Burden of multimorbidity, socioeconomic status and use of health services across stages of life in urban areas: a cross-sectional study

摘要: The burden of chronic conditions and multimorbidity is a growing health problem in developed countries. study aimed to determine the estimated prevalence patterns urban areas Catalonia, stratified by sex adult age groups, assess whether socioeconomic status use primary care services were associated with multimorbidity. A cross-sectional was conducted Catalonia. Participants adults (19+ years) living areas, assigned 251 teams. Main outcome: (≥2 conditions). Other variables: (male/female), (19–24; 25–44; 45–64; 65–79; 80+ years), (quintiles), number visits during study. We included 1,356,761 patients; mean age, 47.4 years (SD: 17.8), 51.0% women. Multimorbidity present 47.6% (95% CI 47.5-47.7) sample, increasing both sexes but significantly higher women (53.3%) than men (41.7%). Prevalence each quintile deprivation index (except oldest group). In women, increased index. Overall, median (interquartile range) 8 (4–14) vs 1 (0–4) non-multimorbidity patients. most prevalent pattern beyond 45 years uncomplicated hypertension lipid disorder. Compared least deprived group, other quintiles more likely have until 65 years age. odds all strata. When analysis, almost 50% population had differed sex, group status. varied life-stage sex; however, circulatory-endocrine-metabolic after Women younger 80 years greater men, women’s as declined groups. Identifying specific age-related life-stages allows systems prioritize adapt clinical management efforts group.