Multimorbidity Patterns and Their Association with Social Determinants, Mental and Physical Health during the COVID-19 Pandemic

Jesús Carretero-Bravo (), Begoña Ramos-Fiol, Esther Ortega-Martín, Víctor Suárez-Lledó, Alejandro Salazar, Cristina O’Ferrall-González, María Dueñas, Juan Luis Peralta-Sáez, Juan Luis González-Caballero, Juan Antonio Cordoba-Doña, Carolina Lagares-Franco, José Manuel Martínez-Nieto, José Almenara-Barrios and Javier Álvarez-Gálvez
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Jesús Carretero-Bravo: Department of Biomedicine, Biotechnology and Public Health, University of Cadiz, Avda. Ana de Viya 52, 11009 Cádiz, Spain
Begoña Ramos-Fiol: Department of Biomedicine, Biotechnology and Public Health, University of Cadiz, Avda. Ana de Viya 52, 11009 Cádiz, Spain
Esther Ortega-Martín: Department of Biomedicine, Biotechnology and Public Health, University of Cadiz, Avda. Ana de Viya 52, 11009 Cádiz, Spain
Víctor Suárez-Lledó: Department of Biomedicine, Biotechnology and Public Health, University of Cadiz, Avda. Ana de Viya 52, 11009 Cádiz, Spain
Alejandro Salazar: Department of Statistics and Operational Research, University of Cadiz, Polígono Río San Pedro, 11510 Puerto Real, Spain
Cristina O’Ferrall-González: Department of Nursing and Physiotherapy, University of Cadiz, Avda. Ana de Viya 52, 11009 Cádiz, Spain
María Dueñas: Department of Statistics and Operational Research, University of Cadiz, Polígono Río San Pedro, 11510 Puerto Real, Spain
Juan Luis Peralta-Sáez: Department of Statistics and Operational Research, University of Cadiz, Polígono Río San Pedro, 11510 Puerto Real, Spain
Juan Luis González-Caballero: Department of Statistics and Operational Research, University of Cadiz, Polígono Río San Pedro, 11510 Puerto Real, Spain
Juan Antonio Cordoba-Doña: Department of Biomedicine, Biotechnology and Public Health, University of Cadiz, Avda. Ana de Viya 52, 11009 Cádiz, Spain
Carolina Lagares-Franco: Department of Statistics and Operational Research, University of Cadiz, Polígono Río San Pedro, 11510 Puerto Real, Spain
José Manuel Martínez-Nieto: Department of Nursing and Physiotherapy, University of Cadiz, Avda. Ana de Viya 52, 11009 Cádiz, Spain
José Almenara-Barrios: Department of Biomedicine, Biotechnology and Public Health, University of Cadiz, Avda. Ana de Viya 52, 11009 Cádiz, Spain
Javier Álvarez-Gálvez: Department of Biomedicine, Biotechnology and Public Health, University of Cadiz, Avda. Ana de Viya 52, 11009 Cádiz, Spain

IJERPH, 2022, vol. 19, issue 24, 1-17

Abstract: Background: The challenge posed by multimorbidity makes it necessary to look at new forms of prevention, a fact that has become heightened in the context of the pandemic. We designed a questionnaire to detect multimorbidity patterns in people over 50 and to associate these patterns with mental and physical health, COVID-19, and possible social inequalities. Methods: This was an observational study conducted through a telephone interview. The sample size was 1592 individuals with multimorbidity. We use Latent Class Analysis to detect patterns and SF-12 scale to measure mental and physical quality-of-life health. We introduced the two dimensions of health and other social determinants in a multinomial regression model. Results: We obtained a model with five patterns (entropy = 0.727): ‘Relative Healthy’, ‘Cardiometabolic’, ‘Musculoskeletal’, ‘Musculoskeletal and Mental’, and ‘Complex Multimorbidity’. We found some differences in mental and physical health among patterns and COVID-19 diagnoses, and some social determinants were significant in the multinomial regression. Conclusions: We identified that prevention requires the location of certain inequalities associated with the multimorbidity patterns and how physical and mental health have been affected not only by the patterns but also by COVID-19. These findings may be critical in future interventions by health services and governments.

Keywords: multimorbidity patterns; COVID-19; mental health; social determinants; physical health; latent class analysis (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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