Multimorbidades e fatores associados em mulheres brasileiras de 40 a 65 anos : estudo de base populacional / Multimorbidity and associated factors in Brazilian women aged 40 to 65 years : a population-based study

AUTOR(ES)

Vanessa de Souza Santos Machado

FONTE

IBICT - Instituto Brasileiro de Informação em Ciência e Tecnologia

DATA DE PUBLICAÇÃO

18/08/2011

RESUMO

Objectives: To evaluate the presence of multimorbidity and associated factors in Brazilian women 40 to 65 years of age with 11 or more years of school education. Methods: A secondary analysis of a cross-sectional population-based study was conducted, using an anonymous self-report questionnaire completed by 377 women. The number of reported morbid conditions were evaluated (depression, hypertension, diabetes mellitus, urinary incontinence and insomnia), classified as none, one and two or more morbid conditions. The sociodemographic, behavioral, clinical and reproductive factors associated with these conditions were also assessed. The chi-square test and multiple logistic regression analysis with stepwise selection criteria were used to select the major factors associated with morbid conditions, with a significance level set at 5%. Results: Insomnia was reported by 38.5%, depression by 31%, hypertension by 28.4%, urinary incontinence by 23.2% and diabetes by 6.3% of the participants. In this sample, 28.9% did not report any morbid conditions, 31.8% reported one morbid condition and 39.3% reported two or more morbid conditions. On logistic regression model, the increased likelihood of having two or more morbid conditions was associated with: bad/fair self-perception of health (increased by 5.1 times; 95%CI = 1.85 - 14.1), non-performance of physical activity (increased by 2.7 times; 95%CI = 1.08 - 6.81), obesity (increased by 30.3 times; 95%CI = 3.17 - 250), postmenopause (increased by 4.4 times; 95%CI= 1.57 - 12.11), nervousness (increased by 3.8 times; 95%CI = 1.45 - 9.8). Conclusion: A worse self-perception of health, sedentariness, obesity, nervousness and being postmenopausal were associated with multimorbidity

ASSUNTO(S)

doenças crônicas morbidade prevalencia mulheres menopausa chronics diseases morbidity prevalence women menopause

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