2015
DOI: 10.1186/s12916-015-0402-8
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The impact of multimorbidity on adult physical and mental health in low- and middle-income countries: what does the study on global ageing and adult health (SAGE) reveal?

Abstract: BackgroundChronic diseases contribute a large share of disease burden in low- and middle-income countries (LMICs). Chronic diseases have a tendency to occur simultaneously and where there are two or more such conditions, this is termed as ‘multimorbidity’. Multimorbidity is associated with adverse health outcomes, but limited research has been undertaken in LMICs. Therefore, this study examines the prevalence and correlates of multimorbidity as well as the associations between multimorbidity and self-rated hea… Show more

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Cited by 369 publications
(446 citation statements)
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“…These differences can be explained by the different forms of analyzing the prevalence of multimorbidity of the studies, making evaluation of the outcome difficult, mainly due to the lack of a standard in relation to the number of diseases to be considered. While the occurrence of two or more chronic diseases is frequently used 20 , the number of chronic conditions evaluated in studies ranges from 5 to 335, with a subsequent variation in the prevalence of multimorbidity 19 .…”
Section: Discussionmentioning
confidence: 99%
“…These differences can be explained by the different forms of analyzing the prevalence of multimorbidity of the studies, making evaluation of the outcome difficult, mainly due to the lack of a standard in relation to the number of diseases to be considered. While the occurrence of two or more chronic diseases is frequently used 20 , the number of chronic conditions evaluated in studies ranges from 5 to 335, with a subsequent variation in the prevalence of multimorbidity 19 .…”
Section: Discussionmentioning
confidence: 99%
“…Physical function was measured by the 12-item version of World Health Organization Disability Assessment Schedule 2.0 and categorized respondents as having any physical disability if they needed help with 1 or more items [31]. …”
Section: Methodsmentioning
confidence: 99%
“…Although no consensus exists about which disorders should be considered, more than half of older people are likely to experience multimorbidity, even in low-income and middle-income countries. 32,33 Multimorbidity can lead to interactions between disorders; between one disorder and treatment recommendations for another; and between drugs prescribed for different disorders. As a result, the effect of multimorbidity on functioning, quality of life, and mortality risk might be much greater than the individual effects that might be expected from these disorders.…”
Section: The Epidemiology Of Population Ageingmentioning
confidence: 99%