Multimorbilidade em Portugal

dados do primeiro inquérito nacional de saúde com exame físico

Translated title of the contribution: Multimorbidity in Portugal: results from the first national health examination survey

Guilherme Quinaz Romana, Irina Kislaya, Mário Rui Salvador, Susana Cunha Gonçalves, Baltazar Nunes, Carlos Dias

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Introduction: The simultaneous presence of multiple chronic diseases in the same individual is recognized as an important public health problem. Patients with multimorbidity have greater healthcare needs, which represents a higher burden on health services. Although there is no consensual definition of this concept, multimorbidity is usually defined as the presence of two or more chronic diseases in the same patient. The existence of evidence regarding multimorbidity will lead to more efficient management and treatment of these patients. Material and Methods: In order to estimate the prevalence of multimorbidity and to identify the associated factors, a cross-sectional epidemiological study was developed based on data from the INSEF, a population-based survey conducted on a representative probability sample of the Portuguese population (n = 4911). The prevalence of multimorbidity was estimated for the total population and separately for men and women, stratified by age group, region, education and income. The magnitudes of the associations were measured by the adjusted prevalence ratios calculated by the Poisson regression model. Results: Prevalence of multimorbidity was 38.3% (95% CI: 35.4% to 41.3%), with higher frequency in women, older people, Lisbon and Tagus Valley; Northern Portugal; Algarve and Alentejo regions and in those with lower academic qualifications. No association was found between multimorbidity and income. Discussion: Multimorbidity affects more than one third of the Portuguese population. Epidemiological data about multimorbidity in Portugal allows the identification of population groups with higher multimorbidity prevalence. Conclusion: Our results, which highlight the greater risk of multimorbidity among older and less instructed people, are in line with the literature. These results show the relevance of multimorbidity patients and are especially important in the way how healthcare is organized and provided.

Original languagePortuguese
Pages (from-to)30-37
Number of pages8
JournalActa medica portuguesa
Volume32
Issue number1
DOIs
Publication statusPublished - 1 Jan 2019

Fingerprint

Portugal
Health Surveys
Comorbidity
Population
Delivery of Health Care
Sampling Studies
Population Groups
Health Services
Epidemiologic Studies
Chronic Disease
Public Health
Age Groups
Cross-Sectional Studies

Keywords

  • Chronic diseases
  • Health surveys
  • Multimorbidity
  • Portugal

Cite this

Quinaz Romana, Guilherme ; Kislaya, Irina ; Salvador, Mário Rui ; Cunha Gonçalves, Susana ; Nunes, Baltazar ; Dias, Carlos. / Multimorbilidade em Portugal : dados do primeiro inquérito nacional de saúde com exame físico. In: Acta medica portuguesa. 2019 ; Vol. 32, No. 1. pp. 30-37.
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abstract = "Introduction: The simultaneous presence of multiple chronic diseases in the same individual is recognized as an important public health problem. Patients with multimorbidity have greater healthcare needs, which represents a higher burden on health services. Although there is no consensual definition of this concept, multimorbidity is usually defined as the presence of two or more chronic diseases in the same patient. The existence of evidence regarding multimorbidity will lead to more efficient management and treatment of these patients. Material and Methods: In order to estimate the prevalence of multimorbidity and to identify the associated factors, a cross-sectional epidemiological study was developed based on data from the INSEF, a population-based survey conducted on a representative probability sample of the Portuguese population (n = 4911). The prevalence of multimorbidity was estimated for the total population and separately for men and women, stratified by age group, region, education and income. The magnitudes of the associations were measured by the adjusted prevalence ratios calculated by the Poisson regression model. Results: Prevalence of multimorbidity was 38.3{\%} (95{\%} CI: 35.4{\%} to 41.3{\%}), with higher frequency in women, older people, Lisbon and Tagus Valley; Northern Portugal; Algarve and Alentejo regions and in those with lower academic qualifications. No association was found between multimorbidity and income. Discussion: Multimorbidity affects more than one third of the Portuguese population. Epidemiological data about multimorbidity in Portugal allows the identification of population groups with higher multimorbidity prevalence. Conclusion: Our results, which highlight the greater risk of multimorbidity among older and less instructed people, are in line with the literature. These results show the relevance of multimorbidity patients and are especially important in the way how healthcare is organized and provided.",
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Multimorbilidade em Portugal : dados do primeiro inquérito nacional de saúde com exame físico. / Quinaz Romana, Guilherme; Kislaya, Irina; Salvador, Mário Rui; Cunha Gonçalves, Susana; Nunes, Baltazar; Dias, Carlos.

In: Acta medica portuguesa, Vol. 32, No. 1, 01.01.2019, p. 30-37.

Research output: Contribution to journalArticle

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T1 - Multimorbilidade em Portugal

T2 - dados do primeiro inquérito nacional de saúde com exame físico

AU - Quinaz Romana, Guilherme

AU - Kislaya, Irina

AU - Salvador, Mário Rui

AU - Cunha Gonçalves, Susana

AU - Nunes, Baltazar

AU - Dias, Carlos

PY - 2019/1/1

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