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Perceived Stress and Its Relationship With Chronic Medical Conditions and Multimorbidity Among 229,293 Community-Dwelling Adults in 44 Low- and Middle-Income Countries

Perceived Stress and Its Relationship With Chronic Medical Conditions and Multimorbidity Among 229,293 Community-Dwelling Adults in 44 Low- and Middle-Income Countries

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dc.contributor.author Davy Vancampfort
dc.contributor.author Ai Koyanagi
dc.contributor.author Philip B. Ward
dc.contributor.author Nicola Veronese
dc.contributor.author André F. Carvalho
dc.contributor.author Marco Solmi
dc.contributor.author James Mugisha
dc.contributor.author Simon Rosenbaum
dc.contributor.author Marc De Hert
dc.contributor.author Brendon Stubbs
dc.date.accessioned 2021-01-10T11:55:35Z
dc.date.available 2021-01-10T11:55:35Z
dc.date.issued 2017
dc.identifier.issn 14766256
dc.identifier.issn 00029262
dc.identifier.uri https://combine.alvar.ug/handle/1/48977
dc.description.abstract In this study, we assessed the association of chronic medical conditions and multimorbidity with perceived stress among community-dwelling adults in 44 low- and middle-income countries. Data from the World Health Survey (2002-2004), including 229,293 adults, were analyzed. A perceived stress score (range, 0 (lowest stress)-100 (highest stress)) was computed on the basis of 2 questions from the Perceived Stress Scale. Eleven chronic conditions were assessed. Multivariable linear regression analyses were conducted to explore the associations. All chronic conditions were associated with significantly higher mean perceived stress scores, with the exception of edentulism. The associations were particularly strong for depression (β = 14.71, 95% confidence interval (CI): 13.68, 15.74), visual impairment (β = 10.66, 95% CI: 8.09, 13.23), and schizophrenia (β = 9.98, 95% CI: 7.71, 12.24). Compared with no chronic conditions, the β coefficients for perceived stress with the presence of 1, 2, 3, and ≥4 chronic conditions were 5.58 (95% CI: 4.94, 6.23), 9.58 (95% CI: 8.67, 10.49), 14.15 (95% CI: 12.63, 15.67), and 20.17 (95% CI: 18.29, 22.05), respectively. The associations with perceived stress were significantly stronger among the poorest individuals for arthritis, asthma, diabetes, edentulism, and ≥4 chronic conditions. Our data suggest that a range of chronic conditions and multimorbidity are associated with greatly increased perceived stress among people in low- and middle-income countries, and that the poorest persons may be a particularly vulnerable group.
dc.description.sponsorship European Regional Development Fund
dc.description.sponsorship Society for Mental Health Research
dc.description.sponsorship National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care
dc.description.sponsorship Miguel Servet
dc.description.sponsorship Miguel Servet
dc.description.sponsorship National Research, Development, and Innovation
dc.description.sponsorship Instituto de Salud Carlos III (General Branch Evaluation and Promotion of Health Research)
dc.description.sponsorship Research Foundation–Flanders
dc.publisher Oxford University Press
dc.relation.ispartof American journal of epidemiology
dc.subject chronic conditions
dc.subject low- and middle-income countries
dc.subject multimorbidity
dc.subject perceived stress
dc.subject poverty
dc.subject.mesh Adult
dc.subject.mesh Aged
dc.subject.mesh Aged, 80 and over
dc.subject.mesh Chronic Disease/epidemiology
dc.subject.mesh Comorbidity
dc.subject.mesh Cross-Sectional Studies
dc.subject.mesh Female
dc.subject.mesh Global Health
dc.subject.mesh Health Surveys
dc.subject.mesh Humans
dc.subject.mesh Income
dc.subject.mesh Male
dc.subject.mesh Mental Disorders/epidemiology
dc.subject.mesh Middle Aged
dc.subject.mesh Socioeconomic Factors
dc.subject.mesh Stress, Psychological/complications
dc.subject.mesh Young Adult
dc.title Perceived Stress and Its Relationship With Chronic Medical Conditions and Multimorbidity Among 229,293 Community-Dwelling Adults in 44 Low- and Middle-Income Countries
dc.type journal article
dc.identifier.doi 10.1093/aje/kwx159
dc.identifier.pmid 28637230
dc.identifier.mag 2567435150
dc.identifier.lens 008-652-475-232-740
dc.identifier.volume 186
dc.identifier.issue 8
dc.identifier.spage 979
dc.identifier.epage 989
dc.subject.lens-fields Cross-sectional study
dc.subject.lens-fields Demography
dc.subject.lens-fields Young adult
dc.subject.lens-fields Asthma
dc.subject.lens-fields Edentulism
dc.subject.lens-fields Comorbidity
dc.subject.lens-fields Perceived Stress Scale
dc.subject.lens-fields Confidence interval
dc.subject.lens-fields Diabetes mellitus
dc.subject.lens-fields Medicine


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