Abstract：
OBJECTIVE:The aim of this study was to identify multimorbidity patterns in patients from 19 to 44 years attended in primary care in Catalonia in 2010. DESIGN:Cross-sectional study. SETTING:251 primary care centres. PARTICIPANTS:530,798 people with multimorbidity, aged 19 to 44 years. MAIN OUTCOME MEASURES:Multimorbidity was defined as the coexistence of ≥2 more International Classification system (ICD-10) registered in the electronic health record. Multimorbidity patterns were identified using hierarchical cluster analysis and by sex and age group (19-24 and 25-44). RESULTS:Of the 882,708 people from initial population, 530,798 (60.1%) accomplished multimorbidity criterion. Mean age was 33.0 years (SD: 7.0) and 53.3% were women. Multimorbidity was higher in the 25-to 44-years-old group with respect the younger group (60.5 vs. 58.1%, p<0.001), being higher in women. Most prevalent cluster in all groups included, among others, by dental caries, smoking, dorsalgia, common cold and other anxiety disorders. For both sexes in the 25-to 44-years-old group appeared the cardiovascular-endocrine-metabolic pattern (obesity, lipid disorders and arterial hypertension). CONCLUSIONS:Multimorbidity affects more than half of persons between 19 to 44-years-old. The most prevalent cluster is formed by grouping common diseases (dental caries, common cold, smoking, anxiety disorders and dorsalgias). Another pattern to highlight is the cardiovascular-endocrine-metabolic pattern in the 25- to 44 years-old group. Knowledge of patterns of multimorbidity in young adults could be used to design individualized preventive strategies.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
Violán C,Foguet-Boreu Q,Roso-Llorach A,Rodriguez-Blanco T,Pons-Vigués M,Pujol-Ribera E,Valderas JMdoi
10.1016/j.aprim.2015.10.006subject
Has Abstractpub_date
2016-08-01 00:00:00pages
479-92issue
7eissn
0212-6567issn
1578-1275pii
S0212-6567(15)00336-4journal_volume
48pub_type
杂志文章abstract：AIMS:To determine the attitudes of community-dwelling elderly patients about the possibilities for cure of urinary incontinence. DESIGN:Cross-sectional study. INTERVENTIONS:A specific questionnaire on urinary incontinence and the Barthel Index Modified by Shah. LOCATION:Basic Health Zone of Cabra (Córdoba, Spain). ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(00)78708-7
更新日期：2000-10-31 00:00:00
abstract：OBJECTIVES:To examine the attitudes of family doctors to patients' rights and to ascertain the social and professional variables that influence these views. DESIGN:Descriptive, cross-sectional study based on a questionnaire. SETTING:Primary care, Murcia, Spain. PARTICIPANTS:Two-hundred and twenty-seven family physic...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13098275
更新日期：2007-01-01 00:00:00
abstract：OBJECTIVES:To determine the percentage of female authors in original articles published during 2periods, in the journal of Atención Primaria (Primary Care), and to examine the differences between the categories of authorship (first, last author, and co-author) between both periods. DESIGN:Cross-sectional study. SETTI...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2019.11.002
更新日期：2021-01-01 00:00:00
abstract：SETTING:Community level. "Santa María de Benquerencia" Health District, Toledo. PARTICIPANTS:People over 15, chosen by random sampling from the municipal census, who stated that they had suffered some health disorder over the previous fortnight. MEASUREMENTS AND MAIN RESULTS:212 surveys were accepted as valid (averag...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1995-06-15 00:00:00
abstract：OBJECTIVE:To find the satisfaction level of health users attended by Bizkaia primary care teams (PCT) with 5 or more permanent doctors and to determine whether there is any relationship between satisfaction and doctors being trained in doctor-patient relationships (DPR). SETTING:Primary Care. Towns in the 2 health are...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1995-11-15 00:00:00
abstract：OBJECTIVES:To discover the view of primary care doctors on aspects of the safety of medicines, their knowledge of the programme of automatic notification of negative side-effects of medicines (NSEM), their opinion of the programme and factors affecting low notification. DESIGN:A survey of views. SETTING:Madrid's Heal...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1997-04-15 00:00:00
abstract：OBJECTIVES:To explore intentions, motivations and country preferences related with professional emigration in a sample of advanced medical students. DESIGN:Cross sectional and descriptive study. SETTING:11 Universities in Spain. PARTICIPANTS:A total of 740 students in their two final courses. PRIMARY MEASUREMENTS:T...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2010.01.017
更新日期：2011-05-01 00:00:00
abstract：OBJECTIVE:To discover the evolvement of Primary Care doctors' tobacco consumption in Guipuzcoa and their attitudes to tobacco dependency. DESIGN:A descriptive study of a crossover type. October 1992. SETTING:Primary Health care. PARTICIPANTS:381 general physicians and paediatricians from Guipuzcoa province. MEASURE...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1994-11-30 00:00:00
abstract：OBJECTIVES:Ascertain what effect post-natal visits have on recruiting involvement in the mother and child programme of activities. Identify the profile of mothers and children with little involvement in these activities. Ascertain how suitable the register is. DESIGN:Study of cohorts of previous years. The term expose...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1992-09-15 00:00:00
abstract：OBJECTIVES:The goal of this work was to prove the usefulness of simple standard geriatrics tools as a predictors of basic daily activities or quality of life decline in one year in older patients apparent healthy to apply in primary care. DESIGN:Prospective study of a randomised sample of 100 patients. SETTING:Urban ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：2003-09-30 00:00:00
abstract：OBJECTIVES:To find how suitable a semFYC guide is for the indication of bone densitometry in menopausal women; and how appropriate their Osteoporosis treatment is. DESIGN:Cross-sectional study.Setting. Girona-3 Health District. PARTICIPANTS:Women between 50 and 80 allocated to the Girona-3 Health District. Suffering ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(04)79391-9
更新日期：2004-03-15 00:00:00
abstract：OBJECTIVE:To test the validity of Ottawa ankle rules (OAR) in our field. To test the agreement physician/nurse in the assessment of the patient with acute ankle injuries. DESIGN:Observational, with application of rules and prospective outcome measurement. SETTING:Hospital emergency departments. PARTICIPANTS:Adults w...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1999-09-15 00:00:00
abstract：OBJECTIVES:To determine the level of therapeutic inertia (TI), and the factors associated to the patient, doctor and the health organisation, in hypertensive patients treated in Primary Care (PC). DESIGN:Cross-sectional, multicentre study. SETTING:A sample of PC Teams from all over Spain. PARTICIPANTS:The study was ...
journal_title：Atencion primaria
pub_type： 杂志文章,多中心研究
doi：10.1016/j.aprim.2010.09.030
更新日期：2011-12-01 00:00:00
abstract：OBJECTIVE:To estimate the prevalence of orthostatic hypotension (OH) in patients 80 years old and over attending a primary care unit. To relate OH to the most prevalent pathologies and to the most used drugs. DESIGN:Transversal observational study. LOCATION:Primary care unit, Santiago de Compostela. PARTICIPANTS:Eig...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2017.12.003
更新日期：2019-05-01 00:00:00
abstract：OBJECTIVE:To determine the pap smear adequacy, and to compare the quality using cervical cytobrush with that obtain by using cotton swab in the endocervical sample. DESIGN:Transversal study. Carried out in two periods both pre and post intervention. SETTING:Primary care centre in the south of Madrid. INTERVENTION:We...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(00)78604-5
更新日期：2000-06-15 00:00:00
abstract：OBJECTIVES:To analyze the degree of utilization of generic drugs in Spain and Catalonia. To determine real savings and scope for further savings due to the use of generic drugs. DESIGN:Descriptive, crossover study. SETTING:Public health prescription in Spain and Catalonia in June of 1999 and in Catalonia from January...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(00)78649-5
更新日期：2000-09-15 00:00:00
abstract：OBJECTIVE:1) To find the opinion of general practitioners working in primary care (GP in PC) regarding how they deal with neurological patients. 2) To find the effect on this question of intern training in family and community medicine (FCM). DESIGN AND SETTING:A survey filled out by a representative sample of GP in P...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1995-04-15 00:00:00
abstract：OBJECTIVE:To find the efficacy of two methods of detecting previously unknown hypertension--systematic taking of blood pressure (ST) and the Mobile Unit (MU)--and to evaluate the over-diagnosis of arterial hypertension (AHT) in crossover studies which only use epidemiological criteria (EC). DESIGN:A descriptive study ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1993-11-15 00:00:00
abstract：OBJECTIVE:To describe the parental knowledge and care of fever in children under 2years. Relate this data with socio-demographic with characteristics. DESIGN:Cross-sectional and correlation multicenter study. LOCATION:Five teams of Primary Care in Barcelona. PARTICIPANTS:Parents of children under 2years attended to ...
journal_title：Atencion primaria
pub_type： 杂志文章,多中心研究
doi：10.1016/j.aprim.2016.11.011
更新日期：2017-10-01 00:00:00
abstract：OBJECTIVE:To determine the usefulness of ultrasound examination in Primary Care (PC) for the detection of abdominal aortic aneurysm (AAA) in male patients from 65-75 years old, as well as the consistency between observers on the diagnosis between general practitioners and the reference specialty in this area, Vascular ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2017.10.005
更新日期：2019-01-01 00:00:00
abstract：OBJECTIVES:To find out whether the system for issuing prescriptions is linked to the therapeutic compliance and control of the blood pressure of a group of hypertense patients, and to quantify compliance with hypertension treatment through an indirect measurement method (counting pills). DESIGN:Crossover, descriptive ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1999-09-30 00:00:00
abstract：OBJECTIVE:To test the hypothesis that women with epilepsy come from families with poor cohesion and adaptability to the disease, compared with healthy women. DESIGN:Cross-sectional study. SETTING:A retrospective study was done on 263 women from a neurology outpatient department and a family medicine unit from the Mex...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2013.10.005
更新日期：2014-05-01 00:00:00
abstract：INTRODUCTION:There are no existing studies that appraise cardiovascular morbidity-mortality in patients diagnosed with isolated clinical hypertension (HCA) through self-measurement of blood pressure (AMPA). OBJECTIVE:To find the prognostic value of AMPA for diagnosing HCA, by means of assessment of cardiovascular morb...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13086703
更新日期：2006-04-15 00:00:00
abstract：OBJECTIVE:To analyse the length of sick leave (SL) and its associated factors in Andalusia. DESIGN:Descriptive observational study. SETTING:Andalusia. PARTICIPANTS:A total of 1,633,405 sick leave forms issued from the 1st January 2002 to the 31st of December 2006 for any reason by Primary Health Care doctors in the ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2008.10.020
更新日期：2009-07-01 00:00:00
abstract：OBJECTIVES:To analyse the pathology diagnosed on the basis of the gastroscopies requested from a primary care centre (PCC). Assessment and treatment of Helicobacter pylori (HP) infection. DESIGN:Retrospective and descriptive. SETTING:Urban PCC. PATIENTS:Those over 14 who had a gastroscopy for a diagnostic purpose, r...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(00)78496-4
更新日期：2000-03-15 00:00:00
abstract：OBJECTIVE:To assess the level of initial non-compliance with treatment. DESIGN:An observational study with interviews of patients, which compared prescriptions filled at the Siruela Health Centre (Badajoz) with those dispensed at the town's only pharmacy. SETTING:Primary Care; rural ambit. RESULTS:8,100 prescription...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1997-01-01 00:00:00
abstract：:Eight cases of monoclonal gammapathy of uncertain significance are reported. They were detected from routine analysis in patients from the general population who consulted for several diseases to a primary care center. One patient developed multiple myeloma and the rest remained stable. As there is no effective method...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1990-01-01 00:00:00
abstract：:In 2010, the American Diabetes Association included glycosylated hemoglobin (HbA1c) as a criterion for the diagnosis of diabetes with a cut-off point of ≥ 6.5%. However, there may be a substantial percentage of false negative results. Other scientific societies have accepted this approach but with slight differences. ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/S0212-6567(10)70002-0
更新日期：2010-09-01 00:00:00
abstract：OBJECTIVE:To establish the diagnostic validity and usefulness of Eating Attitudes Test-26 (EAT-26) for the risk assessment of eating disorders in a male population. DESCRIPTION:Observational validation study questionnaire. SETTING:Performed in Medellin city at a community care level of mixed (public and private) psyc...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2016.02.016
更新日期：2017-04-01 00:00:00
abstract：OBJECTIVES:To evaluate our patients' knowledge of the effects of excess drinking; b) to compare this with their awareness of the effects of their day-to-day drinking habits. DESIGN:Descriptive, randomized, cross-sectional questionnaire-based study. Information on alcohol consumption was obtained from medical records. ...
journal_title：Atencion primaria
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/s0212-6567(03)79313-5
更新日期：2003-11-15 00:00:00
