{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T08:05:51Z","timestamp":1791533151255,"version":"4.3.4"},"reference-count":0,"publisher":"Instituto Nacional de Salud (Peru)","license":[{"start":{"date-parts":[[2024,11,25]],"date-time":"2024-11-25T00:00:00Z","timestamp":1732492800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Peru Med Exp Salud Publica"],"abstract":"<jats:p>Objective. To evaluate the association between multimorbidity and mental health in adults aged 30 to 69 years. Materials and methods. Secondary data analysis of a population-based study conducted in theperi-urban area of Tumbes in the northern coast of Peru. The dependent variables were: depressive symptoms, using the PHQ-9; anxiety symptoms, using the Goldberg scale; and perceived stress, assessed withthe Cohen\u2019s 14-question scale. The exposure variable\u00a0 was the presence of multimorbidity (presence or not of two or more chronic conditions and the number of chronic conditions). We assessed associations using crude and adjusted Poisson regression models. Results.\u00a0 Data from 1600 participants were analyzed, mean age was 48.1 years (SD: 10.5), and 50.4% were women. The\u00a0 prevalence of multimorbidity was 15.9%, 23.3% presented depressive symptoms, 42.0% anxiety\u00a0 symptoms and 31.4% had high levels of perceived\u00a0 stress. The multivariable model showed that\u00a0 multimorbidity was associated with a higher prevalence\u00a0 of depressive symptoms (61%, 95%CI: 32% - 98%), anxiety symptoms (46%, 95%CI: 28% - 66%) and high\u00a0 (22%, 95%CI: 14% - 33%) but not moderate levels of perceived stress (6%; 95%CI: 0% - 12%). A higher number of chronic conditions was associated with higher prevalence of depressive symptoms, anxiety symptoms, and perceived stress levels. Conclusions. The presence of multimorbidity is associated with a higher prevalence of depressive symptoms, anxiety symptoms, and perceived stress levels. Our results suggest the\u00a0 need for adequate mental health management in patients with multimorbidity.<\/jats:p>","DOI":"10.17843\/rpmesp.2024.414.13610","type":"journal-article","created":{"date-parts":[[2024,12,10]],"date-time":"2024-12-10T20:39:11Z","timestamp":1733863151000},"page":"343-50","source":"Crossref","is-referenced-by-count":2,"title":["Multimorbilidad y su asociaci\u00f3n con la salud mental en una poblaci\u00f3n adulta del Per\u00fa","Multimorbidity and its association with mental health in an adult population of Peru"],"prefix":"10.17843","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2093-3564","authenticated-orcid":false,"given":"Alejandro M.","family":"Angulo-Ram\u00edrez","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0813-3935","authenticated-orcid":false,"given":"Flavio C.","family":"Costa-Berlanga","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6834-1376","authenticated-orcid":false,"given":"Antonio","family":"Bernab\u00e9-Ortiz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"7920","published-online":{"date-parts":[[2024,11,25]]},"container-title":["Revista Peruana de Medicina Experimental y Salud P\u00fablica"],"original-title":[],"link":[{"URL":"https:\/\/rpmesp.ins.gob.pe\/index.php\/rpmesp\/article\/download\/13610\/5717","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/rpmesp.ins.gob.pe\/index.php\/rpmesp\/article\/download\/13610\/5717","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,10]],"date-time":"2024-12-10T20:39:13Z","timestamp":1733863153000},"score":1,"resource":{"primary":{"URL":"https:\/\/rpmesp.ins.gob.pe\/index.php\/rpmesp\/article\/view\/13610"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,25]]},"references-count":0,"URL":"https:\/\/doi.org\/10.17843\/rpmesp.2024.414.13610","relation":{},"ISSN":["1726-4642","1726-4634"],"issn-type":[{"value":"1726-4642","type":"electronic"},{"value":"1726-4634","type":"print"}],"subject":[],"published":{"date-parts":[[2024,11,25]]}}}