Multimorbidity from Chronic Conditions among Adults in Urban Slums: The AWI-Gen Nairobi Site Study Findings
Background:In the era of double burden of infectious and non-communicable diseases in sub-Saharan Africa, the burden of multimorbidity is likely to be common. However, there is limited evidence on the burden and its associated factors in the sub-Saharan African context. Objective:The aim of this stu...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Ubiquity Press
2021-01-01
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| Series: | Global Heart |
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| Online Access: | https://globalheartjournal.com/articles/771 |
| _version_ | 1818916590891040768 |
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| author | Shukri F. Mohamed Tilahun Nigatu Haregu Olalekan A. Uthman Christopher Khayeka-Wandabwa Stella Kagwiria Muthuri Gershim Asiki Catherine Kyobutungi Paramjit Gill |
| author_facet | Shukri F. Mohamed Tilahun Nigatu Haregu Olalekan A. Uthman Christopher Khayeka-Wandabwa Stella Kagwiria Muthuri Gershim Asiki Catherine Kyobutungi Paramjit Gill |
| author_sort | Shukri F. Mohamed |
| collection | DOAJ |
| description | Background:In the era of double burden of infectious and non-communicable diseases in sub-Saharan Africa, the burden of multimorbidity is likely to be common. However, there is limited evidence on the burden and its associated factors in the sub-Saharan African context. Objective:The aim of this study was to determine the levels and identify determinants of multimorbidity from chronic conditions in two urban slums in Nairobi. Methods:Data collected from 2003 study participants aged 40–60 years in two urban slums of the Nairobi Urban Health and Demographic Surveillance System in 2015 were used. Using self-report, anthropometry and key biomarkers, data on 16 conditions including chronic diseases, behavioral disorders and metabolic abnormalities were gathered. Lifetime multimorbidity defined by the occurrence of at least two chronic conditions in an individual at any time during their life course was computed. Factors associated with lifetime multimorbidity were identified using multiple logistic regression. Findings:A total of 2,081 chronic conditions were identified among 1,302 individuals. While 701 (35.0%) had no chronic condition, single morbidity was reported in 726 (36.2%) of the study population. The overall prevalence of lifetime multimorbidity was 28.7%. The prevalence of dyads and triads of simultaneous occurrences of conditions (episodic multimorbidity) was 20.8% and 6.1%, respectively. Single morbidity was positively associated with gender and alcohol consumption; and negatively associated with employment. Women, older people, the unemployed, current smokers and current alcohol consumers had higher levels of lifetime multimorbidity in the study population. Interpretation:The findings of this study indicate that a considerable proportion of adults living in urban slums experience multimorbidity from chronic conditions. Further studies with a better rigor to establish temporal associations between socio-demographic factors and the occurrence of chronic conditions are needed to explore the impacts and implications on health status and health system. |
| first_indexed | 2024-12-20T00:20:36Z |
| format | Article |
| id | doaj.art-a962ef0ef11b456cbb84e36d551c72d3 |
| institution | Directory Open Access Journal |
| issn | 2211-8179 |
| language | English |
| last_indexed | 2024-12-20T00:20:36Z |
| publishDate | 2021-01-01 |
| publisher | Ubiquity Press |
| record_format | Article |
| series | Global Heart |
| spelling | doaj.art-a962ef0ef11b456cbb84e36d551c72d32022-12-21T20:00:12ZengUbiquity PressGlobal Heart2211-81792021-01-0116110.5334/gh.771817Multimorbidity from Chronic Conditions among Adults in Urban Slums: The AWI-Gen Nairobi Site Study FindingsShukri F. Mohamed0Tilahun Nigatu Haregu1Olalekan A. Uthman2Christopher Khayeka-Wandabwa3Stella Kagwiria Muthuri4Gershim Asiki5Catherine Kyobutungi6Paramjit Gill7African Population and Health Research Center (APHRC), Nairobi, KE; Academic Unit of Primary Care (AUPC) and the NIHR Global Health Research Unit on Improving Health in Slums, University of Warwick, CoventryAfrican Population and Health Research Center (APHRC), Nairobi; Non-Communicable Disease Unit, School of Population and Global Health, University of MelbourneWarwick-Centre for Applied Health Research and Delivery (WCAHRD), Warwick Medical School, University of Warwick, CoventrySchool of Pharmaceutical Science and Technology (SPST), Health Sciences Platform, Tianjin University, TianjinAfrican Population and Health Research Center (APHRC), NairobiAfrican Population and Health Research Center (APHRC), NairobiAfrican Population and Health Research Center (APHRC), NairobiAcademic Unit of Primary Care (AUPC) and the NIHR Global Health Research Unit on Improving Health in Slums, University of Warwick, CoventryBackground:In the era of double burden of infectious and non-communicable diseases in sub-Saharan Africa, the burden of multimorbidity is likely to be common. However, there is limited evidence on the burden and its associated factors in the sub-Saharan African context. Objective:The aim of this study was to determine the levels and identify determinants of multimorbidity from chronic conditions in two urban slums in Nairobi. Methods:Data collected from 2003 study participants aged 40–60 years in two urban slums of the Nairobi Urban Health and Demographic Surveillance System in 2015 were used. Using self-report, anthropometry and key biomarkers, data on 16 conditions including chronic diseases, behavioral disorders and metabolic abnormalities were gathered. Lifetime multimorbidity defined by the occurrence of at least two chronic conditions in an individual at any time during their life course was computed. Factors associated with lifetime multimorbidity were identified using multiple logistic regression. Findings:A total of 2,081 chronic conditions were identified among 1,302 individuals. While 701 (35.0%) had no chronic condition, single morbidity was reported in 726 (36.2%) of the study population. The overall prevalence of lifetime multimorbidity was 28.7%. The prevalence of dyads and triads of simultaneous occurrences of conditions (episodic multimorbidity) was 20.8% and 6.1%, respectively. Single morbidity was positively associated with gender and alcohol consumption; and negatively associated with employment. Women, older people, the unemployed, current smokers and current alcohol consumers had higher levels of lifetime multimorbidity in the study population. Interpretation:The findings of this study indicate that a considerable proportion of adults living in urban slums experience multimorbidity from chronic conditions. Further studies with a better rigor to establish temporal associations between socio-demographic factors and the occurrence of chronic conditions are needed to explore the impacts and implications on health status and health system.https://globalheartjournal.com/articles/771multimorbiditychronic conditionsurban slumanthropometryethnicity |
| spellingShingle | Shukri F. Mohamed Tilahun Nigatu Haregu Olalekan A. Uthman Christopher Khayeka-Wandabwa Stella Kagwiria Muthuri Gershim Asiki Catherine Kyobutungi Paramjit Gill Multimorbidity from Chronic Conditions among Adults in Urban Slums: The AWI-Gen Nairobi Site Study Findings Global Heart multimorbidity chronic conditions urban slum anthropometry ethnicity |
| title | Multimorbidity from Chronic Conditions among Adults in Urban Slums: The AWI-Gen Nairobi Site Study Findings |
| title_full | Multimorbidity from Chronic Conditions among Adults in Urban Slums: The AWI-Gen Nairobi Site Study Findings |
| title_fullStr | Multimorbidity from Chronic Conditions among Adults in Urban Slums: The AWI-Gen Nairobi Site Study Findings |
| title_full_unstemmed | Multimorbidity from Chronic Conditions among Adults in Urban Slums: The AWI-Gen Nairobi Site Study Findings |
| title_short | Multimorbidity from Chronic Conditions among Adults in Urban Slums: The AWI-Gen Nairobi Site Study Findings |
| title_sort | multimorbidity from chronic conditions among adults in urban slums the awi gen nairobi site study findings |
| topic | multimorbidity chronic conditions urban slum anthropometry ethnicity |
| url | https://globalheartjournal.com/articles/771 |
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