RT journal article
T1 Multimorbidity Patterns and Their Association with Social Determinants, Mental and Physical Health during the COVID-19 Pandemic
A1 Carretero Bravo, Jesús Ángel
A1 Ramos Fiol, Begoña
A1 Ortega Martín, María Esther
A1 Salazar Couso, Alejandro
A1 O'Ferrall González, Cristina
A1 Dueñas Rodríguez, María Ángeles
A1 Peralta Sáez, Juan Luis
A1 González Caballero, Juan Luis
A1 Córdoba Doña, Juan Antonio
A1 Lagares Franco, Carolina María
A1 Martínez Nieto, José Manuel
A1 Almenara Barrios, José
A1 Álvarez Gálvez, Javier
A1 Sanz Suarez-Lledo, Víctor José
A2 BiomedicinaBiotecnología y Salud Pública
A2 Enfermería y Fisioterapia
A2 Estadística e Investigación Operativa
K1 COVID-19
K1 latent class analysis
K1 mental health
K1 multimorbidity patterns
K1 physical health
K1 social determinants
AB Background: The challenge posed by multimorbidity makes it necessary to look at new forms of prevention, a fact that has become heightened in the context of the pandemic. We designed a questionnaire to detect multimorbidity patterns in people over 50 and to associate these patterns with mental and physical health, COVID-19, and possible social inequalities. Methods: This was an observational study conducted through a telephone interview. The sample size was 1592 individuals with multimorbidity. We use Latent Class Analysis to detect patterns and SF-12 scale to measure mental and physical quality-of-life health. We introduced the two dimensions of health and other social determinants in a multinomial regression model. Results: We obtained a model with five patterns (entropy = 0.727): ‘Relative Healthy’, ‘Cardiometabolic’, ‘Musculoskeletal’, ‘Musculoskeletal and Mental’, and ‘Complex Multimorbidity’. We found some differences in mental and physical health among patterns and COVID-19 diagnoses, and some social determinants were significant in the multinomial regression. Conclusions: We identified that prevention requires the location of certain inequalities associated with the multimorbidity patterns and how physical and mental health have been affected not only by the patterns but also by COVID-19. These findings may be critical in future interventions by health services and governments
PB MDPI
SN 1661-7827
YR 2022
FD 2022-12-15
LK http://hdl.handle.net/10498/29179
UL http://hdl.handle.net/10498/29179
LA eng
DS Repositorio Institucional de la Universidad de Cádiz
RD 08-nov-2026