Skip to content Skip to navigation
University of Warwick
  • Study
  • |
  • Research
  • |
  • Business
  • |
  • Alumni
  • |
  • News
  • |
  • About

University of Warwick
Publications service & WRAP

Highlight your research

  • WRAP
    • Home
    • Search WRAP
    • Browse by Warwick Author
    • Browse WRAP by Year
    • Browse WRAP by Subject
    • Browse WRAP by Department
    • Browse WRAP by Funder
    • Browse Theses by Department
  • Publications Service
    • Home
    • Search Publications Service
    • Browse by Warwick Author
    • Browse Publications service by Year
    • Browse Publications service by Subject
    • Browse Publications service by Department
    • Browse Publications service by Funder
  • Help & Advice
University of Warwick

The Library

  • Login
  • Admin

Multimorbidity from chronic conditions among adults in urban slums : the AWI-Gen Nairobi site study findings

Tools
- Tools
+ Tools

Mohamed, Shukri F., Haregu, Tilahun Nigatu, Uthman, Olalekan A., Khayeka-Wandabwa, Christopher, Muthuri, Stella Kagwiria, Asiki, Gershim, Kyobutungi, Catherine and Gill, Paramjit (2021) Multimorbidity from chronic conditions among adults in urban slums : the AWI-Gen Nairobi site study findings. Global Heart, 16 (1). 6. doi:10.5334/gh.771 ISSN 2211-8179.

[img]
Preview
PDF
WRAP-Multimorbidity-chronic-conditions-adults-urban-slums-AWI-Gen-Nairobi-2021.pdf - Published Version - Requires a PDF viewer.
Available under License Creative Commons Attribution 4.0.

Download (759Kb) | Preview
Official URL: http://dx.doi.org/10.5334/gh.771

Request Changes to record.

Abstract

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.

Item Type: Journal Article
Subjects: G Geography. Anthropology. Recreation > GN Anthropology
R Medicine > RA Public aspects of medicine
R Medicine > RB Pathology
R Medicine > RC Internal medicine
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Comorbidity , Chronic diseases , Urban poor -- Health and hygiene -- Kenya -- Nairobi, Anthropometry -- Kenya -- Nairobi, Inner cities -- Health aspects -- Kenya -- Nairobi
Journal or Publication Title: Global Heart
Publisher: Elsevier
ISSN: 2211-8179
Official Date: 20 January 2021
Dates:
DateEvent
20 January 2021Published
18 December 2020Accepted
Volume: 16
Number: 1
Article Number: 6
DOI: 10.5334/gh.771
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access (Creative Commons)
Date of first compliant deposit: 25 January 2021
Date of first compliant Open Access: 27 January 2021
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
UNSPECIFIED[NIHR] National Institute for Health Researchhttp://dx.doi.org/10.13039/501100000272
UNSPECIFIEDNational Human Genome Research Institutehttp://dx.doi.org/10.13039/100000051
UNSPECIFIEDEunice Kennedy Shriver National Institute of Child Health and Human Developmenthttp://dx.doi.org/10.13039/100009633
U54HG006938National Institutes of Healthhttp://dx.doi.org/10.13039/100000002

Request changes or add full text files to a record

Repository staff actions (login required)

View Item View Item

Downloads

Downloads per month over past year

View more statistics

twitter

Email us: wrap@warwick.ac.uk
Contact Details
About Us