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dc.contributor.author | Huaquiá-Diáz, A.M. | |
dc.contributor.author | Chalán-Dávila, T.S. | |
dc.contributor.author | Carrillo Larco, Rodrigo Martín | |
dc.contributor.author | Bernabé Ortiz, Antonio | |
dc.date.accessioned | 2021-10-04T23:00:59Z | |
dc.date.available | 2021-10-04T23:00:59Z | |
dc.date.issued | 2021 | |
dc.identifier.uri | https://hdl.handle.net/20.500.12866/9857 | |
dc.description.abstract | Objective To estimate the pooled prevalence of multimorbidity (≥2 non-communicable diseases in the same individual) among adults of the general population of Latin American and the Caribbean (LAC). Design Systematic review and meta-analysis. Data sources MEDLINE, Embase, Global Health, Scopus and LILACS up to 1 July 2020. Eligibility criteria for selecting studies The outcome was the prevalence of multimorbidity. Reports were selected whether they enrolled adult individuals (age ≥18 years) from the general population. Data extraction and synthesis Reviewers extracted relevant data and assessed risk of bias independently. A random-effects meta-analysis was conducted to report pooled prevalence estimates of multimorbidity; pooled estimates by pre-specified subgroups (eg, national studies) were also pursued. Results From 5830 results, we selected 28 reports, mostly from Brazil and 16 were based on a nationally representative sample. From the 28 selected reports, 26 were further included in the meta-analysis revealing a pooled multimorbidity prevalence of 43% (95% CI: 35% to 51%; I 2: 99.9%). When only reports with a nationally representative sample were combined, the pooled prevalence was 37% (95% CI: 27% to 47%; I 2: 99.9%). When the ascertainment of multimorbidity was based on self-reports alone, the pooled prevalence was 40% (95% CI: 31% to 48%; I 2: 99.9%); this raised to 52% (95% CI: 33% to 70%; I 2: 99.9%) for reports including self-reported and objective diagnosis. Conclusions Our results complement and advance those from global efforts by incorporating much more reports from LAC. We revealed a larger presence of multimorbidity in LAC than previously reported | en_US |
dc.language.iso | eng | |
dc.publisher | BMJ Publishing Group | |
dc.relation.ispartofseries | BMJ Open | |
dc.rights | info:eu-repo/semantics/restrictedAccess | |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es | |
dc.subject | adolescent | en_US |
dc.subject | Adolescent | en_US |
dc.subject | Brazil | en_US |
dc.subject | Caribbean | en_US |
dc.subject | Caribbean Region | en_US |
dc.subject | diabetes & endocrinology | en_US |
dc.subject | epidemiology | en_US |
dc.subject | human | en_US |
dc.subject | Humans | en_US |
dc.subject | hypertension | en_US |
dc.subject | Latin America | en_US |
dc.subject | meta analysis | en_US |
dc.subject | Multimorbidity | en_US |
dc.subject | multiple chronic conditions | en_US |
dc.subject | prevalence | en_US |
dc.subject | Prevalence | en_US |
dc.subject | public health | en_US |
dc.subject | South and Central America | en_US |
dc.title | Multimorbidity in Latin America and the Caribbean: A systematic review and meta-analysis | en_US |
dc.type | info:eu-repo/semantics/review | |
dc.identifier.doi | https://doi.org/10.1136/bmjopen-2021-050409 | |
dc.relation.issn | 2044-6055 |
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