ArticleFrontiers in public health2020
Managing Multimorbidity (Multiple Chronic Diseases) Amid COVID-19 Pandemic: A Community Based Study From Odisha, India.
Article in Frontiers in public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.
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33 citing papers in PubMed, 54 citations in OpenAlex.
- An unsupervised cluster analysis of multimorbidity patterns in older adults in Shenzhen, China.Frontiers in public health · 2025Article
- Prevalence and Associated Factors of Treatment Regimen Fatigue Among People Living with HIV/AIDS in China: A Cross-Sectional Survey.Patient preference and adherence · 2025Article
- A longitudinal qualitative study on physician experience in managing multimorbidity across the COVID-19 pandemic in Odisha, India.Scientific reports · 2024Article
- Effects of the COVID-19 Pandemic on the Implementation of NCD Care at the Primary Care Level in the Philippines: A Qualitative Inquiry.Acta medica Philippina · 2024Article
- Telemedicine in cancer care during COVID-19 pandemic: a systematic mapping study.Health and technology · 2023Article
- Managing dementia care during COVID-19 pandemic: caregivers' experiences in Odisha, India.Primary health care research & development · 2023Article
- Exploring multimorbidity clusters in relation to healthcare use and its impact on self-rated health among older people in India.PLOS global public health · 2023Article
- Article
- "We are invisible to them"-Identifying the most vulnerable groups in humanitarian crises during the COVID-19 pandemic: The case of Rohingyas and the Host communities of Cox's Bazar.PLOS global public health · 2023Article
- Burden of COVID-19 infection and lockdown measures on individuals with chronic diseases in Saudi Arabia: A national population-based study.Journal of infection and public health · 2022Article
- The perspectives of community members on COVID-19-related social stigma and mitigation strategies: A qualitative study in Madhya Pradesh, India.Journal of family medicine and primary care · 2022Article
- Association between Mental Health and Hand Hygiene Practices in Adults with Hypertension and Diabetes during the COVID-19 Pandemic: The 2020 Korea Community Health Survey.Healthcare (Basel, Switzerland) · 2022Article
- COVID-19 pandemic effects on the distribution of healthcare services in India: A systematic review.World journal of virology · 2022Article
- Multimorbidity.Nature reviews. Disease primers · 2022Review
- Identifying non-communicable disease multimorbidity patterns and associated factors: a latent class analysis approach.BMJ open · 2022Article
- Self-care Behaviors and Technology Used During COVID-19: Systematic Review.JMIR human factors · 2022Review
- Profile of comorbidity and multimorbidity among women attending antenatal clinics: An exploratory cross-sectional study from Odisha, India.Journal of family medicine and primary care · 2022Article
- All-cause mortality during the COVID-19 pandemic in Chennai, India: an observational study.The Lancet. Infectious diseases · 2022Observational
- Article
- Metabolomics of Multimorbidity: Could It Be theFrontiers in molecular biosciences · 2022Article
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
While most of the studies to date demonstrate the deleterious effect of multiple chronic diseases on COVID-19 risk and outcome, there is sparse information available on the effect of the pandemic on multimorbidity management, with no reports yet from India. We sought to explore the effect of COVID-19 pandemic on routine and emergency care for multimorbidity among community-dwelling adults in Odisha, India. A community-based cross-sectional study was undertaken pandemic lockdown, in Khurda district of Odisha, India. Around 600 individuals having at least one chronic disease residing in rural, urban residential and slums were interviewed using a specifically developed questionnaire MAQ COVID-19. The association of socio-demographic characteristics and multimorbidity with pandemic-related care challenges was examined by multiple logistic regression. Principal Component Analysis was employed to minimize the dimensionality of factors related to multimorbidity care. Multimorbidity was highly prevalent in younger age group (46-60 years) with cardio-metabolic clusters being dominant. Individuals with multimorbidity experienced significantly higher care challenges than those with single condition (AOR = 1.48, 95% CI = 1.01-2.05) with notable disruption in treatment and routine check-up. Most frequently cited concerns were-physician consultation (43%), diagnostic-services (26%), transport (33%), and mobility restrictions (21%). Multivariate analysis revealed older adults living alone in urban residence to have higher challenges than their rural counterparts. Patient activation for self-care, multimorbidity literacy, and technology-enabled tele-consultation could be explored as potential interventions. Future studies should qualitatively explore the challenges of physicians as well as garner an in-depth understanding of multimorbidity management in the vulnerable subgroups.
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