AUTHOR=Roomaney R. A. , van Wyk B. , Cois A. , Pillay-van Wyk V. 

TITLE=Inequity in the Distribution of Non-Communicable Disease Multimorbidity in Adults in South Africa: An Analysis of Prevalence and Patterns

JOURNAL=International Journal of Public Health

VOLUME=67

YEAR=2022

URL=https://www.ssph-journal.org/journals/international-journal-of-public-health/articles/10.3389/ijph.2022.1605072

DOI=10.3389/ijph.2022.1605072

ISSN=1661-8564

ABSTRACT=<p><bold>Objectives:</bold> The present study examined the prevalence and patterns of non-communicable disease multimorbidity by wealth quintile among adults in South Africa.</p><p><bold>Methods:</bold> The South African National Income Dynamics Study Wave 5 was conducted in 2017 to examine the livelihoods of individuals and households. We analysed data in people aged 15 years and older (N = 27,042), including self-reported diagnosis of diabetes, stroke, heart disease and anthropometric measurements. Logistic regression and latent class analysis were used to analyse factors associated with multimorbidity and common disease patterns.</p><p><bold>Results:</bold> Multimorbidity was present in 2.7% of participants. Multimorbidity was associated with increasing age, belonging to the wealthiest quintile group, increasing body mass index and being a current smoker. Having secondary education was protective against multimorbidity. Three disease classes of multimorbidity were identified: Diabetes and Hypertension; Heart Disease and Hypertension; and Stroke and Hypertension.</p><p><bold>Conclusion:</bold> Urgent reforms are required to improve health systems responsiveness to mitigate inequity in multimorbidity patterns in the adult population of South Africa as a result of income inequality.</p>