PMID- 36242018
OWN - NLM
STAT- MEDLINE
DCOM- 20221018
LR  - 20221031
IS  - 1471-2458 (Electronic)
IS  - 1471-2458 (Linking)
VI  - 22
IP  - 1
DP  - 2022 Oct 14
TI  - Multimorbidity and its socio-economic associations in community-dwelling older 
      adults in rural Tanzania; a cross-sectional study.
PG  - 1918
LID - 10.1186/s12889-022-14340-0 [doi]
LID - 1918
AB  - OBJECTIVES: This paper aims to describe the prevalence and socio-economic 
      associations with multimorbidity, by both self-report and clinical 
      assessment/screening methods in community-dwelling older people living in rural 
      Tanzania. METHODS: A randomised frailty-weighted sample of non-institutionalised 
      adults aged >/= 60 years underwent comprehensive geriatric assessment and in-depth 
      assessment. The comprehensive geriatric assessment consisted of a history and 
      focused clinical examination. The in-depth assessment included standardised 
      questionnaires, screening tools and blood pressure measurement. The prevalence of 
      multimorbidity was calculated for self-report and non-self-reported methods 
      (clinician diagnosis, screening tools and direct measurement). Multimorbidity was 
      defined as having two or more conditions. The socio-demographic associations with 
      multimorbidity were investigated by multiple logistic regression. RESULTS: A 
      sample of 235 adults participated in the study, selected from a screened sample 
      of 1207. The median age was 74 years (range 60 to 110 inter-quartile range (IQR) 
      19) and 136 (57.8%) were women. Adjusting for frailty-weighting, the prevalence 
      of self-reported multimorbidity was 26.1% (95% CI 16.7-35.4), and by clinical 
      assessment/screening was 67.3% (95% CI 57.0-77.5). Adjusting for age, sex, 
      education and frailty status, multimorbidity by self-report increased the odds of 
      being financially dependent on others threefold (OR 3.3 [95% CI 1.4-7.8]), and of 
      a household member reducing their paid employment nearly fourfold (OR 3.8. [95% 
      CI 1.5-9.2]). CONCLUSIONS: Multimorbidity is prevalent in this rural lower-income 
      African setting and is associated with evidence of household financial strain. 
      Multimorbidity prevalence is higher when not reliant on self-reported methods, 
      revealing that many conditions are underdiagnosed and undertreated.
CI  - (c) 2022. The Author(s).
FAU - Lewis, Emma Grace
AU  - Lewis EG
AD  - Faculty of Medical Sciences, Population Health Sciences Institute, Baddiley-Clark 
      Building, Newcastle University, Richardson Road, Newcastle upon Tyne, NE2 4AX, 
      UK. grace.lewis@ncl.ac.uk.
AD  - Northumbria Healthcare NHS Foundation Trust, North Tyneside General Hospital, 
      North Shields, UK. grace.lewis@ncl.ac.uk.
FAU - Gray, William K
AU  - Gray WK
AD  - Northumbria Healthcare NHS Foundation Trust, North Tyneside General Hospital, 
      North Shields, UK.
FAU - Walker, Richard
AU  - Walker R
AD  - Faculty of Medical Sciences, Population Health Sciences Institute, Baddiley-Clark 
      Building, Newcastle University, Richardson Road, Newcastle upon Tyne, NE2 4AX, 
      UK.
AD  - Northumbria Healthcare NHS Foundation Trust, North Tyneside General Hospital, 
      North Shields, UK.
FAU - Urasa, Sarah
AU  - Urasa S
AD  - Kilimanjaro Christian Medical Centre, Moshi, Kilimanjaro, Tanzania.
FAU - Witham, Miles
AU  - Witham M
AD  - AGE Research Group, NIHR Newcastle Biomedical Research Centre, Translational 
      Clinical Research Unit, Newcastle University and Newcastle Upon Tyne NHS Trust, 
      Newcastle upon Tyne, UK.
FAU - Dotchin, Catherine
AU  - Dotchin C
AD  - Faculty of Medical Sciences, Population Health Sciences Institute, Baddiley-Clark 
      Building, Newcastle University, Richardson Road, Newcastle upon Tyne, NE2 4AX, 
      UK.
AD  - Northumbria Healthcare NHS Foundation Trust, North Tyneside General Hospital, 
      North Shields, UK.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20221014
PL  - England
TA  - BMC Public Health
JT  - BMC public health
JID - 100968562
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Cross-Sectional Studies
MH  - Female
MH  - *Frailty/diagnosis/epidemiology
MH  - Humans
MH  - *Independent Living
MH  - Male
MH  - Middle Aged
MH  - Multimorbidity
MH  - Prevalence
MH  - Socioeconomic Factors
MH  - Tanzania/epidemiology
PMC - PMC9569067
OTO - NOTNLM
OT  - Frailty
OT  - Multimorbidity
OT  - Older people
OT  - Sub-Saharan Africa
COIS- None to declare.
EDAT- 2022/10/15 06:00
MHDA- 2022/10/19 06:00
PMCR- 2022/10/14
CRDT- 2022/10/14 23:47
PHST- 2022/03/21 00:00 [received]
PHST- 2022/10/11 00:00 [accepted]
PHST- 2022/10/14 23:47 [entrez]
PHST- 2022/10/15 06:00 [pubmed]
PHST- 2022/10/19 06:00 [medline]
PHST- 2022/10/14 00:00 [pmc-release]
AID - 10.1186/s12889-022-14340-0 [pii]
AID - 14340 [pii]
AID - 10.1186/s12889-022-14340-0 [doi]
PST - epublish
SO  - BMC Public Health. 2022 Oct 14;22(1):1918. doi: 10.1186/s12889-022-14340-0.