Prevalence and factors associated with diabetes, hypertension, and ischemic heart disease and/or stroke multimorbidity in Morocco: Results of a national STEPS survey in 2017
Introduction This study aimed to estimate the prevalence and associated factors of non-communicable diseases (NCDs) multimorbidity among adults in Morocco. Methods National data were analyzed from 6989 adults (aged 18–69 years, median 37 years) who participated in the cross-sectional 2017 Morocco S...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
European Publishing
2024-04-01
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| Series: | Population Medicine |
| Subjects: | |
| Online Access: | https://www.populationmedicine.eu/Prevalence-and-factors-associated-with-diabetes-hypertension-and-ischemic-heart-disease,187076,0,2.html |
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| Summary: | Introduction
This study aimed to estimate the prevalence
and associated factors of non-communicable diseases (NCDs)
multimorbidity among adults in Morocco.
Methods
National data were analyzed from 6989 adults
(aged 18–69 years, median 37 years) who participated in
the cross-sectional 2017 Morocco STEPS survey. Logistic
regressions were calculated with multimorbidity, adjusted
for age, sex, education level, residence and smoking status,
physical activity, sedentary behavior, and body mass index.
Results
The prevalence of diabetes was 10.7%, hypertension
19.5%, ischemic heart disease/stroke 3.3%, and
multimorbidity 5.0%. In the adjusted logistic regression
model, older age (aged ≥50 years) (AOR=5.11; 95% CI:
3.64–7.18), urban residence (AOR=1.75; 95% CI: 1.26–
2.43), moderate sedentary behavior (AOR=1.41; 95% CI:
1.08–1.85), overweight (AOR=1.74; 95% CI: 1.21–2.49)
and obesity (AOR=2.34; 95% CI: 1.63–3.36) were positively
associated with multimorbidity. More than primary
education (AOR=0.67; 95% CI: 0.46–0.99), and high physical
activity (AOR=0.70; 95% CI: 0.62–0.95) were negatively
associated with multimorbidity. In addition, in unadjusted
analysis, male sex and current smoking were negatively
associated with multimorbidity.
Conclusions
One in 20 adults in Morocco had multimorbidity
and associated sociodemographic factors (older age, lower
education level, and urban residence) and health factors
(sedentary behavior, low physical activity, overweight and
obesity) were identified that can help plan interventions. |
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| ISSN: | 2654-1459 |