Abstract
The present study aims to estimate the prevalence and correlates of multimorbidity among women aged 15-49 years in India. Additionally, the population attributable risk for multi-morbidity in reference to those women who smoke tobacco, chew tobacco, and consume alcohol is estimated. The data was derived from the National Family Health Survey which was conducted in 2015-16. The effective sample size for the present paper 699,686 women aged 15-49 years in India. Descriptive statistics along with bivariate analysis were used to do the preliminary analysis. Additionally, binary logistic regression analysis was used to fulfil the objectives. About 1.6% of women had multimorbidity in India. The prevalence of multimorbidity was high among women from southern region of India. Women who smoke tobacco, chew tobacco and consume alcohol had 87% [AOR: 1.87CI: 1.65, 2.10], 18% [AOR: 1.18; CI: 1.10, 1.26] and 18% [AOR: 1.18; CI: 1.04, 1.33] significantly higher likelihood to suffer from multi-morbidity than their counterparts respectively. Population Attributable Risk for women who smoke tobacco was 1.2% (p<0.001), chew tobacco was 0.2% (p<0.001) and it was 0.2% (p<0.001) among women who consumed alcohol. The findings indicate the important role of lifestyle and behavioural factors such as smoking and chewing tobacco and consuming alcohol in the prevalence of multimorbidity among adult Indian women. The subgroups identified as at increased risk in the present study can be targeted while making policies and health decisions and appropriate comorbidity management can be implemented.
Highlights
The present study aims to estimate the prevalence and correlates of multimorbidity among women aged 15–49 years in India
Chew tobacco and consume alcohol had 87% [Adjusted Odds Ratio (AOR): 1.87CI: 1.65, 2.10], 18% [AOR: 1.18; Confidence Interval (CI): 1.10, 1.26] and 18% [AOR: 1.18; CI: 1.04, 1.33] significantly higher likelihood to suffer from multi-morbidity than their counterparts respectively
Population Attributable Risk for women who smoke tobacco was 1.2% (p
Summary
The present study aims to estimate the prevalence and correlates of multimorbidity among women aged 15–49 years in India. Age (in years) 15–24 25–34 35+ Educational status Not educated Primary Secondary Higher Working status^ No Yes Marital status Never married Currently married Others Media exposure Not exposed Exposed Body Mass Index Underweight Normal Overweight Obese Behavioural characteristics Smoke tobacco No Yes Chew tobacco No Yes Alcohol consumption No Yes Household characteristics Wealth status Poorest Poorer Middle Richer Richest Religion Hindu Muslim Christian Others Sample. Age (in years) 15–24 25–34 35+ Educational status Not educated Primary Secondary Higher Working status No Yes Marital status Never married Currently married Others Media exposure Not exposed Exposed Body Mass Index Underweight Normal Overweight Obese Behavioural characteristics Smoke tobacco No Yes Chew tobacco No Yes Alcohol consumption No Yes Household characteristics Wealth status Poorest Poorer Middle Richer Richest Religion Hindu Muslim Christian Others. Ref. 1.12 (1.04,1.22) 1.14 (1.05,1.24) 1.32 (1.21,1.45) 1.51 (1.37,1.66)
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