masterThesis
Prevalência de multimorbidade e fatores associados na população trabalhadora brasileira
Fecha
2019-07-12Registro en:
SOUZA, Ana Clara Dantas de. Prevalência de multimorbidade e fatores associados na população trabalhadora brasileira. 2019. 88f. Dissertação (Mestrado em Saúde Coletiva) - Centro de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Natal, 2019.
Autor
Souza, Ana Clara Dantas de
Resumen
The fast transition in the demographic and epidemiological profile has recorded the
increase in longevity, chronic illness and the prococity of disability, making the health
system less prepared to meet the growinf demando of people with non communicable
chronic diseases, especially those with two or more, known as multimorbidity. This
study aims to estimate the prevalence of multimorbidity in the brazilian workers
population (≥18 years old) and to know its associated factors considering he data from
the National Health Survey (PNS), 2013. At first, a systematic literature review was
conducted based on the PRISMA protocol, in order to identify the impact of the
multimorbidity on workers' health. After the review, two crosses sectional studies were
developed based on the data from the PNS, 2013, with n= 47,629 people over 18 years
old. Survey questions were used to answer, to second study, whether the individual
had alread received the diagnosis of some of the chronic diseases included in the
questions and, to third study, whether the individual already involved in some work
accident around the last 12 months. We analyze the prevalences of multimorbidity in
relation to socioeconomic characteristics, lifestyle and work; bivariate analysis with
obtaining the prevalence ratio (RP), confidence intervals at a level of 95% (CI 95%);
and multivariate model through Poisson regression, with Wald test robust estimation,
for significant variables in the analysis. The prevalence of multimorbidity was 19.98%
(95%CI: 19.29% - 20.70%) and was associated with the female gender, to the age
range of 60+, to live with the spouse, to be former smoker, to be illiterate, to live the
urban area, have health insurance and have already suffered some work accident. The
prevalence of work accident of 2.79% (CI95%: 2,53% - 3,08%) and was associated
with the male gender, to the age range 18 – 24, to be illiterate, to have four chronic
diseases and to live the rural área. A low prevalence of multimorbidity and work
accident were estimated in the brazilian workers population and was associated with
labor, socioeconomic and lifestyle characteristics.