TY - JOUR
T1 - MULTIMORBIDITY AND ITS ASSOCIATION WITH MENTAL HEALTH IN AN ADULT POPULATION OF PERU
AU - Angulo-Ramírez, Alejandro M.
AU - Costa-Berlanga, Flavio C.
AU - Bernabé-Ortiz, Antonio
N1 - Publisher Copyright:
© 2024, Revista Peruana de Medicina Experimental y Salud Pública.
PY - 2024
Y1 - 2024
N2 - Objective. To evaluate the association between multimorbidity and mental health in adults aged 30 to 69 years. Materials and methods. Secondary data analysis of a population-based study conducted in the peri-urban area of Tumbes in the northern coast of Peru. The dependent variables were: depressive symptoms, using the PHQ-9; anxiety symptoms, using the Goldberg scale; and perceived stress, assessed with the Cohen’s 14-question scale. The exposure variable was the presence of multimorbidity (presence or not of two or more chronic conditions and the number of chronic conditions). We assessed associations using crude and adjusted Poisson regression models. Results. Data from 1600 participants were analyzed, mean age was 48.1 years (SD: 10.5), and 50.4% were women. The prevalence of multimorbidity was 15.9%, 23.3% presented depressive symptoms, 42.0% anxiety symptoms and 31.4% had high levels of perceived stress. The multivariable model showed that multimorbidity was associated with a higher prevalence of depressive symptoms (61%, 95%CI: 32%-98%), anxiety symptoms (46%, 95%CI: 28%-66%) and high (22%, 95%CI: 14%-33%) but not moderate levels of perceived stress (6%; 95%CI: 0%-12%). A higher number of chronic conditions was associated with higher prevalence of depressive symptoms, anxiety symptoms, and perceived stress levels. Conclusions. The presence of multimorbidity is associated with a higher prevalence of depressive symptoms, anxiety symptoms, and perceived stress levels. Our results suggest the need for adequate mental health management in patients with multimorbidity.
AB - Objective. To evaluate the association between multimorbidity and mental health in adults aged 30 to 69 years. Materials and methods. Secondary data analysis of a population-based study conducted in the peri-urban area of Tumbes in the northern coast of Peru. The dependent variables were: depressive symptoms, using the PHQ-9; anxiety symptoms, using the Goldberg scale; and perceived stress, assessed with the Cohen’s 14-question scale. The exposure variable was the presence of multimorbidity (presence or not of two or more chronic conditions and the number of chronic conditions). We assessed associations using crude and adjusted Poisson regression models. Results. Data from 1600 participants were analyzed, mean age was 48.1 years (SD: 10.5), and 50.4% were women. The prevalence of multimorbidity was 15.9%, 23.3% presented depressive symptoms, 42.0% anxiety symptoms and 31.4% had high levels of perceived stress. The multivariable model showed that multimorbidity was associated with a higher prevalence of depressive symptoms (61%, 95%CI: 32%-98%), anxiety symptoms (46%, 95%CI: 28%-66%) and high (22%, 95%CI: 14%-33%) but not moderate levels of perceived stress (6%; 95%CI: 0%-12%). A higher number of chronic conditions was associated with higher prevalence of depressive symptoms, anxiety symptoms, and perceived stress levels. Conclusions. The presence of multimorbidity is associated with a higher prevalence of depressive symptoms, anxiety symptoms, and perceived stress levels. Our results suggest the need for adequate mental health management in patients with multimorbidity.
KW - anxiety
KW - Chronic conditions
KW - depression
KW - mental health
KW - multimorbidity
KW - stress
UR - http://www.scopus.com/inward/record.url?scp=85215288439&partnerID=8YFLogxK
U2 - 10.17843/RPMESP.2024.414.13610
DO - 10.17843/RPMESP.2024.414.13610
M3 - Artículo
AN - SCOPUS:85215288439
SN - 1726-4634
VL - 41
SP - 343
EP - 350
JO - Revista Peruana de Medicina Experimental y Salud Publica
JF - Revista Peruana de Medicina Experimental y Salud Publica
IS - 4
ER -