ArticleRevista de saude publica2020
Does socioeconomic inequality occur in the multimorbidity among Brazilian adults?
Article in Revista de saude publica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Geographical barriers and multimorbidity in quilombola territories of the amazon region.PloS one · 2026Article
- Multimorbidity in the working-age population in Brazil: sociodemographic and behavioral factors.Revista de saude publica · 2026Article
- Multimorbidity in the Brazilian adult population: Protocol for a systematic review and meta-analysis of prevalence.PloS one · 2026Article
- Physical activity and BMI inequalities throughout childhood: a Brazilian birth cohort study.Lancet regional health. Americas · 2025Article
- Socioeconomic disparities in multimorbidity of chronic diseases in the RaNCD cohort study.Scientific reports · 2025Article
- Sociodemographic inequalities in multimorbidity and lifestyle risk factors among young adults: a national population-based study.Frontiers in public health · 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
- Global and regional prevalence of multimorbidity in the adult population in community settings: a systematic review and meta-analysis.EClinicalMedicine · 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
- Article
- Theoretical explanations for socioeconomic inequalities in multimorbidity: a scoping review.BMJ open · 2022Article
- Education and income-related inequalities in multimorbidity among older Brazilian adults.PloS one · 2022Article
- Incidence of multimorbidity and associated factors during the COVID-19 pandemic in Brazil: a cohort study.Sao Paulo medical journal = Revista paulista de medicinaArticle
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Authors and funding
8 authors.
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No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess the prevalence of multimorbidity among Brazilian adults and its association with socioeconomic indicators.
methodsCross-sectional study that used data from the Pesquisa Nacional Sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos no Brasil (PNAUM - Brazilian National Survey on Access, Use and Promotion of Rational Use of Medicines), carried out between 2013 and 2014. The definition of multimorbidity was the coexistence, in a single individual, of two or more chronic diseases, measured through a list of 14 morbidities (self-reported medical diagnosis throughout life). Economic status and educational level were the socioeconomic indicators used, being the inequalities assessed through the Slope Index of Inequality (SII) and the Concentration Index, stratified by gender.
resultsThe study comprehended 23,329 adults (52.8% of which were women), with an average age of 37.9 years. Hypertension and high cholesterol levels were the most prevalent conditions. The prevalence of multimorbidity was of 10.9% (95%CI 10.1-11.7) representing nearly 11 million individuals in Brazil, of which 14.5% (95%CI 13.5-15.4) were women and 6.8% (95%CI 5.9-7.8) were men. The occurrence of multimorbidity was similar according to the socioeconomic indicators. In the inequality analysis, we observed absolute and relative differences in men with a higher purchasing power (SII = 3.7; 95%CI 0.3-7.0) and higher educational level (CIX = 7.1; 95%CI 0.9-14.7), respectively.
conclusionsThe frequency of comorbidities in Brazilian adults is high, especially in absolute terms. We only observed socioeconomic inequalities in multimorbidities among men.
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