Multimorbilidad y uso de servicios de salud en una población diagnosticada con covid-19 en un municipio de la región sur de Brasil, 2020-2021: estudio transversal

Delpino, Felipe Mendes; Vieira, Yohana Pereira; Duro, Suele Manjourany; Nunes, Bruno Pereira; Saes, Mirelle de Oliveira

Felipe Mendes Delpino

concept and design

analysis and interpretation

drafting and reviewing

integrity

Universidade Federal de Pelotas, Programa de Pós-Graduação em Enfermagem, Pelotas, RS, Brazil

http://orcid.org/0000-0002-3562-3246

Yohana Pereira Vieira

concept and design

analysis and interpretation

drafting and reviewing

integrity

Universidade Federal do Rio Grande, Programa de Pós-Graduação em Ciências da Saúde, Rio Grande, RS, Brazil

http://orcid.org/0000-0003-4828-8210

Suele Manjourany Duro

concept and design

analysis and interpretation

drafting and reviewing

integrity

Universidade Federal de Pelotas, Programa de Pós-Graduação em Enfermagem, Pelotas, RS, Brazil

http://orcid.org/0000-0001-5730-0811

Bruno Pereira Nunes

concept and design

analysis and interpretation

drafting and reviewing

integrity

Universidade Federal de Pelotas, Programa de Pós-Graduação em Enfermagem, Pelotas, RS, Brazil

http://orcid.org/0000-0002-4496-4122

Mirelle de Oliveira Saes

concept and design

analysis and interpretation

drafting and reviewing

integrity

Universidade Federal do Rio Grande, Programa de Pós-Graduação em Ciências da Saúde, Rio Grande, RS, Brazil

http://orcid.org/0000-0001-7225-1552

Correspondence:
Felipe Mendes Delpino.
E-mail:
fmdsocial@outlook.com

AUTHOR CONTRIBUTIONS

Delpino FM, Saes OS, Nunes BP, Duro SM and Vieira YP contributed to the concept and design of the study, analysis and interpretation of the results, drafting and critically reviewing the contents of the manuscript. All the authors have critically reviewed and approved the final version of the manuscript, being responsible for all aspects thereof, including the guarantee of its accurancy and integrity.

CONFLICTS OF INTEREST

The authors declare they have no conflicts of interest.

Associate editor:

Taís Freire Galvão - https://orcid.org/0000-0003-2072-4834

Characteristics	Total n (%)	Multimorbidade n (%)
Sex
Male	1,208 (41.4)	271 (26.1)
Female	1,711 (59.6)	768 (73.9)
Age (in years)
18-59	2,420 (83.3)	726 (70.2)
≥ 60	482 (16.7)	308 (29.8)
Schooling
No schooling	15 (0.5)	353 (35.0)
Elementary education	713 (24.9	376 (37.3)
High school education	1,264 (44.2)	279 (27.7)
Higher education	871 (30.4)
Marital status
Married/living with a partner	1,757 (60.6)	613 (59.5)
Single/separated/divorced	1,144 (39.4)	418 (40.5)
Per capita income (in BRL)
0 - 1,000	668 (26.1)	283 (30.3)
1,001 - 2,000	995 (38.9)	374 (40.0)
2,001 - 4,000	604 (23.6)	190 (20.3)
4,001 or more	288 (11.4)	88 (9.4)
Smoking
Never smoked	2,197 (75.6)	723 (69.6)
Smoker/former smoker	708 (24.4)	316 (30.4)
Body Mass Index (BMI)
Low/normal weight	757 (26.7)	223 (22.2)
Overweight/obese	2,076 (73.3)	781 (77.8)
Hospitalization
No	2,307 (96.3)	722 (92.9)
Yes	88 (3.7)	55 (7.1)

Health services	Crude PR^a (95%CI^b)	Crude PR^a (95%CI^b)	p-value	Adjusted PR^a (95%CI^b)	Adjusted PR^a (95%CI^b)	p-value
Health services	2 diseases	≥ 3 diseases	p-value	2 diseases	≥ 3 diseases	p-value
Primary healthcare center	1.25 (1.06;1.47)	1.66 (1.45;1.90)	< 0.001	1.15 (0.93;1.42)	1.47 (1.23;1.77)	< 0.001
Private medical service	1.45 (1.24;1.70)	1.52 (1.32;1.76)	< 0.001	1.41 (1.15;1.73)	1.69 (1.40;2.04)	< 0.001
Emergency care unit	1.37 (1.02;1.85)	1.82 (1.40;3.36)	< 0.001	1.57 (1.10;2.25)	1.51 (1.05;2.17)	< 0.001
Private emergency room	1.55 (0.94;2.55)	2.18 (1.42;3.35)	< 0.001	1.49 (0.76;2.93)	3.09 (1.78;5.36)	< 0.001
Emergency room	2.27 (1.25;4.13)	3.60 (2.16;6.00)	< 0.001	3.24 (1.45;7.22)	3.21 (1.40;7.37)	< 0.001
Emergency services^c	1.50 (1.18;1.90)	2.09 (1.70;2.56)	< 0.001	1.62 (1.21;2.18)	1.82 (1.36;2.42)	< 0.001
Specialist physicians^d	2.41 (1.99;2.92)	3.37 (2.85;3.98)	< 0.001	2.34 (2.04;4.13)	2.14 (1.44;3.20)	< 0.001
Specialized services^e	3.22 (2.45;4.24)	2.60 (1.95;3.46)	< 0.001	2.91 (1.88;2.95)	3.04 (2.47;3.76)	< 0.001
Pulmonologist	2.05 (1.47;2.87)	2.41 (1.77;3.28)	< 0.001	1.67 (0.99;2.81)	1.81 (1.12;2.91)	< 0.001
Neurologist	2.14 (1.22;3.74)	3.74 (2.35;5.93)	< 0.001	2.51 (1.08;5.83)	2.97 (1.35;6.51)	< 0.001
Cardiologist	2.25 (1.73;2.92)	4.15 (3.36;5.12)	< 0.001	2.04 (1.41;2.95)	3.82 (2.78;5.24)	< 0.001
Psychiatrist	5.20 (3.22;8.41)	4.92 (3.05;7.92)	< 0.001	5.02 (2.74;9.20)	6.09 (3.21;11.5)	< 0.001
Physiotherapist	1.93 (1.16;3.21)	2.29 (1.43;3.65)	< 0.001	2.26 (1.08;4.71)	2.40 (1.20;4.84)	< 0.001
Psychologist	4.34 (3.07;6.14)	3.42 (2.39;4.91)	< 0.001	3.30 (2.08;5.23)	3.89 (2.45;6.17)	< 0.001

Health services	Pattern 1				Pattern 2				Pattern 3
Health services	Crude PR^a (95%CI^b)	p-value	Adjusted PR^a (95%CI^b)	p-value	Crude PR^a (95%CI^b)	p-value	Adjusted PR^a (95%CI^b)	p-value	Crude PR^a (95%CI^b)	p-value	Adjusted PR^a (95%CI^b)	p-value
Primary healthcare center	1,43 (1,27; 1,61)	<0,001	1,36 (1,18; 1,58)	<0,001	1,48 (1,28; 1,71)	<0,001	1,44 (1,20; 1,73)	<0,001	1,29 (1,15; 1,46)	<0,001	1,13 (0,97; 1,32	0.140
Private medical service	1,23 (1,08; 1,40)	<0,001	1.29 (1,08; 1,48)	0,010	1,43 (1,23; 1,66)	<0,001	1,24 (1,02; 1,53)	0,070	1,37 (1,21; 1,55)	<0,001	1,45 (1,24; 1,70)	<0.001
Emergency care unit	1,49 (1,19; 1,87)	<0,001	1,17 (0.87; 1.56)	0,650	1,19 (0,88; 1,62)	0,260	-	0,490	1,61 (1,29; 2,00)	<0,001	1,37 (1,04; 1,81)	0.030
Private emergency room	1,60 (1,10; 2,35)	0,020	2,02 (1,26; 3,23)	<0,001	2,27 (1,48; 3,47)	<0,001	2,74 (1,63; 4,62)	<0,001	1,52 (1,04; 2,21)	0,030	1,82 (1,13; 2,93)	0.040
Emergency room	1,55 (0,99; 2,43)	0,050	1,22 (0,64; 2,30)	0,620	1,97 (1,18; 3,31)	0,010	1,30 (0,61; 2,82)	0,480	2,14 (1,38; 3,33)	<0,001	1,69 (0,92; 3,13)	0.070
Emergency services^c	1,56 (1,30; 1,87)	<0,001	1,37 (1,09; 1,73)	0,020	1,56 (1,25; 1,95)	<0,001	1,22 (0,90; 1,64)	0,280	1,64 (1,38; 1,96)	<0,001	1,42 (1,14; 1,79)	<0.001
Specialist physicians^d	2,77 (2,40; 3,20)	<0,001	2,76 (2,27; 3,36)	<0,001	1,99 (1,69; 2,34)	<0,001	1,80 (1,44; 2,24)	<0,001	1,81 (1,57; 2,09)	<0,001	1,89 (1,55; 2,30)	<0.001
Specialized services^e	1,32 (1,05; 1,67)	0,020	1,08 (0,78; 1,48)	0,640	1,77 (1,34; 2,32)	<0,001	1,41 (0,97; 2,05)	0,090	3,20 (2,53; 4,04)	<0,001	2,95 (2,18; 4,00)	<0.001
Pulmonologist	1,63 (1,25; 2,12)	<0,001	1,09 (0,72; 1,63)	0,860	1,85 (1,36; 2,52)	<0,001	1,67 (1,6; 2,62)	0,150	1,16 (0,89; 1,53)	0,270	-	-
Neurologist	3,09 (2,06; 4,66)	<0,001	1,64 (0,89; 3,05)	0,250	2,65 (1,72; 4,09)	<0,001	1,34 (0,68; 2,66)	0,650	2,40 (1,61; 3,58)	<0,001	2,25 (1,25; 4,06)	<0.001
Cardiologist	4,98 (4,07; 6,09)	<0,001	5,38 (4,10; 7,05)	<0,001	2,40 (1,97; 2,92)	<0,001	2,07 (1,57; 2,73)	<0,001	1,53 (1,27; 1,84)	<0,001	1,55 (1,21; 1,99)	<0.001
Psychiatrist	1,18 (0,81; 1,73)	0,390	1,07 (0,65; 1,75)	0,840	1,46 (0,90; 2,30)	0,130	1,33 (0,76; 2,25)	0,650	11,17 (6,70; 18,59)	<0,001	9,27 (5,23; 16,40)	<0.001
Physiotherapist	2,37 (1,60; 3,52)	<0,001	1,85 (1,05; 3,26)	0,150	3,33 (2,22; 5,00)	<0,001	2,50 (1,41; 4,42)	0,010	1,48 (1,00; 2,20)	0,050	-	-
Psychologist	1,17 (0,88; 1,58)	0,280	0,94 (0,63; 1,39)	0,930	1,15 (0,77; 1,70)	0,500	0,77 (0,43; 1,36)	0,720	6,16 (4,43; 8,58)	<0,001	5,80 (3,86; 8,70)	<0.001

Health services	Multimorbidity Adjusted PR^a (95%CI^b)
Primary healthcare center	1.34 (1.14;1.58)
Private medical service	1.57 (1.32;1.62)
Emergency care unit	1.63 (1.18;1.73)
Private emergency room	2.12 (1.22;3.72)
Emergency room	2.00 (0.95;4.25)
Emergency services^c	1.63 (1.26;2.12)
Specialist physicians^d	3.60 (2.67;4.85)
Specialized services^e	2.66 (1.81;3.91)
Pulmonologist	1.70 (1.09;2.66)
Neurologist	3.00 (1.28;7.08)
Cardiologist	4.63 (3.07;6.98)
Psychiatrist	4.92 (2.42;9.99)
Physiotherapist	2.85 (1.37;5.91)
Psychologist	2.95 (1.82;4.78)

Health services	Low - normal weight (95%CI^a)	Overweight (95%CI^a)	Obesity (95%CI^a)
Primary healthcare center	1.21 (0.90;1.62)	0.73 (0.53;1.01)	1.57 (1.17;2.11)
Private medical service	1.53 (1.10;2.12)	1.35 (1.04;1.74)	1.96 (1.34;2.87)
Emergency care unit	2.14 (1.14;4.01)	1.58 (0.94;2.64)	0.48 (0.24;0.95)
Private emergency room	0.25 (0.08;0.85)	2.63 (1.08;6.48)	4.21 (0.98;18.06)
Emergency room	-	-	2.00 (0.71;5.60)
Emergency services^b	1.71 (1.07;2.73)	1.63 (1.07;2.50)	1.51 (0.94;2.41)
Specialist physicians^c	2.68 (1.52;4.72)	3.48 (2.22;5.43)	4.93 (2.73;8.92)
Specialized services^d	3.88 (1.76;8.56)	2.20 (1.27;3.79)	2.99 (1.46;6.14)
Pulmonologist	10.26 (3.24;32.49)	1.61 (0.85;3.05)	2.87 (1.03;7.99)
Neurologist	-	2.41 (0.80;7.25)	2.97 (0.70;12.59)
Cardiologist	4.11 (1.72;9.80)	4.21 (2.32;7.64)	5.72 (2.72;12.01)
Psychiatrist	12.66 (1.60;99.88)	3.54 (1.32;9.51)	4.14 (1.27;13.55)
Physiotherapist	2.89 (1.00;8.35)	3.82 (1.16;12.56)	3.19 (0.73;13.90)
Psychologist	8.83 (2.09;37.23)	2.00 (1.04;2.85)	2.89 (1.22;6.81)

Health services	Crude PR^a (95%CI^b)		p-value	Adjusted PR^a (95%CI^b)		p-value
Health services	2 diseases	≥ 3 diseases		2 diseases	≥ 3 diseases
Primary healthcare center	1.25 (1.06;1.47)	1.66 (1.45;1.90)	< 0.001	1.17 (0.96;1.43)	1.48 (1.25;1.75)	< 0.001
Private medical service	1.45 (1.24;1.70)	1.52 (1.32;1.76)	< 0.001	1.39 (1.14;1.70)	1.56 (1.29;1.88)	< 0.001
Emergency care unit	1.37 (1.02;1.85)	1.82 (1.40;3.36)	< 0.001	1.48 (1.04;2.09)	1.40 (0.99;1.98)	< 0.001
Private emergency room	1.55 (0.94;2.55)	2.18 (1.42;3.35)	< 0.001	1.80 (0.95;3.41)	3.17 (1.89;5.32)	< 0.001
Emergency room	2.27 (1.25;4.13)	3.60 (2.16;6.00)	< 0.001	2.32 (1.11;4.85)	2.30 (1.09;4.86)	< 0.001
Emergency services^c	1.50 (1.18;1.90)	2.09 (1.70;2.56)	< 0.001	1.58 (1.18;2.10)	1.75 (1.33;2.29)	< 0.001
Specialist physicians^d	2.41 (1.99;2.92)	3.37 (2.85;3.98)	< 0.001	2.41 (1.87;3.10)	3.32 (2.63;4.19)	< 0.001
Specialized services^e	3.22 (2.45;4.24)	2.60 (1.95;3.46)	< 0.001	2.74 (1.94;3.86)	2.00 (1.37;2.93)	< 0.001
Pulmonologist	2.05 (1.47;2.87)	2.41 (1.77;3.28)	< 0.001	1.47 (0.88;2.47)	1.77 (1.13;2.77)	< 0.001
Neurologist	2.14 (1.22;3.74)	3.74 (2.35;5.93)	< 0.001	1.55 (0.64;3.73)	1.72 (0.79;3.75)	< 0.001
Cardiologist	2.25 (1.73;2.92)	4.15 (3.36;5.12)	< 0.001	2.12 (1.50;2.98)	3.87 (2.88;5.20)	< 0.001
Psychiatrist	5.20 (3.22;8.41)	4.92 (3.05;7.92)	< 0.001	5.15 (2.97;8.90)	4.43 (2.48;7.90)	< 0.001
Physiotherapist	1.93 (1.16;3.21)	2.29 (1.43;3.65)	< 0.001	1.73 (0.85;3.52)	1.69 (0.84;3.42)	< 0.001
Psychologist	4.34 (3.07;6.14)	3.42 (2.39;4.91)	< 0.001	3.58 (2.37;5.41)	2.67 (2.36;5.24)	< 0.001

Health services	Pattern 1				Pattern 2				Pattern 3
Health services	Crude PR^a (95%CI^b)	p-value	Adjusted PR^a (95%CI^b)	p-value	Crude PR^a (95%CI^b)	p-value	Adjusted PR^a (95%CI^b)	p-value	Crude PR^a (95%CI^b)	p-value	Adjusted PR^a (95%CI^b)	p-value
Primary healthcare center	1.43 (1.27;1.61)	< 0.001	1.36 (1.18;1.58)	< 0.001	1.48 (1.28;1.71)	< 0.001	1.44 (1.20;1.73)	< 0.001	1.29 (1.15;1.46)	< 0.001	1.13 (0.97;1.32)	0.140
Private medical service	1.23 (1.08;1.40)	< 0.001	1.29 (1.08;1.48)	0.010	1.43 (1.23;1.66)	< 0.001	1.24 (1.02;1.53)	0.07	1.37 (1.21;1.55)	< 0.001	1.45 (1.24;1.70)	<0.001
Emergency care unit	1.49 (1.19;1.87)	< 0.001	1.17 (0.87;1.56)	0.650	1.19 (0.88;1.62)	0.260	-	0.49	1.61 (1.29;2.00)	< 0.001	1.37 (1.04;1.81)	0.030
Private emergency room	1.60 (1.10;2.35)	0.020	2.02 (1.26;3.23)	< 0.001	2.27 (1.48;3.47)	< 0.001	2.74 (1.63;4.62)	< 0.001	1.52 (1.04;2.21)	0.030	1.82 (1.13;2.93)	0.040
Emergency room	1.55 (0.99;2.43)	0.050	1.22 (0.64;2.30)	0.620	1.97 (1.18;3.31)	0.010	1.30 (0.61;2.82)	0.480	2.14 (1.38;3.33)	< 0.001	1.69 (0.92;3.13)	0.070
Emergency services^c	1.56 (1.30;1.87)	< 0.001	1.37 (1.09;1.73)	0.020	1.56 (1.25;1.95)	< 0.001	1.22 (0.90;1.64)	0.280	1.64 (1.38;1.96)	< 0.001	1.42 (1.14;1.79)	< 0.001
Specialist physicians^d	2.77 (2.40;3.20)	< 0.001	2.76 (2.27;3.36)	< 0.001	1.99 (1.69;2.34)	< 0.001	1.80 (1.44;2.24)	< 0.001	1.81 (1.57;2.09)	< 0.001	1.89 (1.55;2.30)	< 0.001
Specialized services^e	1.32 (1.05;1.67)	0.020	1.08 (0.78;1.48)	0.640	1.77 (1.34;2.32)	< 0.001	1.41 (0.97;2.05)	0.090	3.20 (2.53;4.04)	< 0.001	2.95 (2.18;4.00)	< 0.001
Pulmonologist	1.63 (1.25;2.12)	< 0.001	1.09 (0.72;1.63)	0.860	1.85 (1.36;2.52)	< 0.001	1.67 (1.6;2.62)	0.150	1.16 (0.89;1.53)	0.270	-	-
Neurologist	3.09 (2.06;4.66)	< 0.001	1.64 (0.89;3.05)	0.250	2.65 (1.72;4.09)	< 0.001	1.34 (0.68;2.66)	0.650	2.40 (1.61;3.58)	< 0.001	2.25 (1.25;4.06)	< 0.001
Cardiologist	4.98 (4.07;6.09)	< 0.001	5.38 (4.10;7.05)	< 0.001	2.40 (1.97;2.92)	< 0.001	2.07 (1.57;2.73)	< 0.001	1.53 (1.27;1.84)	< 0.001	1.55 (1.21;1.99)	< 0.001
Psychiatrist	1.18 (0.81;1.73)	0.390	1.07 (0.65;1.75)	0.840	1.46 (0.90;2.30)	0.130	1.33 (0.76;2.25)	0.650	11.17 (6.70;18.59)	< 0.001	9.27 (5.23;16.40)	< 0.001
Physiotherapist	2.37 (1.60;3.52)	< 0.001	1.85 (1.05;3.26)	0.150	3.33 (2.22;5.00)	< 0.001	2.50 (1.41;4.42)	0.010	1.48 (1.00;2.20)	0.050	X	X
Psychologist	1.17 (0.88;1.58)	0.280	0.94 (0.63;1.39)	0.930	1.15 (0.77;1.70)	0.500	0.77 (0.43;1.36)	0.720	6.16 (4.43;8.58)	< 0.001	5.80 (3.86;8.70)	< 0.001

Health services	Pattern 1			Pattern 2			Pattern 3
Health services	18-59 (95%CI^a)	60-69 (95%CI^a)	≥ 70 (95%CI^a)	18-59 (95%CI^a)	60-69 (95%CI^a)	≥ 70 (95%CI^a)	18-59 (95%CI^a)	60-69 (95%CI^a)	≥ 70 (95%CI^a)
Primary healthcare center	1.32 (1.11;1.57)	1.36 (0.87;2.11)	2.05 (0.70;5.99)	1.44 (1.14;1.82)	0.90 (0.57;1.43)	1.85 (1.04;3.29)	1.14 (0.99;1.31)	1.41 (0.94;2.12)	1.57 (1.01;2.45)
Private medical service	1.18 (0.97;1.43)	1.84 (1.08;3.15)	0.51 (0.31;0.83)	1.32 (1.03;1.70)	1.24 (0.74;2.07)	0.98 (0.57;1.68)	1.38 (1.16;1.65)	2.05 (1.32;3.17)	1.81 (1.12;2.94)
Emergency care unit	1.29 (1;07;1.54)	2.35 (0.77;7.10)	2.77 (1.13;6.82)	1.3 (0.94;1.88)	0.32 (0.09;1.13)	0.81 (0.28;2.35)	1.28 (0.94;1.74)	1.84 (0.86;3.93)	2.79 (0.98;7.91)
Private emergency room	2.19 (1.29;3.72)	3.88 (1.88;7.94)	-	2.53 (1.31;4.89)	2.82 (0.66;12.10)	-	1.58 (0.95;2.64)	-	-
Emergency room	5.65 (1.93;16.4)	3.61 (0.74;17.6)	-	2.22 (1.00;4.91)	0.47 (0.06;3.36)	-	1.84 (0.93;3.66)	-	-
Emergency services^b	1.46 (1.12;1.90)	0.58 (0.30;1.10)	-	1.36 (0.95;1.95)	0.70 (0.31;1.61)	1.13 (0.46;2.76)	1.34 (1.05;1.72)	1.85 (1.00;3.43)	2.49 (1.04;5.98)
Specialist physicians^c	2.68 (2.14;3.35)	3.03 (1.54;5.99)	2.53 (1.33;4.79)	1.90 (1.42;2.52)	1.35 (0.81;2.26)	1.23 (0.78;1.92)	2.05 (1.62;2.60)	1.63 (1.01;2.65)	1.29 (0.87;1.90)
Specialized services^d	1.75 (1.14;2.68)	1.68 (1.07;2.62)	0.15 (0.03;0.63)	1.68 (1.07;2.62)	0.50 (0.13;1.85)	2.12 (0.75;6.02)	3.11 (2.23;4.34)	4.45 (1.58;12.51)	1.72 (0.72;4.15)
Pulmonologist	10.2 (5.56;18.9)	5.66 (2.16;1.48)	0.05 (0.0040.51)	1.52 (0.80;2.90)	1.49 (0.63;3.53)	1.40 (0.56;3.40)	1.23 (0.77;1.98)	1.16 (0.50;2.66)	0.96 (0.41;2.23)
Neurologist	2.27 (1.10;4.70)	0.42 (0.13;1.33)	0.23 (0.17;0.72)	2.64 (1.14;6.11)	1.15 (0.09; 15.56)	0.32 (0.08;1.23)	3.01 (1.50;6.05)	2.40 (0.58;9.99)	2.75 (1.03;7.34)
Cardiologist	5.64 (4.17;7.62)	3.74 (1.65;8.45)	2.23 (0.88;5.60)	2.03 (1.38;2.97)	1.64 (0.90;2.96)	1.29 (0.76;2.16)	1.70 (1.24;2.32)	1.64 (0.91;2.98)	1.18 (0.75;1.87)
Psychiatrist	1.95 (0.96;3.96)	0.76 (0.36;1.56)	0.10 (0.03;0.42)	1.89 (0.99;3.60)	0.54 (0.12;2.34)	-	9.14 (4.78;17.44)	16.32 (2.09;127.37)	2.85 (0.52;15.59)
Physiotherapist	1.94 (1.00;3.76)	7.68 (2.03;28.9)	0.27 (0.09;0.77)	3.09 (1.51;6.31)	0.78 (0.17;3.49)	2.19 (0.68;7.03)	1.44 (0.77;2.71)	3.16 (0.81;12.31)	2.44 (0.86;6.89)
Psychologist	2.56 (1.0;6.49)	4.88 (1.04;22.9)	-	2.54 (1.02;6.32)	-	-	6.38 (4.15;9.80)	16.83 (2.18;129.86)	1.21 (0.30;4.91)

[1] Correspondence:
Felipe Mendes Delpino.
E-mail:
fmdsocial@outlook.com

Brasil

Brasil

Multimorbilidad y uso de servicios de salud en una población diagnosticada con covid-19 en un municipio de la región sur de Brasil, 2020-2021: estudio transversal

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