TY  - JOUR
AU  - Teixeira, Samara Christ
AU  - Flores, Thayna Ramos
AU  - Xavier, Mariana Otero
AU  - Nunes, Bruno Pereira
AU  - Tomasi, Elaine
AU  - Bertoldi, Andrea Damaso
AU  - Demarco, Flavio Fernando
AU  - Gonzalez, Maria Cristina
AU  - Bielemann, Renata Moraes
PY  - 2024
TI  - Trajectory of Multiple Chronic Conditions and Associated Factors Among Noninstitutionalized Adults Aged 60 Years or Older in Southern Brazil
T2  - Preventing Chronic Disease
JO  - Prev Chronic Dis
SP  - E91
VL  - 21
CY  - Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA.
N2  - INTRODUCTION  The prevalence of chronic conditions is increasing worldwide. The objective of this study was to describe the trajectory of the occurrence of multiple chronic conditions during 6 years of follow-up and investigate their association with demographic, socioeconomic, and behavioral health characteristics of older adults in Southern Brazil. METHODS  We used data from a longitudinal study (the Como Vai? study) of noninstitutionalized adults aged 60 or older living in the urban area of Pelotas, Rio Grande do Sul. We assessed the number of chronic conditions based on a list of 24 conditions in 3 interviews, conducted in 2014, 2016-2017, and 2019-2020. We used group-based semiparametric modeling to identify groups of participants based on the number of chronic conditions. For associations with participant characteristics, we performed multinomial logistic regression and considered a low, moderate, and high burden of chronic conditions. RESULTS  Of the 1,451 older adults in the cohort, 1,098 (75.7%) were included in analysis. Almost one-third (30.9%) had a low burden (2.3 conditions), more than half (52.0%) had a moderate burden (5.6 conditions), and 17.1% had a high burden (9.7 conditions). Men (relative risk [RR] = 6.10; 95% CI, 3.64-10.22), those aged 80 years or older (RR = 2.33; 95% CI, 1.15-4.72), those with no education (RR= 4.78; 95% CI, 2.19-10.45), and former smokers (RR = 1.53; 95% CI, 0.96-2.44) had a higher risk of being classified in the high-burden group than in the low-burden group. CONCLUSION  Most older adults belonged to the group with a moderate number of chronic conditions. Several sociodemographic characteristics were associated with belonging to the trajectory with a greater number of conditions.
SN  - 1545-1151
UR  - https://doi.org/10.5888/pcd21.240082
DO  - 10.5888/pcd21.240082
ER  - 
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