AI Article Synopsis
- - This study investigated the socioeconomic inequalities linked to multimorbidity (having two or more chronic diseases) among Brazilians aged 60 and older, using 2019 National Health Survey data.
- - Results showed a high prevalence of multimorbidity at 56.5%, with variations by region and a clear trend where individuals with higher education and income experienced lower rates of multimorbidity.
- - Significant inequalities were noted both in income and education across several regions, indicating that those with lesser socioeconomic status face higher health burdens regarding chronic diseases.
Article Abstract
Objectives: This study aimed to evaluate the existence of socioeconomic inequalities related to the prevalence of multimorbidity in the Brazilian population aged 60 and older.
Methods: This was a cross-sectional study with data from the last Brazilian National Health Survey (PNS) collected in 2019. Multimorbidity was the dependent variable and was defined as the presence of two or more chronic diseases. All the diseases were assessed based on a self-reported previous medical diagnosis. Education and per capita family income were the measures of socioeconomic position. Socioeconomic inequalities related to multimorbidity were assessed using two complex measures of inequality; the Slope Index of Inequality (SII) and the Concentration Index (CI).
Results: The prevalence of multimorbidity in Brazil was 56.5% 95% CI (55.4; 57.6) and varied from 46.9% (44.3; 49.6) in the North region to 59.3% (57.0; 61.5) in the South region. In general, individuals with higher socioeconomic positions had a lower prevalence of multimorbidity. Significant absolute and relative income inequalities were observed in the South region [SII -9.0; CI -0.054], Southeast [SII -9.8; CI -0.06], and Middle-east [SII -10.4; CI -0.063]. Absolute and relative education inequalities were significant for the country and two of its regions (Southeast [SII -12.7; CI -0.079] and South [SII -19.0; CI -0.109]).
Conclusions: The prevalence of multimorbidity is high in Brazil and all of its macro-regions. The significant findings concerning the inequalities suggest that the distribution of this condition is more concentrated among those with lower education and income.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9560520 | PMC |
| http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0275985 | PLOS |
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