ArticlePloS one2022
Education and income-related inequalities in multimorbidity among older Brazilian adults.
Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Life course socioeconomic determinants of multimorbidity in later life: longitudinal evidence from the Health and Retirement Study.Longitudinal and life course studies : international journal · 2026Article
- Trends in income-related concentration and inequality in health in Japan: evidence from population-based National surveys from 2001 to 2022.Population health metrics · 2025Article
- Effect of primary health care on the association between multimorbidity and emergency service utilization: National Health Survey, 2019.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2024Article
- The relationship between multimorbidity and cognitive function in older Chinese adults: based on propensity score matching.Frontiers in public health · 2024Article
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Authors and funding
5 authors.
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Abstract
objectivesThis study aimed to evaluate the existence of socioeconomic inequalities related to the prevalence of multimorbidity in the Brazilian population aged 60 and older.
methodsThis was a cross-sectional study with data from the last Brazilian National Health Survey (PNS) collected in 2019. Multimorbidity was the dependent variable and was defined as the presence of two or more chronic diseases. All the diseases were assessed based on a self-reported previous medical diagnosis. Education and per capita family income were the measures of socioeconomic position. Socioeconomic inequalities related to multimorbidity were assessed using two complex measures of inequality; the Slope Index of Inequality (SII) and the Concentration Index (CI).
resultsThe prevalence of multimorbidity in Brazil was 56.5% 95% CI (55.4; 57.6) and varied from 46.9% (44.3; 49.6) in the North region to 59.3% (57.0; 61.5) in the South region. In general, individuals with higher socioeconomic positions had a lower prevalence of multimorbidity. Significant absolute and relative income inequalities were observed in the South region [SII -9.0; CI -0.054], Southeast [SII -9.8; CI -0.06], and Middle-east [SII -10.4; CI -0.063]. Absolute and relative education inequalities were significant for the country and two of its regions (Southeast [SII -12.7; CI -0.079] and South [SII -19.0; CI -0.109]).
conclusionsThe prevalence of multimorbidity is high in Brazil and all of its macro-regions. The significant findings concerning the inequalities suggest that the distribution of this condition is more concentrated among those with lower education and income.
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