Abstract
Objectives: The present study has examined the patterns and possible correlates of coexisting morbidities among women aged 15–49 years based on biomarker measurement data at the national level in India. Methods: National Family Health Survey conducted during 2015–16 used in the present study. Simple disease count approach was used to calculate the multimorbidity among women. Multinomial logistic regression was applied to analyze the predictors of multimorbidity among women. Results: Almost 30% of the women had any of the selected morbidity and 9% of them had two or more morbidities. Hypertension and overweight combination (3%) was the most prevalent among women. The risk of having two or more morbidities was predominantly high among women aged above 30 years, low educated women, women from the wealthier group, ever-married women and women who were consuming tobacco as compared to their counterparts. Conclusions: From the policy perspective, the identification of groups of women vulnerable to multimorbidity will help in the selection of programmatic focus and preventive public health intervention in adult phase to reduce the multimorbidity burden among women in old ages.
Highlights
BackgroundMultimorbidity has been defined as the coexistence of two or more chronic physical or mental or mixed health condition within an individual [1, 2]
One-third of the women were in 20–29 years of age group. 47.2% of women had secondary education, and very few had higher education (12.6%)
Widowed/ divorced/separated (13.9%) women and, women consuming alcohol (9.2%) and tobacco (9.1%) in any form had a higher share of multimorbidity
Summary
Multimorbidity has been defined as the coexistence of two or more chronic physical or mental or mixed health condition within an individual [1, 2]. Previous studies have found that the prevalence of multimorbidity varies between 10% and 60% in developed countries [3, 4]. A study from low-middle income countries showed that one out of four persons have multimorbidity [5]. An individual with multimorbidity has higher odds of mortality [6]. Multimorbid persons are more dependent on health facilities, medication and face substantial economic burden where health care provider and medicine constituted the largest share of out of the pocket expenditure [7, 8]. Multimorbidity affects physical and mental functioning and results in a negative impact on satisfaction with.
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