23/11/2022 - 08:30 - 10:00
CC1.6 - SAÚDE, AMBIENTE E SOCIEDADE: INTERFACES COM A EPIDEMIOLOGIA II |
43013 - INFLUENCE OF INTERNAL EARLY MIGRATION ON MULTIMORBIDITY IN THE BRAZILIAN LONGITUDINAL STUDY OF ADULT HEALTH (ELSA-BRASIL)
ANA LUISA GOMES DOMINGOS - FIOCRUZ, ALINE ARAÚJO NOBRE - FIOCRUZ, JOANA MAIA BRANDÃO - UERJ, ISABELA JUDITH MARTINS BENSENOR - USP, LEONARDO BASTOS - FIOCRUZ, MARIA DE JESUS MENDES DA FONSECA - FIOCRUZ, ARLINDA BARBOSA MORENO - FIOCRUZ, ROSANE HARTER GRIEP - FIOCRUZ, LETICIA DE OLIVEIRA CARDOSO - FIOCRUZ
Apresentação/Introdução
Brazil has experienced an increase in the number of individuals living with multimorbidity. Migratory movements influence the occurrence of diseases among migrants and non-migrants, however, this relationship is scarcely investigated.
Objetivos
The study aimed to evaluate the association between patterns of internal migration in early life and the prevalence of multimorbidity in adults in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil).
Metodologia
Baseline data from the ELSA-Brasil were analyzed, with a final sample size of 13.146 employees of both sexes. Participants diagnosed with ≥ 2 conditions from a list of 15 were classified with multimorbidity. A migrant was defined as an individual whose municipality of residence at the beginning of schooling was different from the municipality of residence at the study baseline. Migration was categorized as nonmigrant, downward migrant, or upward migrant. We performed a logistic regression analysis for men and women to test the association of early migration with multimorbidity adjusting for age and maternal education.
Resultados
Of the total participants, 45.3% were migrants, and 69.6% had multimorbidity. After adjustments for confounding factors, we found a significant association between upward migration and multimorbidity in men (OR [95% CI], 0.88 [0.78 - 0.99]. For women, associations were found between upward (OR [95% CI], 0.84 [0.75 - 0.94] and downward migration (OR [95% CI], 1.43 [1.16 - 1.77] and the outcome.
Conclusões/Considerações
The results indicated a relationship between early internal migration trajectory and the prevalence of multimorbidity in adults from the ELSA-Brasil study.
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