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Multimorbidity daily life activities and socio-economic classification in the Central Portugal primary health care setting: an observational study

2020-03-20Journal article Open access
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dc.contributor.authorSantiago, Luiz Miguel de Mendonça Soares
dc.contributor.authorPrazeres, José Filipe Chaves Pereira
dc.contributor.authorBoto, Tânia
dc.contributor.authorMauricio, Katia
dc.contributor.authorRosendo, Inês
dc.contributor.authorSimões, José Augusto Rodrigues
dc.date.accessioned2020-03-27T14:00:42Z
dc.date.available2020-03-27T14:00:42Z
dc.date.issued2020-03-20
dc.description.abstractBackground. Multimorbidity (MM) is associated with decreased quality of life, mainly due to decreased functional capacity and increased use of health care. Objectives. Evaluate the prevalence of MM in older people of Central Portugal and understand the impact of MM on daily life activities (DLA) and how socioeconomic level influenced prevalence of MM. Material and methods. Observational study of data on age, sex, number of ICPC2 codes and Barthel (Bt) and Graffar (Gr) Indexes in clinical records of all aged between 65 to 99 years enrolled in the Health Centers of the Central Region of Portugal. The Bt was used to assess the dependence on DLA and the Gr the socioeconomic level. Results. Population of 190025, mean age of 80.16± 8.03 years. MM prevalence of 80% out of which, 52.9% were female and the majority was aged between 76-85 years (39.1%). Average number of health problems of 8.7 problems for males and 9.5 for females. The Bt and Gr Indexes filling for the studied sample were of, Barthel 7.4% and Graffar 4,9%. Older people without MM have higher dependency rates than those with MM (total dependence 7.4% vs 6.2% and severe dependence 20.1% vs 9.6%). MM in older people are mainly in the middle (55.3% vs 27.5%) and low (31.8% vs 19.6%) Graffar class, while the older people without MM are mainly at middle to upper (35.3%) and upper (17.6%) Graffar classes. Conclusions. Multimorbidity is mainly associated with lower social classes. Dependence for DLA appears unrelated to MM. Multimorbidity persons need special attention, based on socio-economic contexts.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationSantiago L, Prazeres F, Boto T, Maurício K, Rosendo I, Simões JA. Multimorbidity daily life activities and socio-economic classification in the Central Portugal primary health care setting: an observational study. Family Medicine & Primary Care Review. 2020;22(1):54-58.pt_PT
dc.identifier.doi10.5114/fmpcr.2020.92506.pt_PT
dc.identifier.issn1734-3402
dc.identifier.urihttp://hdl.handle.net/10400.6/10249
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherTermedia Publishingpt_PT
dc.relation.publisherversionhttps://www.termedia.pl/Multimorbidity-daily-life-activities-and-socio-economic-classification-in-the-Central-Portugal-primary-health-care-setting-an-observational-study,95,39673,1,1.htmlpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-sa/4.0/pt_PT
dc.subjectAgedpt_PT
dc.subjectMultimorbiditypt_PT
dc.subjectActivities of daily livingpt_PT
dc.subjectSociological factorspt_PT
dc.subjectGeneral practicept_PT
dc.titleMultimorbidity daily life activities and socio-economic classification in the Central Portugal primary health care setting: an observational studypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage58pt_PT
oaire.citation.issue1pt_PT
oaire.citation.startPage54pt_PT
oaire.citation.titleFamily Medicine & Primary Care Reviewpt_PT
oaire.citation.volume22pt_PT
person.familyNameSantiago
person.familyNamePrazeres
person.familyNameBoto
person.familyNameMauricio
person.familyNameRosendo Carvalho e Silva Caetano
person.familyNameRodrigues Simões
person.givenNameLuiz Miguel
person.givenNameFilipe
person.givenNameTânia
person.givenNameKatia
person.givenNameInês
person.givenNameJosé Augusto
person.identifierR-00H-X7P
person.identifierL-4695-2016
person.identifier.ciencia-idAB13-2946-9E61
person.identifier.ciencia-idD91A-C347-7EF5
person.identifier.ciencia-id891E-AFFC-7698
person.identifier.ciencia-idE419-CED2-38BA
person.identifier.orcid0000-0002-9343-2827
person.identifier.orcid0000-0002-2849-5194
person.identifier.orcid0000-0001-8273-8129
person.identifier.orcid0000-0002-9479-4600
person.identifier.orcid0000-0001-8838-6021
person.identifier.orcid0000-0003-2264-7086
person.identifier.ridP-9545-2018
person.identifier.ridM-7423-2019
person.identifier.scopus-author-id56083702600
person.identifier.scopus-author-id36896116500
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
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