Multimorbidity and the combination of chronic non-communicable diseases and their relationship to all-cause mortality among Costa Rican older adults
Objective: To estimate the prevalence of multimorbidity due to chronic non-communicable diseases, the prevalence of pairs and triads of these diseases and the respective associated mortality risks in older adults in Costa Rica. Methods: The data used belong to the study Costa Rica: Longevity and He...
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Universidad de Costa Rica
2024-10-01
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| Series: | Población y Salud en Mesoamérica |
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| Online Access: | https://revistas.ucr.ac.cr/index.php/psm/article/view/58449 |
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| author | Beatriz Novak |
| author_facet | Beatriz Novak |
| author_sort | Beatriz Novak |
| collection | DOAJ |
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Objective: To estimate the prevalence of multimorbidity due to chronic non-communicable diseases, the prevalence of pairs and triads of these diseases and the respective associated mortality risks in older adults in Costa Rica. Methods: The data used belong to the study Costa Rica: Longevity and Healthy Aging Study. Gompertz models (adjusted for sociodemographic factors, health-related behaviors, and functional status) were estimated to assess the association of multimorbidity with all-cause mortality between 2005 and 2009. The study population comprised 2,565 individuals who provided data on all covariates at baseline. Results: The prevalence of multimorbidity was 42.6%. The five most frequent disease pairs combine hypertension with diabetes, coronary heart disease, respiratory conditions, arthritis, and osteoporosis (around 14%, 10%, 9%, 7%, and 6%, respectively). The most frequent disease triads were diabetes-hypertension-respiratory conditions and diabetes-hypertension-coronary heart disease (about 3% in both cases). Multimorbidity was associated with 64% increased mortality risk, not adjusting for functional limitations, and 37% when adjusting for functional limitations. The following disease pairs at baseline increased the mortality risk, compared to persons without these combinations at baseline: diabetes-hypertension (49%); cancer-respiratory disease, diabetes-coronary heart disease, and diabetes-stroke (around two times); and cancer-hypertension and cancer-diabetes (around three times). The mortality risk among those with diabetes-hypertension-coronary heart disease and diabetes-hypertension-osteoporosis was twice that of persons without these diseases at baseline. Conclusion: There is a need to develop strategies to address the burdens that multimorbidity, particularly cardiometabolic multimorbidity, impose on individuals as well as on the healthcare system.
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| format | Article |
| id | doaj-art-17d9b881f2f7468c84fe6c9eec0b7163 |
| institution | OA Journals |
| issn | 1659-0201 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Universidad de Costa Rica |
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| series | Población y Salud en Mesoamérica |
| spelling | doaj-art-17d9b881f2f7468c84fe6c9eec0b71632025-08-20T02:02:29ZengUniversidad de Costa RicaPoblación y Salud en Mesoamérica1659-02012024-10-0122110.15517/psm.v22i1.58449Multimorbidity and the combination of chronic non-communicable diseases and their relationship to all-cause mortality among Costa Rican older adultsBeatriz Novak0El Colegio de México, MÉXICO Objective: To estimate the prevalence of multimorbidity due to chronic non-communicable diseases, the prevalence of pairs and triads of these diseases and the respective associated mortality risks in older adults in Costa Rica. Methods: The data used belong to the study Costa Rica: Longevity and Healthy Aging Study. Gompertz models (adjusted for sociodemographic factors, health-related behaviors, and functional status) were estimated to assess the association of multimorbidity with all-cause mortality between 2005 and 2009. The study population comprised 2,565 individuals who provided data on all covariates at baseline. Results: The prevalence of multimorbidity was 42.6%. The five most frequent disease pairs combine hypertension with diabetes, coronary heart disease, respiratory conditions, arthritis, and osteoporosis (around 14%, 10%, 9%, 7%, and 6%, respectively). The most frequent disease triads were diabetes-hypertension-respiratory conditions and diabetes-hypertension-coronary heart disease (about 3% in both cases). Multimorbidity was associated with 64% increased mortality risk, not adjusting for functional limitations, and 37% when adjusting for functional limitations. The following disease pairs at baseline increased the mortality risk, compared to persons without these combinations at baseline: diabetes-hypertension (49%); cancer-respiratory disease, diabetes-coronary heart disease, and diabetes-stroke (around two times); and cancer-hypertension and cancer-diabetes (around three times). The mortality risk among those with diabetes-hypertension-coronary heart disease and diabetes-hypertension-osteoporosis was twice that of persons without these diseases at baseline. Conclusion: There is a need to develop strategies to address the burdens that multimorbidity, particularly cardiometabolic multimorbidity, impose on individuals as well as on the healthcare system. https://revistas.ucr.ac.cr/index.php/psm/article/view/58449MultimorbidityNoncommunicable chronic diseasesMortality |
| spellingShingle | Beatriz Novak Multimorbidity and the combination of chronic non-communicable diseases and their relationship to all-cause mortality among Costa Rican older adults Población y Salud en Mesoamérica Multimorbidity Noncommunicable chronic diseases Mortality |
| title | Multimorbidity and the combination of chronic non-communicable diseases and their relationship to all-cause mortality among Costa Rican older adults |
| title_full | Multimorbidity and the combination of chronic non-communicable diseases and their relationship to all-cause mortality among Costa Rican older adults |
| title_fullStr | Multimorbidity and the combination of chronic non-communicable diseases and their relationship to all-cause mortality among Costa Rican older adults |
| title_full_unstemmed | Multimorbidity and the combination of chronic non-communicable diseases and their relationship to all-cause mortality among Costa Rican older adults |
| title_short | Multimorbidity and the combination of chronic non-communicable diseases and their relationship to all-cause mortality among Costa Rican older adults |
| title_sort | multimorbidity and the combination of chronic non communicable diseases and their relationship to all cause mortality among costa rican older adults |
| topic | Multimorbidity Noncommunicable chronic diseases Mortality |
| url | https://revistas.ucr.ac.cr/index.php/psm/article/view/58449 |
| work_keys_str_mv | AT beatriznovak multimorbidityandthecombinationofchronicnoncommunicablediseasesandtheirrelationshiptoallcausemortalityamongcostaricanolderadults |