State of multi-morbidity among adults in Cape Verde: findings from the 2020 WHO STEPS non-communicable disease survey.

Joshua Okyere, Castro Ayebeng, Kwamena Sekyi Dickson
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Abstract

Background: This study investigates the prevalence and factors associated with multi-morbidity in Cape Verde, where healthcare systems are traditionally focused on single diseases.

Methods: Multi-morbidity was defined as having two or more conditions (i.e. hypertension, diabetes, and overweight/obesity). We analyzed the data of 1781 adults aged 18-69 who participated in the 2020 WHO STEPS survey. Cross-tabulations and logistic regression analyses were performed.

Results: Overall, 17.9% of adults (95% confidence interval: 15.5-20.6) lived with multi-morbidity. Hypertension was more prevalent in men (37.2%), while diabetes and overweight/obesity were higher in women, at 5% and 57.4%, respectively. Rural residents had a higher prevalence of hypertension (30.6%), but urban areas showed greater rates of diabetes (4.4%) and overweight/obesity (50.7%). Women had 28% lower odds of multi-morbidity. Individuals aged 60 years and older showed higher odds of multi-morbidity. Participants with tertiary education and current smokers had significantly lower odds of multi-morbidity, while married individuals and urban residents exhibited higher odds.

Conclusion: Older age, being married, and living in urban areas were associated with higher odds of multi-morbidity, while higher education and being a woman exhibited protective effects. These results underscore the need for a comprehensive approach in Cape Verde's healthcare system to address the growing burden of multi-morbidity.

佛得角成人多发病状况:2020年世卫组织STEPS非传染性疾病调查结果。
背景:本研究调查了佛得角的患病率和与多发病相关的因素,佛得角的医疗保健系统传统上专注于单一疾病。方法:多重发病定义为有两种或两种以上的疾病(如高血压、糖尿病和超重/肥胖)。我们分析了参加2020年世卫组织STEPS调查的1781名18-69岁成年人的数据。交叉表和逻辑回归分析。结果:总体而言,17.9%的成年人(95%可信区间:15.5-20.6)患有多病。高血压在男性中更为普遍(37.2%),而糖尿病和超重/肥胖在女性中更高,分别为5%和57.4%。农村居民的高血压患病率较高(30.6%),但城市地区的糖尿病患病率较高(4.4%),超重/肥胖患病率较高(50.7%)。女性患多种疾病的几率要低28%。60岁及以上的个体多重发病的几率更高。受过高等教育的参与者和当前吸烟者的多重发病几率明显较低,而已婚人士和城市居民的多重发病几率较高。结论:年龄较大、已婚和居住在城市地区与多重发病的几率较高有关,而高等教育和女性表现出保护作用。这些结果强调需要在佛得角的医疗保健系统采取综合方法,以解决日益严重的多重疾病负担。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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