Chronic conditions and multimorbidity among middle-aged and elderly peri-urban dwellers in Dar es Salaam, Tanzania

• Verfasst von: Kohler, Stefan [VerfasserIn]
• Verfasst von: Bärnighausen, Till [VerfasserIn]
• Verfasst von: Kazonda, Patrick [VerfasserIn]
• Verfasst von: Leyna, Germana H. [VerfasserIn]
• Verfasst von: Lohmann, Julia [VerfasserIn]
• Verfasst von: Killewo, Japhet [VerfasserIn]
• Verfasst von: Rohr, Julia K. [VerfasserIn]
• Verfasst von: Stieglitz, Laura-Marie [VerfasserIn]
• Verfasst von: Paul, Nicolas [VerfasserIn]
• Titel: Chronic conditions and multimorbidity among middle-aged and elderly peri-urban dwellers in Dar es Salaam, Tanzania
• Verf.angabe: Stefan Kohler, Till Bärnighausen, Patrick Kazonda, Germana H. Leyna, Julia Lohmann, Japhet Killewo, Julia K. Rohr, Laura-Marie Stieglitz and Nicolas Paul
• E-Jahr: 2024
• Jahr: June 2024
• Umfang: 12 S.
• Illustrationen: Illustrationen
• Fussnoten: Veröffentlicht: 26. Juni 2024 ; Gesehen am 10.02.2025
• Titel Quelle: Enthalten in: International journal of public health
• Ort Quelle: [Lausanne] : Frontiers Media S.A., 2007
• Jahr Quelle: 2024
• Band/Heft Quelle: 69(2024) vom: Juni, Artikel-ID 1606387, Seite 1-12
• ISSN Quelle: 1661-8564
• DOI: doi:10.3389/ijph.2024.1606387
• Datenträger: Online-Ressource
• Sprache: eng
• K10plus-PPN: 1916769527

Abstract

Objectives: Chronic conditions and multimorbidity affect care needs and prevention opportunities. Methods: We studied 2,246 men and women aged ≥40 years within the Dar es Salaam Urban Cohort Study from June 2017 to July 2018. Seventeen chronic conditions were assessed based on self-report, body and blood pressure measurement, blood tests, and screening instruments. Results: Hypertension (51.3%), anemia (34.1%), obesity (32.2%), diabetes (31.6%), depressive symptoms (31.5%), low grip strength (21.2%), and ischemic heart disease (11.9%) were widespread. Multimorbidity was common (73.7%). Women had higher odds of obesity, ischemic heart disease, and high cholesterol (adjusted OR: 2.08-4.16) and lower odds of underweight, low grip strength, alcohol problems, and smoking (adjusted OR: 0.04-0.45). Ten years of age were associated with higher odds of low grip strength, cognitive problems, hypertension, kidney disease, chronic cough, diabetes, high cholesterol, ischemic heart disease, and multimorbidity (adjusted OR: 1.21-1.81) and lower odds of HIV infection (adjusted OR: 0.51). Conclusion: We found a higher prevalence of multimorbidity than previously estimated for middle-aged and elderly people in sub-Saharan Africa. The chronic conditions underlying multimorbidity differed by sex.