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. 2022 May-Jun;140(3):447-453.
doi: 10.1590/1516-3180.2021.0518.R1.15092021.

Incidence of multimorbidity and associated factors during the COVID-19 pandemic in Brazil: a cohort study

Felipe Mendes Delpino  1 , Eduardo Lucia Caputo  2 , Marcelo Cozzensa da Silva  3 , Felipe Fossati Reichert  3 , Bruno Pereira Nunes  4 , Natan Feter  5 , Jayne Santos Leite  6 , Júlia Cassuriaga  7 , Caroline Malue Huckembeck  7 , Ricardo Alt  8 , Airton José Rombaldi  9
Affiliations

Incidence of multimorbidity and associated factors during the COVID-19 pandemic in Brazil: a cohort study

Felipe Mendes Delpino et al. Sao Paulo Med J. 2022 May-Jun.

Abstract

Background: Due to the coronavirus disease 2019 (COVID-19) pandemic, access to healthcare services may have become difficult, which may have led to an increase in chronic diseases and multimorbidity.

Objectives: To assess the incidence of multimorbidity and its associated factors among adults living in the state of Rio Grande do Sul, Brazil.

Design and setting: Cohort study conducted in Rio Grande do Sul, Brazil.

Methods: We included data from the two waves of the Prospective Study About Mental and Physical Health (PAMPA). Data were collected via online questionnaires between June and July 2020 (wave 1) and between December 2020 and January 2021 (wave 2). Multimorbidity was defined as the presence of two or more diagnosed medical conditions.

Results: In total, 516 individuals were included, among whom 27.1% (95% confidence interval, CI: 23.5-31.1) developed multimorbidity from wave 1 to 2. In adjusted regression models, female sex (hazard ratio, HR: 1.97; 95% CI: 1.19-3.24), middle-aged adults (31-59 years) (HR: 1.78; 95% CI: 1.18-2.70) and older adults (60 or over) (HR: 2.41; 95% CI: 1.25-4.61) showed higher risk of multimorbidity. Back pain (19.4%), high cholesterol (13.3%) and depression (12.2%) were the medical conditions with the highest proportions reported by the participants during wave 2.

Conclusion: The incidence of multimorbidity during a six-month period during the COVID-19 pandemic was 27.1% in the state of Rio Grande do Sul, Brazil.

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Conflict of interest statement

Conflicts of interest: None

Figures

Figure 1.
Figure 1.. Flow chart describing sampling process.
Figure 2.
Figure 2.. Multimorbidity incidence and list of the new diseases reported between the first and second waves.
See this image and copyright information in PMC

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