ArticlePloS one2017
Epidemiology of multimorbidity within the Brazilian adult general population: Evidence from the 2013 National Health Survey (PNS 2013).
Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 2 of them syntheses that pooled it.
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Who cites it
44 citing papers in PubMed, 2 syntheses or guidelines pooled it, 101 citations in OpenAlex.
- Social determinants of multimorbidity patterns: A systematic review.Frontiers in public health · 2023Pooled it
- Multimorbidity of non-communicable diseases in low-income and middle-income countries: a systematic review and meta-analysis.BMJ open · 2022Pooled it
- Prevalence of chronic non-communicable diseases and multimorbidity among adults living in slums in Rio de Janeiro, Brazil: a population-based survey.International journal for equity in health · 2025Article
- Patient journey and disease burden characterization of the population with phenylketonuria (PKU) in Brazil: a retrospective analysis through data reported in the public health system administrative database (DATASUS).Lancet regional health. Americas · 2025Article
- The importance of including a mental health dimension in a multimorbidity indicator: an analysis of Belgian health survey data.BMC public health · 2024Article
- Prevalence of functional dependence and chronic diseases in the community-dwelling Brazilian older adults: an analysis by dependence severity and multimorbidity pattern.BMC public health · 2024Article
- Article
- Complex multimorbidity in hemodialysis patients: Study in a metropolitan region in Brazil.PloS one · 2024Article
- What is the burden of multimorbidity and the factors associated with its occurrence in elderly Brazilians?Revista brasileira de enfermagem · 2024Article
- Prediction of Multimorbidity in Brazil: Latest Fifth of a Century Population Study.JMIR public health and surveillance · 2023Article
- Association of Sleep Duration and Use of Sleeping Medication with Multimorbidity in Adults: Results from the PAMPA (Brazil) Cohort Study.Sleep science (Sao Paulo, Brazil) · 2023Article
- Prevalence and factors associated with multimorbidity in adults in Brazil, according to sex: a population-based cross-sectional survey.Frontiers in public health · 2023Article
- Multimorbidity and the use of health services in the Brazilian population: National Health Survey 2019.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2023Article
- Emergency department use and Artificial Intelligence in Pelotas: design and baseline results.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2023Article
- Discovery and classification of complex multimorbidity patterns: unravelling chronicity networks and their social profiles.Scientific reports · 2022Article
- Multimorbidity worsened anxiety and depression symptoms during the COVID-19 pandemic in Brazil.Journal of affective disorders · 2022Article
- Association of self-reported sleep problems with morbidities and multimorbidities according to sex: National Health Survey 2019.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2022Article
- Education and income-related inequalities in multimorbidity among older Brazilian adults.PloS one · 2022Article
- Comparing machine learning algorithms for multimorbidity prediction: An example from the Elsa-Brasil study.PloS one · 2022Article
- Prevalence of Multimorbidity of Chronic Noncommunicable Diseases in Brazil: Population-Based Study.JMIR public health and surveillance · 2021Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Middle-income countries are facing a growing challenge of adequate health care provision for people with multimorbidity. The objectives of this study were to explore the distribution of multimorbidity and to identify patterns of multimorbidity in the Brazilian general adult population. Data from 60202 adults, aged ≥18 years that completed the individual questionnaire of the National Health Survey 2013 (Portuguese: "Pesquisa Nacional de Saúde"-"PNS") was used. We defined multimorbidity as the presence of two or more chronic conditions, including self-reported diagnoses and responses to the 9-item Patient Health Questionnaire for depression. Multivariate Poisson regression analyses were used to explore relationship between multimorbidity and demographic factors. Exploratory tetrachoric factor analysis was performed to identify multimorbidity patterns. 24.2% (95% CI 23.5-24.9) of the study population were multimorbid, with prevalence rate ratios being significantly higher in women, older people and those with lowest educational level. Multimorbidity occurred earlier in women than in men, with half of the women and men aged 55-59 years and 65-69 years, respectively, were multimorbid. The absolute number of people with multimorbidity was approximately 2.5-fold higher in people younger than 65 years than older counterparts (9920 vs 3945). Prevalence rate ratios of any mental health disorder significantly increased with the number of physical conditions. 46.7% of the persons were assigned to at least one of three identified patterns of multimorbidity, including: "cardio-metabolic", "musculoskeletal-mental" and "respiratory" disorders. Multimorbidity in Brazil is as common as in more affluent countries. Women in Brazil develop diseases at younger ages than men. Our findings can inform a national action plan to prevent multimorbidity, reduce its burden and align health-care services more closely with patients' needs.
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