandreasgrooten socioeconomicvariationofmultimorbidityincolombianolderadults AT pedrobarreralopez socioeconomicvariationofmultimorbidityincolombianolderadults AT joseadelahozvalle socioeconomicvariationofmultimorbidityincolombianolderadults
_version_	1718408115671531520

Socioeconomic variation of multimorbidity in Colombian older adults

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