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

Autor: Kohler S; Heidelberg Institute of Global Health, Faculty of Medicine and University Hospital, Heidelberg University, Heidelberg, Germany.; Institute of Social Medicine, Epidemiology and Health Economics, Charité - Universitatsmedizin Berlin, Corporate Member of Freie Universitat Berlin and Humboldt-Universitat zu Berlin, Berlin, Germany., Bärnighausen T; Heidelberg Institute of Global Health, Faculty of Medicine and University Hospital, Heidelberg University, Heidelberg, Germany., Kazonda P; Dar es Salaam Urban Cohort Study, Dar es Salaam, Tanzania., Leyna GH; Department of Epidemiology and Biostatistics, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania., Lohmann J; Heidelberg Institute of Global Health, Faculty of Medicine and University Hospital, Heidelberg University, Heidelberg, Germany.; Department of Global Health and Development, London School of Hygiene and Tropical Medicine, London, United Kingdom., Killewo J; Department of Epidemiology and Biostatistics, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania., Rohr JK; Harvard Center for Population and Development Studies, Harvard University, Cambridge, MA, United States., Stieglitz LM; Heidelberg Institute of Global Health, Faculty of Medicine and University Hospital, Heidelberg University, Heidelberg, Germany., Paul N; Heidelberg Institute of Global Health, Faculty of Medicine and University Hospital, Heidelberg University, Heidelberg, Germany.
Jazyk: angličtina
Zdroj: International journal of public health [Int J Public Health] 2024 Jun 26; Vol. 69, pp. 1606387. Date of Electronic Publication: 2024 Jun 26 (Print Publication: 2024).
DOI: 10.3389/ijph.2024.1606387
Abstrakt: 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.
Competing Interests: The authors declare that they do not have any conflicts of interest.
(Copyright © 2024 Kohler, Bärnighausen, Kazonda, Leyna, Lohmann, Killewo, Rohr, Stieglitz and Paul.)
Databáze: MEDLINE