Multimorbidity and 11-year mortality in adults: a prospective analysis using the Chilean national health survey
Autor
Nazar, Gabriela
Díaz-Toro, Felipe
Petermann-Rocha, Fanny
Lanuza, Fabián
Troncoso, Claudia
Leiva-Ordóñez, Ana María
Concha-Cisternas, Yeny
Celis-Morales, Carlos
Fecha
2023Resumen
Research on morbidity and mortality often emphasizes individual diseases over the cumulative effects of multimorbidity, especially in low- and middle-income countries. This study aimed to analyze the association between multimorbidity and all-cause mortality in a representative sample of the Chilean population. This longitudinal study used data from 3701 subjects aged ≥15 years who participated in the Chilean National Health Survey conducted between 2009 and 2010. We included 16 self-reported highly prevalent morbidities. All-cause mortality data from an 11-year follow-up were collected from the Chilean Civil Registry. The Cox proportional hazard model, adjusted for confounders, determined the association between multimorbidity categories and all-cause mortality. Of the total sample, 24.3% reported no morbidity, while 50.4% two or more. After adjustment, participants with four or more morbidities had a 1.66 times higher mortality risk [95% confidence interval (CI): 1.03–2.67] than those without morbidities. The mortality risk increased by 10% for each additional morbidity [HR: 1.09 (CI: 1.04–1.16)]. Multimorbidity was common in the Chilean population and increased the mortality risk, which greatly challenges the health system to provide an integral and coordinated approach to healthcare.
Fuente
Health Promotion International, 38(6), daad176Link de Acceso
Click aquí para ver el documentoIdentificador DOI
doi.org/10.1093/heapro/daad176Colecciones
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