Multimorbidity and its association with mental health in an adult population of Peru

Authors

DOI:

https://doi.org/10.17843/rpmesp.2024.414.13610

Keywords:

Chronic conditions, multimorbidity, depression, anxiety, stress, mental health

Abstract

Objective. To evaluate the association between multimorbidity and mental health in adults aged 30 to 69 years. Materials and methods. Secondary data analysis of a population-based study conducted in the
peri-urban area of Tumbes in the northern coast of Peru. The dependent variables were: depressive symptoms, using the PHQ-9; anxiety symptoms, using the Goldberg scale; and perceived stress, assessed with
the Cohen’s 14-question scale. The exposure variable  was the presence of multimorbidity (presence or not of two or more chronic conditions and the number of chronic conditions). We assessed associations using crude and adjusted Poisson regression models. Results.  Data from 1600 participants were analyzed, mean age was 48.1 years (SD: 10.5), and 50.4% were women. The  prevalence of multimorbidity was 15.9%, 23.3% presented depressive symptoms, 42.0% anxiety  symptoms and 31.4% had high levels of perceived  stress. The multivariable model showed that  multimorbidity was associated with a higher prevalence  of depressive symptoms (61%, 95%CI: 32% - 98%), anxiety symptoms (46%, 95%CI: 28% - 66%) and high  (22%, 95%CI: 14% - 33%) but not moderate levels of perceived stress (6%; 95%CI: 0% - 12%). A higher number of chronic conditions was associated with higher prevalence of depressive symptoms, anxiety symptoms, and perceived stress levels. Conclusions. The presence of multimorbidity is associated with a higher prevalence of depressive symptoms, anxiety symptoms, and perceived stress levels. Our results suggest the  need for adequate mental health management in patients with multimorbidity.

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Published

2024-11-25

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How to Cite

1.
Angulo-Ramírez AM, Costa-Berlanga FC, Bernabé-Ortiz A. Multimorbidity and its association with mental health in an adult population of Peru. Rev Peru Med Exp Salud Publica [Internet]. 2024 Nov. 25 [cited 2024 Dec. 13];41(4):343-50. Available from: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/13610

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