Racial inequalities in the development of multimorbidity of chronic conditions: results from a Brazilian prospective cohort
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View abstract on PubMed
Summary
This summary is machine-generated.Racial disparities in Brazil show darker skin tones are linked to higher risks of chronic conditions like hypertension, obesity, and diabetes. Addressing racism is crucial for equitable multimorbidity care.
Area Of Science
- Public Health
- Epidemiology
- Health Disparities
Background
- Multimorbidity impacts population subgroups differently, with limited data on racial disparities from high-income regions.
- This study examines racial disparities in multimorbidity and chronic conditions within the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil).
Purpose Of The Study
- To investigate the association between racial groups and the development of multimorbidity and chronic conditions.
- To quantify racial disparities in the incidence of specific chronic diseases and overall multimorbidity.
Main Methods
- Analysis of self-reported data from white, brown, and black participants in ELSA-Brasil (2008-2019).
- Chronic conditions assessed via in-person visits and telephone follow-ups; multimorbidity defined as two or more conditions.
- Cumulative incidences, incidence rates, and adjusted incidence rate ratios (IRRs) estimated using Poisson models.
Main Results
- Over 8.3 years, brown participants had higher incidence of hypertension and obesity; black participants had higher incidence of hypertension, obesity, and diabetes compared to white participants.
- Black participants showed a 20% higher incidence of multimorbidity (IRR: 1.20) compared to white participants.
- Cancer incidence was higher among white participants, while multimorbidity incidence increased with darker skin tones.
Conclusions
- Significant racial disparities exist in chronic conditions and multimorbidity risk in Brazil.
- Addressing root causes like racism and social determinants is vital for effective multimorbidity care.
- Equitable, intersectoral policies are necessary to ensure health rights for marginalized racial groups.
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