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Differences by Sex in the Presentation of Multimorbidity: Longitudinal Study in Mexican Adults Living in the Community, 2001-2018.
Rojas-Huerta, Abigail; Giraldo-Rodríguez, Liliana; Agudelo-Botero, Marcela; Mino-León, Dolores.
Afiliação
  • Rojas-Huerta A; Institute of Geography, National Autonomous University of Mexico (UNAM). Mexico City, Mexico.
  • Giraldo-Rodríguez L; Instituto Nacional de Geriatría, Mexico City, Mexico.
  • Agudelo-Botero M; Policy, Population and Health Research Center, School of Medicine, National Autonomous University of Mexico (UNAM), Mexico City, Mexico.
  • Mino-León D; Unidad de Investigación Médica en Epidemiología Clínica, Hospital de Especialidades CMN SXXI, Instituto Mexicano del Seguro Social, Mexico City, Mexico.
J Womens Health (Larchmt) ; 31(12): 1742-1750, 2022 12.
Article em En | MEDLINE | ID: mdl-35904940
Background: Multimorbidity represents a challenge for public health because as populations age, its prevalence increases. The objectives were to describe by sex the multimorbidity patterns from 2001 to 2018 in a cohort of people ≥50 years and in a subcohort with multimorbidity to describe the trajectories and transitions. Materials and Methods: Secondary analysis of the cohort of adults ≥50 years in the Mexican Health and Aging Study. Sociodemographic, health, functionality, and mortality were analyzed. Descriptive analysis was performed, estimation of prevalence by sex and trajectories, and transitions of the multimorbidity patterns with alluvial diagrams. Results: In the full cohort, 53.3% were women and in the subcohort with multimorbidity 66.1%. In both sexes, more cases with multimorbidity were observed among people without schooling, without a job, with a fair or bad economic situation, and with fair or bad self-perception of their health. The chronic diseases (CDs) with the highest prevalence were diabetes mellitus (DM), hypertension (HT), and arthritis and the most prevalent multimorbidity patterns were HT+arthritis and DM+HT. Higher proportion of men transited early to death and the women to other patterns more complex. Conclusion: Women always had higher prevalence of multimorbidity from an early age and with more complex combinations of CDs, but men with multimorbidity died prematurely. It is important to analyze multimorbidity not only from a biological approach but also from a perspective that considers sex inequalities and allows for the development of specific interventions adapted to the particular needs of men and women.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Artrite / Diabetes Mellitus / Hipertensão Tipo de estudo: Observational_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male País/Região como assunto: Mexico Idioma: En Revista: J Womens Health (Larchmt) Assunto da revista: GINECOLOGIA / SAUDE DA MULHER Ano de publicação: 2022 Tipo de documento: Article País de afiliação: México País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Artrite / Diabetes Mellitus / Hipertensão Tipo de estudo: Observational_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male País/Região como assunto: Mexico Idioma: En Revista: J Womens Health (Larchmt) Assunto da revista: GINECOLOGIA / SAUDE DA MULHER Ano de publicação: 2022 Tipo de documento: Article País de afiliação: México País de publicação: Estados Unidos