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Multimorbidity in Chronic Conditions: Public Primary Care Patients in Four Greater Mekong Countries

The aim of this study was to explore the prevalence, pattern, and social determinants of chronic conditions multimorbidity among chronic disease primary care patients in four Greater Mekong countries (Cambodia, Myanmar, Thailand, and Vietnam). In a cross-sectional survey, chronic disease patients ac...

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Detalles Bibliográficos
Autores principales: Pengpid, Supa, Peltzer, Karl
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5615556/
https://www.ncbi.nlm.nih.gov/pubmed/28878150
http://dx.doi.org/10.3390/ijerph14091019
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author Pengpid, Supa
Peltzer, Karl
author_facet Pengpid, Supa
Peltzer, Karl
author_sort Pengpid, Supa
collection PubMed
description The aim of this study was to explore the prevalence, pattern, and social determinants of chronic conditions multimorbidity among chronic disease primary care patients in four Greater Mekong countries (Cambodia, Myanmar, Thailand, and Vietnam). In a cross-sectional survey, chronic disease patients accessing primary care were recruited if they had been diagnosed with any of 21 chronic conditions in the past 12 months, and were interviewed with a structured questionnaire on anxiety, depression, alcohol use, tobacco use, dietary behaviour, physical activity, and quality of life. The sample included 6236 public primary care patients (32.8% men and 67.2% women), with a mean age of 53.0 years (SD = 16.8). From 21 chronic conditions, the three most common were hypertension (37.4%), depression (34.4%), and digestive diseases (32.0%). In all, 27.4% had one chronic condition, 28.6% had two, 22.4% had three, and 21.6% had four or more chronic conditions. The percentage with the highest comorbidity was depression (47.3%), hypertension (43.4%), and digestive diseases (34.1%). The highest mean multimorbidity reported was for mental illness (4.44), kidney disease (4.11), and Parkinson’s disease (4.10), and the lowest multimorbidity for epilepsy (2.43) and cancer (2.80). Compared to those who had only one chronic condition, being male, older age, lower education, and lower quality of life were associated with having two and three or more chronic conditions. Multimorbidity is a prevalent problem among chronic condition primary care patients—a finding with implications for health care delivery, management, and research.
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spelling pubmed-56155562017-09-30 Multimorbidity in Chronic Conditions: Public Primary Care Patients in Four Greater Mekong Countries Pengpid, Supa Peltzer, Karl Int J Environ Res Public Health Article The aim of this study was to explore the prevalence, pattern, and social determinants of chronic conditions multimorbidity among chronic disease primary care patients in four Greater Mekong countries (Cambodia, Myanmar, Thailand, and Vietnam). In a cross-sectional survey, chronic disease patients accessing primary care were recruited if they had been diagnosed with any of 21 chronic conditions in the past 12 months, and were interviewed with a structured questionnaire on anxiety, depression, alcohol use, tobacco use, dietary behaviour, physical activity, and quality of life. The sample included 6236 public primary care patients (32.8% men and 67.2% women), with a mean age of 53.0 years (SD = 16.8). From 21 chronic conditions, the three most common were hypertension (37.4%), depression (34.4%), and digestive diseases (32.0%). In all, 27.4% had one chronic condition, 28.6% had two, 22.4% had three, and 21.6% had four or more chronic conditions. The percentage with the highest comorbidity was depression (47.3%), hypertension (43.4%), and digestive diseases (34.1%). The highest mean multimorbidity reported was for mental illness (4.44), kidney disease (4.11), and Parkinson’s disease (4.10), and the lowest multimorbidity for epilepsy (2.43) and cancer (2.80). Compared to those who had only one chronic condition, being male, older age, lower education, and lower quality of life were associated with having two and three or more chronic conditions. Multimorbidity is a prevalent problem among chronic condition primary care patients—a finding with implications for health care delivery, management, and research. MDPI 2017-09-06 2017-09 /pmc/articles/PMC5615556/ /pubmed/28878150 http://dx.doi.org/10.3390/ijerph14091019 Text en © 2017 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Pengpid, Supa
Peltzer, Karl
Multimorbidity in Chronic Conditions: Public Primary Care Patients in Four Greater Mekong Countries
title Multimorbidity in Chronic Conditions: Public Primary Care Patients in Four Greater Mekong Countries
title_full Multimorbidity in Chronic Conditions: Public Primary Care Patients in Four Greater Mekong Countries
title_fullStr Multimorbidity in Chronic Conditions: Public Primary Care Patients in Four Greater Mekong Countries
title_full_unstemmed Multimorbidity in Chronic Conditions: Public Primary Care Patients in Four Greater Mekong Countries
title_short Multimorbidity in Chronic Conditions: Public Primary Care Patients in Four Greater Mekong Countries
title_sort multimorbidity in chronic conditions: public primary care patients in four greater mekong countries
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5615556/
https://www.ncbi.nlm.nih.gov/pubmed/28878150
http://dx.doi.org/10.3390/ijerph14091019
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