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Chronic conditions and multimorbidity among middle-aged and elderly peri-urban dwellers in Dar es Salaam, Tanzania

Objectives: Chronic conditions and multimorbidity affect care needs and prevention opportunities. Methods: We studied 2,246 men and women aged ≥40 years within the Dar es Salaam Urban Cohort Study from June 2017 to July 2018. Seventeen chronic conditions were assessed based on self-report, body and...

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Main Authors: Kohler, Stefan (Author) , Bärnighausen, Till (Author) , Kazonda, Patrick (Author) , Leyna, Germana H. (Author) , Lohmann, Julia (Author) , Killewo, Japhet (Author) , Rohr, Julia K. (Author) , Stieglitz, Laura-Marie (Author) , Paul, Nicolas (Author)
Format: Article (Journal)
Language:English
Published: June 2024
In: International journal of public health
Year: 2024, Volume: 69, Pages: 1-12
ISSN:1661-8564
DOI:10.3389/ijph.2024.1606387
Online Access:Verlag, kostenfrei, Volltext: https://doi.org/10.3389/ijph.2024.1606387
Verlag, kostenfrei, Volltext: https://www.ssph-journal.org/journals/international-journal-of-public-health/articles/10.3389/ijph.2024.1606387/full
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Author Notes:Stefan Kohler, Till Bärnighausen, Patrick Kazonda, Germana H. Leyna, Julia Lohmann, Japhet Killewo, Julia K. Rohr, Laura-Marie Stieglitz and Nicolas Paul
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Summary:Objectives: Chronic conditions and multimorbidity affect care needs and prevention opportunities. Methods: We studied 2,246 men and women aged ≥40 years within the Dar es Salaam Urban Cohort Study from June 2017 to July 2018. Seventeen chronic conditions were assessed based on self-report, body and blood pressure measurement, blood tests, and screening instruments. Results: Hypertension (51.3%), anemia (34.1%), obesity (32.2%), diabetes (31.6%), depressive symptoms (31.5%), low grip strength (21.2%), and ischemic heart disease (11.9%) were widespread. Multimorbidity was common (73.7%). Women had higher odds of obesity, ischemic heart disease, and high cholesterol (adjusted OR: 2.08-4.16) and lower odds of underweight, low grip strength, alcohol problems, and smoking (adjusted OR: 0.04-0.45). Ten years of age were associated with higher odds of low grip strength, cognitive problems, hypertension, kidney disease, chronic cough, diabetes, high cholesterol, ischemic heart disease, and multimorbidity (adjusted OR: 1.21-1.81) and lower odds of HIV infection (adjusted OR: 0.51). Conclusion: We found a higher prevalence of multimorbidity than previously estimated for middle-aged and elderly people in sub-Saharan Africa. The chronic conditions underlying multimorbidity differed by sex.
Item Description:Veröffentlicht: 26. Juni 2024
Gesehen am 10.02.2025
Physical Description:Online Resource
ISSN:1661-8564
DOI:10.3389/ijph.2024.1606387

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