Prevalence of multimorbidity and associated factors in the workers Brazilian population
Multimorbidity, occupational health, Absenteeism/Presenteismo, work-related accidents
The fast transition in the demographic and epidemiological profile has recorded the increasein longevity, chronic illness and the prococity of disability, making the health system lessprepared to meet the growinf demando f people with non communicable chronic diseases,especially those with two or more, known as multimorbidity. This study aims to estimate theprevalence of multimorbidity in the brazilian population (≥18 years old) and to know itsassociated factors considering he data from the National Health Survey (PNS), 2013. Inprinciple, a systematic literature review was conducted based on the PRISMA protocol, inorder to identify the impacto f multimorbidity on workers' health. After the review, a crosssectional study was developed based on the data from the PNS, 2013, with 60,202 people over18 years old. Survey questions were used to answer wheter the individual had alread receivedthe diagnosis of some of the chronic diseases included in the study. We analyze theprevalences of multimorbidity in relation to socioeconomic characteristics, lifestyle and work;bivariate analysis with obtaining the prevalence ration (RP), confidence intervals at a leve of95% (CI 95%); and multivariate model through Poisson regression, with Wald test robustestimation, for significant variables in the analysis.. The prevalence of multimorbidity was19.98 (95%CI: 19.29% - 20.70%) and was associated with the female gender. To the agerange of 60+, to live with the spouse, to ingest alcoholic beverage moderately, to be formersmoker, to be illiterate, to live the urban área, have health insurance, perform night work andhave already suffered some work accident. A low prevalence of multimorbidity was estimatedin the economically active brazilian population and was associated with labor, socioeconomicand lifestyle characteristics.