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dc.contributor.authorGarin, Noe
dc.contributor.authorOlaya, Beatriz
dc.contributor.authorPerales, Jaime
dc.contributor.authorMoneta, Maria Victoria
dc.contributor.authorMiret García, Marta 
dc.contributor.authorAyuso Mateos, José Luis 
dc.contributor.authorHaro, Josep Maria
dc.contributor.otherUAM. Departamento de Psiquiatríaes_ES
dc.date.accessioned2015-04-13T08:38:27Z
dc.date.available2015-04-13T08:38:27Z
dc.date.issued2014-01-01
dc.identifier.citationPlos One 9.1 (2014): e84794es_ES
dc.identifier.issn1932-6203 (online)es_ES
dc.identifier.urihttp://hdl.handle.net/10486/665028
dc.description.abstractBackground: In the context of population aging, multimorbidity has emerged as a growing concern in public health. However, little is known about multimorbidity patterns and other issues surrounding chronic diseases. The aim of our study was to examine multimorbidity patterns, the relationship between physical and mental conditions and the distribution of multimorbidity in the Spanish adult population. Methods: Data from this cross-sectional study was collected from the COURAGE study. A total of 4,583 participants from Spain were included, 3,625 aged over 50. An exploratory factor analysis was conducted to detect multimorbidity patterns in the population over 50 years of age. Crude and adjusted binary logistic regressions were performed to identify individual associations between physical and mental conditions. Results: Three multimorbidity patterns rose: ‘cardio-respiratory’ (angina, asthma, chronic lung disease), ‘mental-arthritis’ (arthritis, depression, anxiety) and the ‘aggregated pattern’ (angina, hypertension, stroke, diabetes, cataracts, edentulism, arthritis). After adjusting for covariates, asthma, chronic lung disease, arthritis and the number of physical conditions were associated with depression. Angina and the number of physical conditions were associated with a higher risk of anxiety. With regard to multimorbidity distribution, women over 65 years suffered from the highest rate of multimorbidity (67.3%). Conclusion: Multimorbidity prevalence occurs in a high percentage of the Spanish population, especially in the elderly. There are specific multimorbidity patterns and individual associations between physical and mental conditions, which bring new insights into the complexity of chronic patients. There is need to implement patient-centered care which involves these interactions rather than merely paying attention to individual diseasesen_US
dc.description.sponsorshipThe research leading to these results has received funding from the European Community’s Seventh Framework Programme (FP7/2007-2013) under grant agreement number 223071 (COURAGE in Europe) and the Spanish Ministry of Education, Culture and Sport (FPU12/05661). Additional support was provided by funds from the Instituto de Salud Carlos III-FIS research grants number PS09/00295 and PS09/01845, from the Spanish Ministry of Science and Innovation’s ACI-Promociona (ACI2009-1010). The study was supported by the Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos IIIes_ES
dc.format.extent9 pag.es_ES
dc.format.mimetypeapplication/pdfen
dc.language.isoenges_ES
dc.publisherPublic Library of Scienceen_US
dc.relation.ispartofPlos Oneen
dc.rights© 2014 Garin et al.es_ES
dc.subject.otherAge Factorsen_US
dc.subject.otherChronic Diseaseen_US
dc.subject.otherComorbidityen_US
dc.subject.otherCross-Sectional Studiesen_US
dc.subject.otherSpainen_US
dc.titleMultimorbidity patterns in a national representative sample of the Spanish adult populationen_US
dc.typearticleen
dc.subject.ecienciaMedicinaes_ES
dc.identifier.doi10.1371/journal.pone.0084794es_ES
dc.identifier.publicationfirstpagee84794es_ES
dc.identifier.publicationissue1es_ES
dc.identifier.publicationlastpagee84794es_ES
dc.identifier.publicationvolume9es_ES
dc.relation.projectIDinfo:eu-repo/grantAgreement/EC/FP7/223071en
dc.type.versioninfo:eu-repo/semantics/publishedVersionen
dc.rights.ccReconocimientoes_ES
dc.rights.accessRightsopenAccessen
dc.authorUAMAyuso Mateos, José Luis (260480)
dc.facultadUAMFacultad de Medicina


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