Chronic Conditions and Multimorbidity Among Middle-Aged and Elderly Peri-Urban Dwellers in Dar es Salaam, Tanzania.

IF 2.6 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

International Journal of Public Health Pub Date : 2024-06-26 eCollection Date: 2024-01-01 DOI:10.3389/ijph.2024.1606387

Stefan Kohler, Till Bärnighausen, Patrick Kazonda, Germana H Leyna, Julia Lohmann, Japhet Killewo, Julia K Rohr, Laura-Marie Stieglitz, Nicolas Paul

{"title":"Chronic Conditions and Multimorbidity Among Middle-Aged and Elderly Peri-Urban Dwellers in Dar es Salaam, Tanzania.","authors":"Stefan Kohler, Till Bärnighausen, Patrick Kazonda, Germana H Leyna, Julia Lohmann, Japhet Killewo, Julia K Rohr, Laura-Marie Stieglitz, Nicolas Paul","doi":"10.3389/ijph.2024.1606387","DOIUrl":null,"url":null,"abstract":"Objectives: Chronic conditions and multimorbidity affect care needs and prevention opportunities.Methods: We studied 2,246 men and women aged ≥40 years within the Dar es Salaam Urban Cohort Study from June 2017 to July 2018. Seventeen chronic conditions were assessed based on self-report, body and blood pressure measurement, blood tests, and screening instruments.Results: Hypertension (51.3%), anemia (34.1%), obesity (32.2%), diabetes (31.6%), depressive symptoms (31.5%), low grip strength (21.2%), and ischemic heart disease (11.9%) were widespread. Multimorbidity was common (73.7%). Women had higher odds of obesity, ischemic heart disease, and high cholesterol (adjusted OR: 2.08-4.16) and lower odds of underweight, low grip strength, alcohol problems, and smoking (adjusted OR: 0.04-0.45). Ten years of age were associated with higher odds of low grip strength, cognitive problems, hypertension, kidney disease, chronic cough, diabetes, high cholesterol, ischemic heart disease, and multimorbidity (adjusted OR: 1.21-1.81) and lower odds of HIV infection (adjusted OR: 0.51).Conclusion: We found a higher prevalence of multimorbidity than previously estimated for middle-aged and elderly people in sub-Saharan Africa. The chronic conditions underlying multimorbidity differed by sex.","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"69 ","pages":"1606387"},"PeriodicalIF":2.6000,"publicationDate":"2024-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11233465/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Public Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3389/ijph.2024.1606387","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}

引用次数: 0

Abstract

Objectives: Chronic conditions and multimorbidity affect care needs and prevention opportunities.

Methods: We studied 2,246 men and women aged ≥40 years within the Dar es Salaam Urban Cohort Study from June 2017 to July 2018. Seventeen chronic conditions were assessed based on self-report, body and blood pressure measurement, blood tests, and screening instruments.

Results: Hypertension (51.3%), anemia (34.1%), obesity (32.2%), diabetes (31.6%), depressive symptoms (31.5%), low grip strength (21.2%), and ischemic heart disease (11.9%) were widespread. Multimorbidity was common (73.7%). Women had higher odds of obesity, ischemic heart disease, and high cholesterol (adjusted OR: 2.08-4.16) and lower odds of underweight, low grip strength, alcohol problems, and smoking (adjusted OR: 0.04-0.45). Ten years of age were associated with higher odds of low grip strength, cognitive problems, hypertension, kidney disease, chronic cough, diabetes, high cholesterol, ischemic heart disease, and multimorbidity (adjusted OR: 1.21-1.81) and lower odds of HIV infection (adjusted OR: 0.51).

Conclusion: We found a higher prevalence of multimorbidity than previously estimated for middle-aged and elderly people in sub-Saharan Africa. The chronic conditions underlying multimorbidity differed by sex.

查看原文本刊更多论文

坦桑尼亚达累斯萨拉姆城市周边中老年人的慢性病和多病症。

目标慢性病和多病症会影响护理需求和预防机会：2017年6月至2018年7月，我们在达累斯萨拉姆城市队列研究中对2246名年龄≥40岁的男性和女性进行了研究。根据自我报告、身体和血压测量、血液检测和筛查工具，对17种慢性疾病进行了评估：高血压（51.3%）、贫血（34.1%）、肥胖（32.2%）、糖尿病（31.6%）、抑郁症状（31.5%）、低握力（21.2%）和缺血性心脏病（11.9%）普遍存在。多病共存现象十分普遍（73.7%）。女性患肥胖症、缺血性心脏病和高胆固醇的几率较高（调整后 OR：2.08-4.16），而体重不足、低握力、酗酒和吸烟的几率较低（调整后 OR：0.04-0.45）。10 岁与低握力、认知问题、高血压、肾病、慢性咳嗽、糖尿病、高胆固醇、缺血性心脏病和多病（调整 OR：1.21-1.81）的几率较高相关，而与感染 HIV 的几率较低（调整 OR：0.51）相关：我们发现，在撒哈拉以南非洲地区，中老年人的多病患病率高于之前的估计。多病症的慢性病因性别而异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

International Journal of Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.20

自引率

2.20%

发文量

269

审稿时长

12 months

期刊介绍： The International Journal of Public Health publishes scientific articles relevant to global public health, from different countries and cultures, and assembles them into issues that raise awareness and understanding of public health problems and solutions. The Journal welcomes submissions of original research, critical and relevant reviews, methodological papers and manuscripts that emphasize theoretical content. IJPH sometimes publishes commentaries and opinions. Special issues highlight key areas of current research. The Editorial Board''s mission is to provide a thoughtful forum for contemporary issues and challenges in global public health research and practice.