Prevalence and correlates of multimorbidity among adults in Botswana: A cross-sectional study.
<h4>Background</h4>Botswana is currently undergoing rapid epidemiological transition indicated by a decline in infectious diseases and an increase in chronic non-communicable diseases and their associated risk factors. The main aim of this study was to assess prevalence and correlates of...
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doaj-e04c96fd2d2549a38eabab24954a8cc82021-03-04T11:12:27ZengPublic Library of Science (PLoS)PLoS ONE1932-62032020-01-01159e023933410.1371/journal.pone.0239334Prevalence and correlates of multimorbidity among adults in Botswana: A cross-sectional study.Mpho KeetileKannan NavaneethamGobopamang Letamo<h4>Background</h4>Botswana is currently undergoing rapid epidemiological transition indicated by a decline in infectious diseases and an increase in chronic non-communicable diseases and their associated risk factors. The main aim of this study was to assess prevalence and correlates of multimorbidity among the adult population in Botswana.<h4>Methods</h4>A cross-sectional study called Chronic Non-Communicable Diseases Study (NCDs study) was conducted in March, 2016. Using multistage cross sectional sampling design, 1178 male and female respondents aged 15 years and above were interviewed across 3 cities and towns, 15 urban villages and 15 rural villages. Participants were interviewed face-to-face using a structured questionnaire. Adjusted multinomial logistic regression analysis was used to assess covariates of multimorbidity. The statistical significant level was fixed at p <0 .05.<h4>Results</h4>Prevalence of multimorbidity in the sampled population was estimated at 5.4%. Multivariate results indicate that the odds of multimobridty were significantly high among women (AOR = 3.34, 95% C.I. = 1.22-21.3) than men. On the other hand, the odds of multimorbidity were significantly low among young people aged below 24 years (AOR = 0.01, 95% C.I. = 0.00-0.07), currently married people (AOR = 0.24, 95% C.I. = 0.07-0.80) and individuals in the 2nd wealth quintile (AOR = 0.20, 95% C.I. = 0.05-0.75) compared to their counterparts. For behavioural risk factors, alcohol consumption (AOR = 4.80, 95% C.I. = 1.16-19.8) and overweight/obesity (AOR = 1.44, 95% CI = 1.12-2.61) were significantly associated with high multimorbidity prevalence.<h4>Conclusion</h4>Multimorbidity was found to be more prevalent among women, alcohol consumers and overweight/obese people. There is need to strengthen interventions encouraging healthy lifestyles such as non-consumption of alcohol, physical activity and healthy diets. Moreover, there is need for a holistic approach of health care services to meet the needs of those suffering from multimorbidity.https://doi.org/10.1371/journal.pone.0239334 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mpho Keetile Kannan Navaneetham Gobopamang Letamo |
spellingShingle |
Mpho Keetile Kannan Navaneetham Gobopamang Letamo Prevalence and correlates of multimorbidity among adults in Botswana: A cross-sectional study. PLoS ONE |
author_facet |
Mpho Keetile Kannan Navaneetham Gobopamang Letamo |
author_sort |
Mpho Keetile |
title |
Prevalence and correlates of multimorbidity among adults in Botswana: A cross-sectional study. |
title_short |
Prevalence and correlates of multimorbidity among adults in Botswana: A cross-sectional study. |
title_full |
Prevalence and correlates of multimorbidity among adults in Botswana: A cross-sectional study. |
title_fullStr |
Prevalence and correlates of multimorbidity among adults in Botswana: A cross-sectional study. |
title_full_unstemmed |
Prevalence and correlates of multimorbidity among adults in Botswana: A cross-sectional study. |
title_sort |
prevalence and correlates of multimorbidity among adults in botswana: a cross-sectional study. |
publisher |
Public Library of Science (PLoS) |
series |
PLoS ONE |
issn |
1932-6203 |
publishDate |
2020-01-01 |
description |
<h4>Background</h4>Botswana is currently undergoing rapid epidemiological transition indicated by a decline in infectious diseases and an increase in chronic non-communicable diseases and their associated risk factors. The main aim of this study was to assess prevalence and correlates of multimorbidity among the adult population in Botswana.<h4>Methods</h4>A cross-sectional study called Chronic Non-Communicable Diseases Study (NCDs study) was conducted in March, 2016. Using multistage cross sectional sampling design, 1178 male and female respondents aged 15 years and above were interviewed across 3 cities and towns, 15 urban villages and 15 rural villages. Participants were interviewed face-to-face using a structured questionnaire. Adjusted multinomial logistic regression analysis was used to assess covariates of multimorbidity. The statistical significant level was fixed at p <0 .05.<h4>Results</h4>Prevalence of multimorbidity in the sampled population was estimated at 5.4%. Multivariate results indicate that the odds of multimobridty were significantly high among women (AOR = 3.34, 95% C.I. = 1.22-21.3) than men. On the other hand, the odds of multimorbidity were significantly low among young people aged below 24 years (AOR = 0.01, 95% C.I. = 0.00-0.07), currently married people (AOR = 0.24, 95% C.I. = 0.07-0.80) and individuals in the 2nd wealth quintile (AOR = 0.20, 95% C.I. = 0.05-0.75) compared to their counterparts. For behavioural risk factors, alcohol consumption (AOR = 4.80, 95% C.I. = 1.16-19.8) and overweight/obesity (AOR = 1.44, 95% CI = 1.12-2.61) were significantly associated with high multimorbidity prevalence.<h4>Conclusion</h4>Multimorbidity was found to be more prevalent among women, alcohol consumers and overweight/obese people. There is need to strengthen interventions encouraging healthy lifestyles such as non-consumption of alcohol, physical activity and healthy diets. Moreover, there is need for a holistic approach of health care services to meet the needs of those suffering from multimorbidity. |
url |
https://doi.org/10.1371/journal.pone.0239334 |
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