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Multimorbidity and associated factors in Brazilian women aged 40 to 65 years: a population-based study

de Souza Santos Machado, Vanessa MD; Valadares, Ana Lúcia Ribeiro MD, PhD; da Costa-Paiva, Lúcia Simões MD, PhD; Moraes, Sirley S. MSc; Pinto-Neto, Aarão Mendes MD, PhD

doi: 10.1097/gme.0b013e3182455963
Original Articles

Objective The aim of this study was to evaluate the presence of multimorbidity and associated factors in Brazilian women aged 40 to 65 years with 11 or more years of school education.

Methods A secondary analysis of a cross-sectional population-based study was conducted using an anonymous self-report questionnaire completed by 377 women. The number of reported morbid conditions was evaluated (depression, hypertension, diabetes mellitus, urinary incontinence, and insomnia) and classified as none or one and two or more morbid conditions. The sociodemographic, behavioral, clinical, and reproductive factors associated with these conditions were also assessed. The χ2 test and multiple logistic regression analysis with stepwise selection criteria were used to select the major factors associated with morbid conditions, with a significance level set at 5%.

Results Insomnia was reported by 38.5%, depression by 31%, hypertension by 28.4%, urinary incontinence by 23.2%, and diabetes by 6.3% of the participants. In this sample, 28.9% did not report any morbid conditions, 31.8% reported one morbid condition, and 39.3% reported two or more morbid conditions. On logistic regression analysis, the increased likelihood of having two or more morbid conditions was associated with bad/fair self-perception of health (increased 5.1 times; 95% CI, 1.85-14.1), nonperformance of physical activity (increased by 2.7 times; 95% CI, 1.08-6.81), obesity (increased by 30.3 times; 95% CI, 3.17-250), postmenopause (increased by 4.4 times; 95% CI, 1.57-12.11), and nervousness (increased by 3.8 times; 95% CI, 1.45-9.8).

Conclusions A worse self-perception of health, sedentariness, obesity, nervousness, and being postmenopausal were associated with multimorbidity.

In this study, a worse self-perception of health, sedentariness, obesity, nervousness, and being postmenopausal were associated with multimorbidity.

From the Department of Obstetrics and Gynecology, School of Medicine, Faculty of Medical Sciences, State University of Campinas, Campinas, SP, Brazil.

Received July 16, 2011; revised and accepted September 28, 2011.

Funding/support: This study was supported by the São Paulo Foundation for the Support of Research Grant 04/10524-8.

Financial disclosure/conflicts of interest: None reported.

Address correspondence to: Ana Lúcia Ribeiro Valadares, MD, PhD, Department of Obstetrics and Gynecology, Faculty of Medical Sciences, PO Box 6111, State University of Campinas, 13083-970 Campinas, SP, Brazil. E-mail: anarvaladares@gmail.com

©2012The North American Menopause Society