ArticlePloS one2019
Multimorbidity and complex multimorbidity in Brazilian rural workers.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.
- Multimorbidity in Latin America and the Caribbean: a systematic review and meta-analysis.BMJ open · 2021Pooled it
- Multimorbidity in the working-age population in Brazil: sociodemographic and behavioral factors.Revista de saude publica · 2026Article
- 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
- Predicting metabolic syndrome by lipid accumulation product, visceral adiposity index and body roundness index in Brazilian rural workers.BMC public health · 2025Article
- Patterns of multimorbidity across obesity severity and fat distribution in Anhui, China: a community-based study.Frontiers in endocrinology · 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
- Neck circumference cutoff point as a predictor of metabolic syndrome in Brazilian rural workers.PloS one · 2025Article
- Complex multimorbidity in hemodialysis patients: Study in a metropolitan region in Brazil.PloS one · 2024Article
- Multimorbidity and complex multimorbidity in Brazilians with severe obesity.Scientific reports · 2023Article
- Metabolic Syndrome and Associated Factors in Farmers in Southeastern Brazil: A Cross-Sectional Study.International journal of environmental research and public health · 2023Observational
- Self-rated health status and associated factors in rural workers.BMC public health · 2023Article
- Cross-sectional associations between body mass index, waist circumference, and multimorbidity:PeerJ · 2023Article
- Epidemiology and predictors of multimorbidity in Kharameh cohort study: A population-based cross-sectional study in southern Iran.Health science reports · 2023Article
- Article
- Multimorbidity and complex multimorbidity, their prevalence, and associated factors on a remote island in Japan: a cross-sectional study.BMC primary care · 2022Article
- Review
- Prevalence and determinants of obesity and abdominal obesity among rural workers in Southeastern Brazil.PloS one · 2022Article
- Exogenous pesticide poisoning in the state of Espírito Santo, Brazil, 2007-2016: spatial distribution and temporal trend in the incidence rate and case fatality ratio of notified cases.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2022Article
- Executive Function among Chilean Shellfish Divers: A Cross-Sectional Study Considering Working and Health Conditions in Artisanal Fishing.International journal of environmental research and public health · 2021Article
- Article
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo estimate the prevalence of multimorbidity and complex multimorbidity in rural workers and their association with sociodemographic characteristics, occupational contact with pesticides, lifestyle and clinical condition.
methodsThis is a cross-sectional epidemiological study with 806 farmers from the main agricultural municipality of the state of Espírito Santo/Brazil, conducted from December 2016 to April 2017. Multimorbidity was defined as the presence of two or more chronic diseases in the same individual, while complex multimorbidity was classified as the occurrence of three or more chronic conditions affecting three or more body systems. Socio-demographic data, occupational contact with pesticides, lifestyle data and clinical condition data were collected through a structured questionnaire. Binary logistic regression was conducted to identify risk factors for multimorbidity.
resultsThe prevalence of multimorbidity among farmers was 41.5% (n = 328), and complex multimorbidity was 16.7% (n = 132). More than 77% of farmers had at least one chronic illness. Hypertension, dyslipidemia and depression were the most prevalent morbidities. Being 40 years or older (OR 3.33, 95% CI 2.06-5.39), previous medical diagnosis of pesticide poisoning (OR 1.89, 95% CI 1.03-3.44), high waist circumference (OR 2.82, CI 95% 1.98-4.02) and worse health self-assessment (OR 2.10, 95% CI 1.52-2.91) significantly increased the chances of multimorbidity. The same associations were found for the diagnosis of complex multimorbidity.
conclusionWe identified a high prevalence of multimorbidity and complex multimorbidity among the evaluated farmers. These results were associated with increased age, abdominal fat, pesticide poisoning, and poor or fair health self-assessment. Public policies are necessary to prevent, control and treat this condition in this population.
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