ArticleBMJ open2018
Prevalence and patterns of multimorbidity in Amazon Region of Brazil and associated determinants: a cross-sectional study.
Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.
- Multimorbidity in Latin America and the Caribbean: a systematic review and meta-analysis.BMJ open · 2021Pooled it
- Prevalence of multiple lung diseases among the people and associated with wealth status and behavior factors: a longitudinal study in West Bengal.Journal of health, population, and nutrition · 2025Article
- Prevalence, Risk Factors, and Multimorbidity Patterns in Climacteric Women with Hypertension.International journal of environmental research and public health · 2025Article
- Prevalence of Multimorbidity Among School-Aged Children in the Yangzhou District of China.Healthcare (Basel, Switzerland) · 2025Article
- Multimorbidity and its correlates in middle-aged and older adults in a city of North India.Journal of family medicine and primary care · 2025Article
- Multimorbidity and associated factors in the adult Indigenous population living in villages in the municipality of Aracruz, Espírito Santo, State, Brazil.Cadernos de saude publica · 2025Article
- A model-based approach to estimating the prevalence of disease combinations in South Africa.BMJ global health · 2024Article
- What is the burden of multimorbidity and the factors associated with its occurrence in elderly Brazilians?Revista brasileira de enfermagem · 2024Article
- Multimorbidity and use of health services in a population diagnosed with COVID-19 in a municipality in the Southern Region of Brazil, 2020-2021: a cross-sectional study.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2024Article
- Multimorbidity and complex multimorbidity in Brazilians with severe obesity.Scientific reports · 2023Article
- Global and regional prevalence of multimorbidity in the adult population in community settings: a systematic review and meta-analysis.EClinicalMedicine · 2023Article
- Cross-sectional associations between body mass index, waist circumference, and multimorbidity:PeerJ · 2023Article
- Associations Among Multimorbid Conditions in Hospitalized Middle-aged and Older Adults in China: Statistical Analysis of Medical Records.JMIR public health and surveillance · 2022Article
- Multimorbidity.Nature reviews. Disease primers · 2022Review
- Article
- Relationship Between Dietary Patterns and Chronic Diseases in Rural Population: Management Plays an Important Role in the Link.Frontiers in nutrition · 2022Article
- Prevalence of Multimorbidity of Chronic Noncommunicable Diseases in Brazil: Population-Based Study.JMIR public health and surveillance · 2021Article
- Prevalence, pattern and determinants of chronic disease multimorbidity in Nepal: secondary analysis of a national survey.BMJ open · 2021Article
- Consumption and Lack of Access to Medicines and Associated Factors in the Brazilian Amazon: A Cross-Sectional Study, 2019.Frontiers in pharmacology · 2020Article
- Does socioeconomic inequality occur in the multimorbidity among Brazilian adults?Revista de saude publica · 2020Article
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo estimate the prevalence of multimorbidity and to identify factors associated with it in the adult population from the metropolitan region of Manaus.
designCross-sectional population-based study.
settingInterviews conducted between May and August of 2015 in eight cities that compose the metropolitan region of Manaus, Amazonas, Brazil.
participants4001 adults aged ≥18 years. PRIMARY OUTCOME MEASURES: Multimorbidity, measured by the occurrence of ≥2 and ≥3 chronic diseases, was the primary outcome. The associated factors were investigated by calculating the prevalence ratio (PR) obtained by Poisson regression, with robust adjustment of the variance in a hierarchical model. A factor analysis was conducted to investigate multimorbidity clusters.
resultsHalf of the interviewees were women. The presence of a chronic disease was reported by 57.2% (95% CI 56.6% to 59.7%) of the interviewees, and the mean morbidity was 1.2 (1.1-1.2); 29.0% (95% CI 27.6% to 30.5%) reported ≥2 morbidities and 15.2% (95% CI 14.1% to 16.4%) reported ≥3 chronic conditions. Back pain was reported by one-third of the interviewees. Multimorbidity was highest in women, PR=1.66 (95% CI 1.50 to 1.83); the elderly, PR=5.68 (95% CI 4.51 to 7.15) and individuals with worse health perception, PR=3.70 (95% CI 2.73 to 5.00). Associated factors also included undergoing medical consultations, hospitalisation in the last year, suffering from dengue in the last year and seeking the same healthcare service. Factor analysis revealed a pattern of multimorbidity in women. The factor loading the most strength of association in women was heart disease. In men, an association was identified in two groups, and lung disease was the disease with the highest factorial loading.
conclusionMultimorbidity was frequent in the metropolitan region of Manaus. It occurred most often in women, in the elderly and in those with worse health perception.
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