Prevalência e fatores associados à multimorbidade em idosos comunitários

Abstract

Population aging provides an increase in multimorbidity in the elderly, a condition considered as a public health problem. Multimorbidity can be defined as the presence of two or more, such as three or more chronic conditions affecting the same individual. The work presented aims to estimate a prevalence and analyze the factors associated with multiplicity in the elderly. This study is part of a larger project “Frailty in the elderly: a longitudinal study” started in 2013. , a municipality located in the north of Minas Gerais, Brazil. The process was probabilistic, by conglomerates, in two courses. In the first one, the census sector is used as a sampling unit. In the second, the number of households was defined according to population density aged ≥ 60 years. The first data collection took place in 2013 (baseline), with the participation of 685 elderly people living in the urban area of the city. Aiming at the collection date of consecutive dates second months to the investigation, after 4 collections called “first date of 2016” between the collection months of 2017 and 2017. Elderly in data collection, sample of the second research. Factors associated with multifunctionality were identified by Poisson's multimorbidity analysis with multifunctionality. The cut-off point for the number of chronic non-communicable diseases simultaneously in the same individual promoted prevalence in the prevalence and associated factors in this study. The prevalence of multimorbidity in the elderly, considering two or more and three or more chronic diseases, was 67.8% and 43.4%, respectively. Biological analyses, as variables that followed, remained consistent twice associated with multimorbidity with three months or more illnesses, as did female sex, date and continuation of consultations in the last few months or more illnesses. On the other hand, self-perception of health was associated with multimorbidity with two or more chronic diseases, while not having more specific health insurance was associated with multimorbidity or three chronic diseases. Knowledge of these conditions can help in health promotion, prevention and surveillance actions for community-dwelling elderly people.