Table 4.
Physical and Mental Multimorbidity * | ||||
---|---|---|---|---|
Presence (n = 543) | Absence (n = 1027) | |||
HR | 95% CI | HR | 95% CI | |
Individual factors | ||||
Area material and social deprivation | ||||
Least deprived area | Reference | Reference | ||
Moderately deprived areas | 3.00 | 1.04–8.65 | 0.80 | 0.41–1.55 |
Most deprived areas | 1.52 | 0.51–4.46 | 0.60 | 0.31–1.16 |
Age (5-year groups) | 1.44 | 1.10–1.90 | 1.77 | 1.40–2.22 |
Sex (female versus male) | 0.42 | 0.19–0.93 | 0.92 | 0.50–1.66 |
Education (≤7 years versus >7 years) | 0.71 | 0.32–1.55 | 0.78 | 0.43–1.42 |
Marital status (single versus with partner) | 2.67 | 1.26–5.65 | 0.87 | 0.47–1.61 |
Cognitive status, MMSE score | 0.95 | 0.79–1.14 | 0.93 | 0.81–1.06 |
Functional status (lower quartile) | 3.20 | 1.56–6.55 | 1.46 | 0.82–2.58 |
Social support (presence versus absence) | 0.99 | 0.42–2.35 | 0.94 | 0.40–2.22 |
Current smoking (yes versus no) | 2.97 | 1.17–7.59 | 3.09 | 1.48–6.47 |
Physical activity (number of sessions/week) | 1.00 | 0.91–1.11 | 0.89 | 0.81–0.98 |
Satisfaction with life score | 0.97 | 0.90–1.05 | 0.93 | 0.86–1.01 |
Childhood trauma (presence versus absence) | 0.88 | 0.41–1.87 | 1.11 | 0.53–2.30 |
Health system factors | ||||
Continuity of care (quartiles) | 0.66 | 0.44–0.88 | 0.63 | 0.48–0.82 |
Number of hospitalizations, past 3 years | 1.11 | 0.99–1.24 | 1.14 | 1.02–1.29 |
Number of ED visits, past 3 years | 0.97 | 0.88–1.06 | 0.94 | 0.87–1.02 |
Number of outpatient visits, past 3 years | 1.00 | 0.99–1.01 | 1.01 | 1.00–1.03 |
Satisfied with physician explanations (yes versus no) | 0.45 | 0.17–1.18 | 1.29 | 0.62–2.69 |
Satisfied with the medical visit (yes versus no) | 1.68 | 0.65–4.36 | 0.81 | 0.40–1.64 |
Abbreviations: CI: Confidence Interval, ED: Emergency Department, HR: Hazard Ratio, MMSE: Mini-Mental State Examination.
*≥2 physical conditions + ≥1 mental disorder. Bold: p-value <0.05