Multimorbidity Patterns and Their Association with Social Determinants, Mental and Physical Health during the COVID-19 Pandemic

The challenge posed by multimorbidity makes it necessary to look at new forms of prevention, a fact that has become heightened in the context of the pandemic. We designed a questionnaire to detect multimorbidity patterns in people over 50 and to associate these patterns with mental and physical heal...

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Bibliographic Details
Published in:International journal of environmental research and public health 2022-12, Vol.19 (24), p.16839
Main Authors: Carretero-Bravo, Jesús, Ramos-Fiol, Begoña, Ortega-Martín, Esther, Suárez-Lledó, Víctor, Salazar, Alejandro, O'Ferrall-González, Cristina, Dueñas, María, Peralta-Sáez, Juan Luis, González-Caballero, Juan Luis, Cordoba-Doña, Juan Antonio, Lagares-Franco, Carolina, Martínez-Nieto, José Manuel, Almenara-Barrios, José, Álvarez-Gálvez, Javier
Format: Article
Language:English
Subjects:
Chronic illnesses
COVID-19
COVID-19 - epidemiology
Health services
Humans
Latent class analysis
Mental disorders
Mental health
Mortality
Multimorbidity
Pandemics
Prevention
Social Determinants of Health
Socioeconomic Factors
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Summary:The challenge posed by multimorbidity makes it necessary to look at new forms of prevention, a fact that has become heightened in the context of the pandemic. We designed a questionnaire to detect multimorbidity patterns in people over 50 and to associate these patterns with mental and physical health, COVID-19, and possible social inequalities. This was an observational study conducted through a telephone interview. The sample size was 1592 individuals with multimorbidity. We use Latent Class Analysis to detect patterns and SF-12 scale to measure mental and physical quality-of-life health. We introduced the two dimensions of health and other social determinants in a multinomial regression model. We obtained a model with five patterns (entropy = 0.727): 'Relative Healthy', 'Cardiometabolic', 'Musculoskeletal', 'Musculoskeletal and Mental', and 'Complex Multimorbidity'. We found some differences in mental and physical health among patterns and COVID-19 diagnoses, and some social determinants were significant in the multinomial regression. We identified that prevention requires the location of certain inequalities associated with the multimorbidity patterns and how physical and mental health have been affected not only by the patterns but also by COVID-19. These findings may be critical in future interventions by health services and governments.
ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph192416839