Psychological distress, cardiometabolic diseases and musculoskeletal pain: A cross-sectional, population-based study of syndemic ill health in a Dutch fishing village.

Autor:	Slagboom MN; Public Health and Primary Care, Leiden University Medical Centre, Leiden, the Netherlands., Reis R; Public Health and Primary Care, Leiden University Medical Centre, Leiden, the Netherlands.; Department of Anthropology, University of Amsterdam, Amsterdam, the Netherlands.; The Children's Institute, School of Child and Adolescent Health, University of Cape Town, Cape Town, South Africa., Tsai AC; Center for Global Health and Mongan Institute, Harvard Medical School and Massachusetts General Hospital, Boston, Massachusetts, USA.; Mbarara University of Science and Technology, Mbarara, Uganda., Büchner FL; Public Health and Primary Care, Leiden University Medical Centre, Leiden, the Netherlands., van Dijk DJA; Gemeentelijke Gezondheidsdienst Hollands Midden, Leiden, the Netherlands., Crone MR; Public Health and Primary Care, Leiden University Medical Centre, Leiden, the Netherlands.
Jazyk:	angličtina
Zdroj:	Journal of global health [J Glob Health] 2021 Apr 17; Vol. 11, pp. 04029. Date of Electronic Publication: 2021 Apr 17.
DOI:	10.7189/jogh.11.04029
Abstrakt:	Background: Disease clustering is a growing public health concern and is increasingly linked to adverse socioeconomic conditions. Few population-based studies have focussed on interaction between non-communicable diseases. In this cross-sectional study, we examine clustering of, and synergistic interactions between, frequently occurring non-communicable diseases in Katwijk, a former fishing village in the Netherlands. Additionally, our study identifies contextual variables associated with these clusters of non-communicable diseases. Methods: In a survey among adults (>19 years) living in the former fishing village Katwijk, Netherlands, were asked about non-communicable diseases, psychological distress, self-rated health scores and contextual factors, eg, socio-demographic, psychosocial and health behavior characteristics. Interaction was measured on the additive and the multiplicative scale. We used generalized ordered logistic regression analysis to examine associations with contextual variables. Results: Three disease clusters were found to be most prevalent among the study participants (n = 1408). Each cluster involved a combination of frequently occurring conditions in this population: psychological distress (n = 261, 19%), cardiometabolic diseases (n = 449, 32%) and musculoskeletal pain (n = 462, 33%). These three diseases interact synergistically on the additive scale to increase the odds of reporting a low self-rated health. None of the disease clusters showed a statistically significant positive interaction on a multiplicative scale. Multiple contextual factors were associated with these disease clusters, including gender, loneliness, experiencing financial stress, and a BMI≥30. Conclusion: Our findings imply that psychological distress, cardiometabolic diseases and musculoskeletal pain synergistically interact, leading to a much lower self-rated health than expected. Several contextual factors are related to this interaction emphasizing the importance of a multicomponent, ecological approach. Competing Interests: Competing interests: The authors completed the ICMJE Unified Competing Interest form (available upon request from the corresponding author), and declare no conflicts of interest. (Copyright © 2021 by the Journal of Global Health. All rights reserved.)
Databáze:	MEDLINE
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