Publication: Multimorbidity in chronic conditions: Public primary care patients in four greater mekong countries
1
Issued Date
2017-09-06
Resource Type
ISSN
16604601
16617827
16617827
Other identifier(s)
2-s2.0-85029180928
Rights
Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
International Journal of Environmental Research and Public Health. Vol.14, No.9 (2017)
Suggested Citation
Supa Pengpid, Karl Peltzer Multimorbidity in chronic conditions: Public primary care patients in four greater mekong countries. International Journal of Environmental Research and Public Health. Vol.14, No.9 (2017). doi:10.3390/ijerph14091019 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/42585
Research Projects
Organizational Units
Authors
Journal Issue
Thesis
Title
Multimorbidity in chronic conditions: Public primary care patients in four greater mekong countries
Author(s)
Other Contributor(s)
Abstract
© 2017 by the authors. Licensee MDPI, Basel, Switzerland. The aim of this study was to explore the prevalence, pattern, and social determinants of chronic conditions multimorbidity among chronic disease primary care patients in four Greater Mekong countries (Cambodia, Myanmar, Thailand, and Vietnam). In a cross-sectional survey, chronic disease patients accessing primary care were recruited if they had been diagnosed with any of 21 chronic conditions in the past 12 months, and were interviewed with a structured questionnaire on anxiety, depression, alcohol use, tobacco use, dietary behaviour, physical activity, and quality of life. The sample included 6236 public primary care patients (32.8% men and 67.2% women), with a mean age of 53.0 years (SD = 16.8). From 21 chronic conditions, the three most common were hypertension (37.4%), depression (34.4%), and digestive diseases (32.0%). In all, 27.4% had one chronic condition, 28.6% had two, 22.4% had three, and 21.6% had four or more chronic conditions. The percentage with the highest comorbidity was depression (47.3%), hypertension (43.4%), and digestive diseases (34.1%). The highest mean multimorbidity reported was for mental illness (4.44), kidney disease (4.11), and Parkinson’s disease (4.10), and the lowest multimorbidity for epilepsy (2.43) and cancer (2.80). Compared to those who had only one chronic condition, being male, older age, lower education, and lower quality of life were associated with having two and three or more chronic conditions. Multimorbidity is a prevalent problem among chronic condition primary care patients—a finding with implications for health care delivery, management, and research.