Titre : | Multimorbidity incidence among women in peri-urban Telangana, India: Associated risk factors and disease clusters |
Auteurs : | Fatima Khan ; Ecole des hautes études en santé publique (EHESP) (Rennes, FRA) |
Type de document : | Mémoire |
Année de publication : | 2023 |
Description : | 44p. |
Langues: | Anglais |
Classement : | MPH23/ (Master EHESP International master of public health - MPH) |
Mots-clés : | Morbidité ; Transition démographique ; Inde ; Facteur sociodémographique ; Femme |
Résumé : |
Background: The rising burden of multimorbidity (presence of two or more chronic conditions), partly due to epidemiological and demographic transitions in India, necessitates a better understanding of its determinants and patterns. This longitudinal study aimed to assess the cumulative incidence of multimorbidity, identify potential sociodemographic, reproductive and long-term lifestyle predictors and explore common disease clusters among women aged 18 years or older in peri-urban Telangana, India.
Methods: This study assessed 16 chronic conditions in women who participated in the third (2010-12) and fourth follow-up (2021-23) of the prospective Andhra Pradesh Children and Parents’ Study (APCAPS) cohort and had complete data on chronic conditions at both time-points. Bivariate and multivariable regression models, stratified by the presence or absence of a chronic condition at third follow-up, were used to investigate the associations of multimorbidity predictors. Latent class analysis (LCA) was used to identify commonly occurring disease patterns. Results: The study population comprised 814 individuals, among whom 403 (49.5%) developed multimorbidity over a 10-year period. Being aged 45 years or older, primary education, being widowed or divorced or separated, experiencing menopause at late age, having high-risk of waist-hip ratio were significant predictors of multimorbidity incidence for women with one chronic condition at baseline. Among women without a baseline chronic condition, higher odds of multimorbidity incidence were observed in those aged 65 years or older and with poor sleep quality. Three distinct clusters of multimorbidity incidence were found, metabolic and musculoskeletal, psychosomatic and cardiovascular and mental health cluster. Conclusion: The high incidence of multimorbidity among women in the region warrants the substantial need for comprehensive multimorbidity care. The findings provide insights into the longitudinal determinants that can inform targeted prevention and care strategies. Disease clusters can guide multimorbidity screening and emphasize the need to target a group of diseases instead of individual conditions. |
Diplôme : | Master MPH of public health |
Plan de classement simplifié : | Master of Public Health - master international de Santé Public (MPH) |
En ligne : | https://documentation.ehesp.fr/memoires/2023/mph/fatima_khan.pdf |
Exemplaires (1)
Code-barres | Cote | Support | Localisation | Section | Disponibilité |
---|---|---|---|---|---|
096526 | MPH23/0012 | Mémoire | Rennes | Salle des Glénan | Empruntable Disponible |