Multimorbidity patterns in young adults in Catalonia : an analysis of clusters
Copyright © 2015 Elsevier España, S.L.U. All rights reserved..
OBJECTIVE: The aim of this study was to identify multimorbidity patterns in patients from 19 to 44 years attended in primary care in Catalonia in 2010.
DESIGN: Cross-sectional study.
SETTING: 251 primary care centres.
PARTICIPANTS: 530,798 people with multimorbidity, aged 19 to 44 years.
MAIN OUTCOME MEASURES: Multimorbidity was defined as the coexistence of ≥2 more International Classification system (ICD-10) registered in the electronic health record. Multimorbidity patterns were identified using hierarchical cluster analysis and by sex and age group (19-24 and 25-44).
RESULTS: Of the 882,708 people from initial population, 530,798 (60.1%) accomplished multimorbidity criterion. Mean age was 33.0 years (SD: 7.0) and 53.3% were women. Multimorbidity was higher in the 25-to 44-years-old group with respect the younger group (60.5 vs. 58.1%, p<0.001), being higher in women. Most prevalent cluster in all groups included, among others, by dental caries, smoking, dorsalgia, common cold and other anxiety disorders. For both sexes in the 25-to 44-years-old group appeared the cardiovascular-endocrine-metabolic pattern (obesity, lipid disorders and arterial hypertension).
CONCLUSIONS: Multimorbidity affects more than half of persons between 19 to 44-years-old. The most prevalent cluster is formed by grouping common diseases (dental caries, common cold, smoking, anxiety disorders and dorsalgias). Another pattern to highlight is the cardiovascular-endocrine-metabolic pattern in the 25- to 44 years-old group. Knowledge of patterns of multimorbidity in young adults could be used to design individualized preventive strategies.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2016 |
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| Erschienen: |
2016 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:48 |
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| Enthalten in: |
Atencion primaria - 48(2016), 7 vom: 03. Aug., Seite 479-92 |
| Sprache: |
Spanisch |
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| Weiterer Titel: |
Patrones de multimorbilidad en adultos jóvenes en Cataluña: un análisis de clústeres |
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| Beteiligte Personen: |
Violán, Concepción [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Completed 16.02.2018 Date Revised 01.12.2019 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.aprim.2015.10.006 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM255917449 |
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| 100 | 1 | |a Violán, Concepción |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Multimorbidity patterns in young adults in Catalonia |b an analysis of clusters |
| 246 | 3 | 3 | |a Patrones de multimorbilidad en adultos jóvenes en Cataluña: un análisis de clústeres |
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| 500 | |a Date Completed 16.02.2018 | ||
| 500 | |a Date Revised 01.12.2019 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2015 Elsevier España, S.L.U. All rights reserved. | ||
| 520 | |a OBJECTIVE: The aim of this study was to identify multimorbidity patterns in patients from 19 to 44 years attended in primary care in Catalonia in 2010 | ||
| 520 | |a DESIGN: Cross-sectional study | ||
| 520 | |a SETTING: 251 primary care centres | ||
| 520 | |a PARTICIPANTS: 530,798 people with multimorbidity, aged 19 to 44 years | ||
| 520 | |a MAIN OUTCOME MEASURES: Multimorbidity was defined as the coexistence of ≥2 more International Classification system (ICD-10) registered in the electronic health record. Multimorbidity patterns were identified using hierarchical cluster analysis and by sex and age group (19-24 and 25-44) | ||
| 520 | |a RESULTS: Of the 882,708 people from initial population, 530,798 (60.1%) accomplished multimorbidity criterion. Mean age was 33.0 years (SD: 7.0) and 53.3% were women. Multimorbidity was higher in the 25-to 44-years-old group with respect the younger group (60.5 vs. 58.1%, p<0.001), being higher in women. Most prevalent cluster in all groups included, among others, by dental caries, smoking, dorsalgia, common cold and other anxiety disorders. For both sexes in the 25-to 44-years-old group appeared the cardiovascular-endocrine-metabolic pattern (obesity, lipid disorders and arterial hypertension) | ||
| 520 | |a CONCLUSIONS: Multimorbidity affects more than half of persons between 19 to 44-years-old. The most prevalent cluster is formed by grouping common diseases (dental caries, common cold, smoking, anxiety disorders and dorsalgias). Another pattern to highlight is the cardiovascular-endocrine-metabolic pattern in the 25- to 44 years-old group. Knowledge of patterns of multimorbidity in young adults could be used to design individualized preventive strategies | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Adultos | |
| 650 | 4 | |a Adults | |
| 650 | 4 | |a Atención primaria | |
| 650 | 4 | |a Centros de salud | |
| 650 | 4 | |a Cluster analysis | |
| 650 | 4 | |a Clúster análisis | |
| 650 | 4 | |a Multimorbidity | |
| 650 | 4 | |a Multimorbidity patterns | |
| 650 | 4 | |a Multimorbilidad | |
| 650 | 4 | |a Patrones de multimorbilidad | |
| 650 | 4 | |a Primary care | |
| 650 | 4 | |a Primary care centres | |
| 700 | 1 | |a Foguet-Boreu, Quintí |e verfasserin |4 aut | |
| 700 | 1 | |a Roso-Llorach, Albert |e verfasserin |4 aut | |
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| 700 | 1 | |a Pujol-Ribera, Enriqueta |e verfasserin |4 aut | |
| 700 | 1 | |a Valderas, Jose M |e verfasserin |4 aut | |
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