دورية أكاديمية
أعرض في EDS

Childhood health and educational disadvantage are associated with adult multimorbidity in the global south: findings from a cross-sectional analysis of nationally representative surveys in India and Brazil.

التفاصيل البيبلوغرافية
العنوان: Childhood health and educational disadvantage are associated with adult multimorbidity in the global south: findings from a cross-sectional analysis of nationally representative surveys in India and Brazil.
المؤلفون: Pati S; Division of Public Health, ICMR-Regional Medical Research Centre, Bhubaneswar, Odisha, India drsanghamitra12@gmail.com., Sinha A; Division of Public Health, ICMR-Regional Medical Research Centre, Bhubaneswar, Odisha, India., Verma P; Division of Public Health, ICMR-Regional Medical Research Centre, Bhubaneswar, Odisha, India., Kshatri J; Division of Public Health, ICMR-Regional Medical Research Centre, Bhubaneswar, Odisha, India., Kanungo S; Division of Public Health, ICMR-Regional Medical Research Centre, Bhubaneswar, Odisha, India., Sahoo KC; Division of Public Health, ICMR-Regional Medical Research Centre, Bhubaneswar, Odisha, India., Mahapatra P; Department of Psychiatry, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha, India.; Lown Fellow, Harvard T H Chan School of Public Health, Boston, Massachusetts, USA., Pati S; Department of Health & Family Welfare, Odisha State Institute of Health and Family Welfare, Bhubaneswar, Odisha, India., Delpino FM; Department of Nursing, Federal University of Pelotas, Pelotas, Brazil., Krolow A; Department of Nursing, Federal University of Pelotas, Pelotas, Brazil., Teixeira DSDC; School of Medicine, Federal University of Goias, Goiania, Brazil., Batista S; School of Medicine, Federal University of Goias, Goiania, Brazil., Nunes BP; Department of Nursing, Federal University of Pelotas, Pelotas, Brazil., Weller D; College of Medicine, The University of Edinburgh Usher Institute of Population Health Sciences and Informatics, Edinburgh, UK., Mercer SW; College of Medicine, The University of Edinburgh Usher Institute of Population Health Sciences and Informatics, Edinburgh, UK.
المصدر: Journal of epidemiology and community health [J Epidemiol Community Health] 2023 Oct; Vol. 77 (10), pp. 617-624. Date of Electronic Publication: 2023 Aug 04.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: British Medical Assn Country of Publication: England NLM ID: 7909766 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1470-2738 (Electronic) Linking ISSN: 0143005X NLM ISO Abbreviation: J Epidemiol Community Health Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London, British Medical Assn.
مواضيع طبية MeSH: Multimorbidity* , Aging*, Child ; Humans ; Aged ; Cross-Sectional Studies ; Brazil/epidemiology ; Surveys and Questionnaires ; India/epidemiology ; Prevalence ; Chronic Disease
مستخلص: Introduction: Multimorbidity has emerged as a major healthcare challenge in low/middle-income countries (LMICs) such as India and Brazil. Life course epidemiology suggests that adverse events in early life contribute to an individual's later health in adulthood. However, little is known about the influence of early life health and social factors on the development of multimorbidity in adulthood in LMICs. We aimed to explore the association of adult multimorbidity with childhood health and social disadvantages among two LMICs, India and Brazil.
Methods: We conducted a secondary data analysis of older adults aged ≥50 years using nationally representative surveys from Longitudinal Ageing Study in India, 2017-2018 (n=51 481) and 'Estudo Longitudinal da Saude e Bem-Estar dos Idosos Brasileirous', 2015-2016 (n=8730). We estimated the prevalence of multimorbidity along with 95% CI as a measure of uncertainty for all weighted proportions. Log link in generalised linear model was used to assess the association between childhood health and disadvantages with multimorbidity, reported as adjusted prevalence ratio (APR).
Results: The prevalence of multimorbidity was 25.53% and 55.24% in India and Brazil, respectively. Participants who perceived their childhood health as poor and missed school for a month or more due to illness had the highest level of multimorbidity across both countries. After adjusting for age and gender, a significant association between adult multimorbidity and poor self-rated childhood health (APR: (India: 1.38, 1.16 to 1.65) and (Brazil: 1.19, 1.09 to 1.30)); and missed school for a month due to illness (AOR: (India: 1.73, 1.49 to 2.01) and (Brazil: 1.16, 1.08 to 1.25)) was observed.
Conclusion: Early life health, educational and economic disadvantages are associated with adult multimorbidity and appear to contribute to the later course of life. A life course approach to the prevention of multimorbidity in adulthood in LMICs may be useful in health programmes and policies.
Competing Interests: Competing interests: None declared.
(© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY. Published by BMJ.)
التعليقات: Erratum in: J Epidemiol Community Health. 2024 Mar 8;78(4):272. (PMID: 38458623)
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معلومات مُعتمدة: MC_PC_MR/T03839X/1 United Kingdom MRC_ Medical Research Council
فهرسة مساهمة: Keywords: Brazil; CHILD HEALTH; CHRONIC DI; India; multimorbidity
تواريخ الأحداث: Date Created: 20230804 Date Completed: 20230911 Latest Revision: 20240308
رمز التحديث: 20240309
مُعرف محوري في PubMed: PMC10511991
DOI: 10.1136/jech-2022-219507
PMID: 37541775
قاعدة البيانات: MEDLINE
الوصف
تدمد:1470-2738
DOI:10.1136/jech-2022-219507