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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| Hauptverfasser: | , , , , , , , , |
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| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
June 2024
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| In: |
International journal of public health
Year: 2024, Jahrgang: 69, Pages: 1-12 |
| ISSN: | 1661-8564 |
| DOI: | 10.3389/ijph.2024.1606387 |
| Online-Zugang: | 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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| Verfasserangaben: | 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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| 245 | 1 | 0 | |a Chronic conditions and multimorbidity among middle-aged and elderly peri-urban dwellers in Dar es Salaam, Tanzania |c 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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| 520 | |a 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. | ||
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