dc.contributor.author | Garin, Noe | |
dc.contributor.author | Olaya, Beatriz | |
dc.contributor.author | Perales, Jaime | |
dc.contributor.author | Moneta, Maria Victoria | |
dc.contributor.author | Miret García, Marta | |
dc.contributor.author | Ayuso Mateos, José Luis | |
dc.contributor.author | Haro, Josep Maria | |
dc.contributor.other | UAM. Departamento de Psiquiatría | es_ES |
dc.date.accessioned | 2015-04-13T08:38:27Z | |
dc.date.available | 2015-04-13T08:38:27Z | |
dc.date.issued | 2014-01-01 | |
dc.identifier.citation | Plos One 9.1 (2014): e84794 | es_ES |
dc.identifier.issn | 1932-6203 (online) | es_ES |
dc.identifier.uri | http://hdl.handle.net/10486/665028 | |
dc.description.abstract | Background: 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 diseases | en_US |
dc.description.sponsorship | The 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 III | es_ES |
dc.format.extent | 9 pag. | es_ES |
dc.format.mimetype | application/pdf | en |
dc.language.iso | eng | es_ES |
dc.publisher | Public Library of Science | en_US |
dc.relation.ispartof | Plos One | en |
dc.rights | © 2014 Garin et al. | es_ES |
dc.subject.other | Age Factors | en_US |
dc.subject.other | Chronic Disease | en_US |
dc.subject.other | Comorbidity | en_US |
dc.subject.other | Cross-Sectional Studies | en_US |
dc.subject.other | Spain | en_US |
dc.title | Multimorbidity patterns in a national representative sample of the Spanish adult population | en_US |
dc.type | article | en |
dc.subject.eciencia | Medicina | es_ES |
dc.identifier.doi | 10.1371/journal.pone.0084794 | es_ES |
dc.identifier.publicationfirstpage | e84794 | es_ES |
dc.identifier.publicationissue | 1 | es_ES |
dc.identifier.publicationlastpage | e84794 | es_ES |
dc.identifier.publicationvolume | 9 | es_ES |
dc.relation.projectID | info:eu-repo/grantAgreement/EC/FP7/223071 | en |
dc.type.version | info:eu-repo/semantics/publishedVersion | en |
dc.rights.cc | Reconocimiento | es_ES |
dc.rights.accessRights | openAccess | en |
dc.authorUAM | Ayuso Mateos, José Luis (260480) | |
dc.facultadUAM | Facultad de Medicina | |