{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T16:19:14Z","timestamp":1791908354122,"version":"4.3.4"},"reference-count":27,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2022,12,1]],"date-time":"2022-12-01T00:00:00Z","timestamp":1669852800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Women's Health"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Multimorbidity represents a challenge for public health because as populations age, its prevalence increases. The objectives were to describe by sex the multimorbidity patterns from 2001 to 2018 in a cohort of people \u226550 years and in a subcohort with multimorbidity to describe the trajectories and transitions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>Secondary analysis of the cohort of adults \u226550 years in the Mexican Health and Aging Study. Sociodemographic, health, functionality, and mortality were analyzed. Descriptive analysis was performed, estimation of prevalence by sex and trajectories, and transitions of the multimorbidity patterns with alluvial diagrams.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>In the full cohort, 53.3% were women and in the subcohort with multimorbidity 66.1%. In both sexes, more cases with multimorbidity were observed among people without schooling, without a job, with a fair or bad economic situation, and with fair or bad self-perception of their health. The chronic diseases (CDs) with the highest prevalence were diabetes mellitus (DM), hypertension (HT), and arthritis and the most prevalent multimorbidity patterns were HT+arthritis and DM+HT. Higher proportion of men transited early to death and the women to other patterns more complex.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Women always had higher prevalence of multimorbidity from an early age and with more complex combinations of CDs, but men with multimorbidity died prematurely. It is important to analyze multimorbidity not only from a biological approach but also from a perspective that considers sex inequalities and allows for the development of specific interventions adapted to the particular needs of men and women.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/jwh.2021.0599","type":"journal-article","created":{"date-parts":[[2022,7,29]],"date-time":"2022-07-29T12:17:05Z","timestamp":1659097025000},"page":"1742-1750","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Differences by Sex in the Presentation of Multimorbidity: Longitudinal Study in Mexican Adults Living in the Community, 2001\u20132018"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3032-8627","authenticated-orcid":false,"given":"Abigail","family":"Rojas-Huerta","sequence":"first","affiliation":[{"name":"Institute of Geography, National Autonomous University of Mexico (UNAM). Mexico City, Mexico."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6541-865X","authenticated-orcid":false,"given":"Liliana","family":"Giraldo-Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"Instituto Nacional de Geriatr\u00eda, Mexico City, Mexico."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4489-4224","authenticated-orcid":false,"given":"Marcela","family":"Agudelo-Botero","sequence":"additional","affiliation":[{"name":"Policy, Population and Health Research Center, School of Medicine, National Autonomous University of Mexico (UNAM), Mexico City, Mexico."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5144-2728","authenticated-orcid":false,"given":"Dolores","family":"Mino-Le\u00f3n","sequence":"additional","affiliation":[{"name":"Unidad de Investigaci\u00f3n M\u00e9dica en Epidemiolog\u00eda Cl\u00ednica, Hospital de Especialidades CMN SXXI, Instituto Mexicano del Seguro Social, Mexico City, Mexico."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,12,13]]},"reference":[{"key":"e_1_3_6_2_2","unstructured":"Isfeld H Haworth-Brockman M. 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Health in the. Americas: 2012 Edition. Regional Outlook and Country Profiles. Washington, DC.: PAHO, 2012."},{"key":"e_1_3_6_19_2","unstructured":"Pan American Health Organization (PAHO). Health of women and men in the Americas Profile 2009 [Internet]. Washington DC.; 2009. Available at: https:\/\/www.paho.org\/hq\/dmdocuments\/2010\/Profile-English-health-women-men.pdf Accessed November17 2021."},{"key":"e_1_3_6_20_2","doi-asserted-by":"publisher","DOI":"10.1177\/002214650604700201"},{"key":"e_1_3_6_21_2","doi-asserted-by":"publisher","DOI":"10.2307\/2137349"},{"key":"e_1_3_6_22_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamacardio.2019.5306"},{"key":"e_1_3_6_23_2","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1161\/CIR.0b013e3182456d46","article-title":"Heart disease and stroke statistics\u20142012 update","volume":"125","author":"Roger VL","year":"2012","unstructured":"Roger VL, , Go AS, , Lloyd-Jones DM, et al. 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