Multimorbidity and 11-year mortality in adults: a prospective analysis using the Chilean National Health Survey

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datacite.alternateIdentifier.citationHEALTH PROMOTION INTERNATIONAL,Vol.38,2023
datacite.alternateIdentifier.doi10.1093/heapro/daad176
datacite.creatorNazar, Gabriela
datacite.creatorDiaz Toro, Felipe
datacite.creatorPetermann Rocha, Fanny
datacite.creatorLanuza, Fabian
datacite.creatorTroncoso, Claudia
datacite.creatorLeiva Ordonez, Ana Maria
datacite.creatorConcha Cisternas, Yeny
datacite.creatorCelis Morales, Carlos
datacite.date2023
datacite.subject.englishchronic disease
datacite.subject.englishmorbidity
datacite.subject.englishmultimorbidity
datacite.subject.englishmortality
datacite.titleMultimorbidity and 11-year mortality in adults: a prospective analysis using the Chilean National Health Survey
dc.date.accessioned2024-05-27T18:27:23Z
dc.date.available2024-05-27T18:27:23Z
dc.description.abstractResearch on morbidity and mortality often emphasizes individual diseases over the cumulative effects of multimorbidity, especially in low- and middle-income countries. This study aimed to analyze the association between multimorbidity and all-cause mortality in a representative sample of the Chilean population. This longitudinal study used data from 3701 subjects aged >= 15 years who participated in the Chilean National Health Survey conducted between 2009 and 2010. We included 16 self-reported highly prevalent morbidities. All-cause mortality data from an 11-year follow-up were collected from the Chilean Civil Registry. The Cox proportional hazard model, adjusted for confounders, determined the association between multimorbidity categories and all-cause mortality. Of the total sample, 24.3% reported no morbidity, while 50.4% two or more. After adjustment, participants with four or more morbidities had a 1.66 times higher mortality risk [95% confidence interval (CI): 1.03-2.67] than those without morbidities. The mortality risk increased by 10% for each additional morbidity [HR: 1.09 (CI: 1.04-1.16)]. Multimorbidity was common in the Chilean population and increased the mortality risk, which greatly challenges the health system to provide an integral and coordinated approach to healthcare.
dc.identifier.urihttps://repositoriodigital.uct.cl/handle/10925/5807
dc.language.isoen
dc.publisherOXFORD UNIV PRESS
dc.sourceHEALTH PROMOTION INTERNATIONAL
oaire.resourceTypeArticle
uct.indizacionSCI
uct.indizacionSSCI
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