Multilevel Analysis of the Patterns of Physical-Mental Multimorbidity in General Population of São Paulo Metropolitan Area, Brazil

Scientific Reports
Yuan-Pang WangAlexandre D P Chiavegatto Filho

Abstract

Chronic diseases are often comorbid and present a weighty burden for communities in the 21st century. The present investigation depicted patterns of multimorbidity in the general population and examined its association with the individual- and area-level factors in an urban sample of non-elderly adults of Brazil. Data were from the cross-sectional São Paulo Megacity Mental Health Survey, a stratified multistage area probability sampling investigation. Trained interviewers assessed mental morbidities and asked about physical conditions for 1,571 community-dwelling women and 1,142 men, aged between 18 and 64 years. Principal component analysis depicted patterns of physical-mental multimorbidity, by sex. Following, the patterns of multimorbidity were subjected to multilevel regression analysis, taking into account individual- and area-level variables. Three patterns of clustering were found for women: 'irritable mood and headache', 'chronic diseases and pain', and 'substance use disorders'. Among men, the patterns were: 'chronic pain and respiratory disease', 'psychiatric disorders', and 'chronic diseases'. Multilevel analyses showed associations between multimorbidity patterns and both individual- and area-level determinants. Our...Continue Reading

References

Jul 1, 1996·Social Science & Medicine·T J Sheehan
Jan 1, 1997·International Journal of Psychiatry in Medicine·A C LeonD V Sheehan
Feb 5, 2002·European Archives of Psychiatry and Clinical Neuroscience·A Gamma, J Angst
Sep 11, 2002·Demography·Richard V BurkhauserNigar Nargis
May 3, 2003·Journal of Clinical Epidemiology·Vincent de GrootLex M Bouter
Aug 7, 2004·International Journal of Methods in Psychiatric Research·Ronald C Kessler, T Bedirhan Ustün
Jan 1, 2005·The Journal of Infectious Diseases·Ana V Diez Roux, Allison E Aiello
Jan 26, 2010·Revista brasileira de psiquiatria : orgão oficial da Associação Brasileira de Psiquiatria, Asociación Psiquiátrica de la América Latina·Maria Carmen VianaLaura Helena Andrade
Apr 10, 2010·Brazilian Journal of Medical and Biological Research = Revista Brasileira De Pesquisas Médicas E Biológicas·L H AndradeY-P Wang
Jun 22, 2012·BMJ : British Medical Journal·Stewart W MercerJulian Tudor Hart
Aug 3, 2013·Journal of Epidemiology and Community Health·Alexandre Dias Porto Chiavegatto FilhoLaura Helena Silveira Guerra Andrade
Sep 17, 2013·Journal of Clinical Epidemiology·Martijn LappenschaarFrançois G Schellevis
Oct 4, 2013·The New England Journal of Medicine·David J Hunter, K Srinath Reddy
Jan 30, 2014·Journal of Clinical Epidemiology·Alexandra Prados-TorresMarjan van den Akker
Dec 9, 2014·BMC Medicine·Christiane MuthPaul P Glasziou
Jul 15, 2015·Pharmacoepidemiology and Drug Safety·Angela Maria CampanhaLaura Helena Andrade
Nov 27, 2016·Journal of Affective Disorders·Katerina KavalidouRory C O'Connor
Jan 20, 2017·The International Journal of Behavioral Nutrition and Physical Activity·Davy VancampfortBrendon Stubbs
Jan 28, 2017·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·Anthony F JormRamin Mojtabai
May 11, 2017·BMC Public Health·Michaela L SchiøtzAnne Frølich
Aug 25, 2017·The Australian and New Zealand Journal of Psychiatry·Roger MulderSam Wilkinson
Oct 8, 2013·Journal of Comorbidity·José Almirall, Martin Fortin
Aug 26, 2016·Journal of Comorbidity·Cliona LewisSusan M Smith
Dec 5, 2017·Epidemiology and Psychiatric Sciences·I PetersenA Bhana
Jun 5, 2018·PLoS Neglected Tropical Diseases·Francisco Rogerlândio Martins-MeloGuilherme Loureiro Werneck
Jul 13, 2018·BMJ Global Health·Adriano MassudaRifat Atun

❮ Previous
Next ❯

Citations

Feb 23, 2020·Scientific Reports·Zahra KhorramiNarges Khanjani
Aug 10, 2020·Mechanisms of Ageing and Development·Abdelaali HassaineKazem Rahimi
May 4, 2021·Aging Clinical and Experimental Research·Saritha Susan VargeseMari Aaltonen
May 6, 2021·Revista brasileira de psiquiatria : orgão oficial da Associação Brasileira de Psiquiatria, Asociación Psiquiátrica de la América Latina·Bruno M CoêlhoLaura H Andrade

❮ Previous
Next ❯

Software Mentioned

R
/ PASW
SPSS

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.