Table 3

Adjusted multilevel models of multimorbidity with independent variables stratified by region (Brazil 2013)

Variables	Northern region		Northeastern region		Central Western region		Southeastern region		Southern region
	MM (≥2)	MM (≥3)	MM (≥2)	MM (≥3)	MM (≥2)	MM (≥3)	MM (≥2)	MM (≥3)	MM (≥2)	MM (≥3)
	OR	OR	OR	OR	OR	OR	OR	OR	OR	OR
	95% CI	95% CI	95% CI	95% CI	95% CI	95% CI	95% CI	95% CI	95% CI	95% CI
Sex (ref: male)
Female	1.81	2.06	1.96	2.08	2.22	2.37	1.62	1.61	1.84	2.04
	1.62 to 2.02	1.75 to 2.43	1.8 to 2.14	1.84 to 2.36	1.94 to 2.54	1.97 to 2.86	1.48 to 1.78	1.43 to 1.82	1.63 to 2.08	1.73 to 2.39
Age (in years)	1.05	1.06	1.06	1.06	1.07	1.07	1.05	1.05	1.06	1.06
	1.05 to 1.06	1.05 to 1.06	1.06 to 1.06	1.06 to 1.06	1.06 to 1.07	1.06 to 1.07	1.05 to 1.06	1.05 to 1.06	1.05 to 1.06	1.06 to 1.07
Marital status (ref: without partner)
With partner	1.13	1.17	1.16	1.23	1.00	0.93	1.15	1.22	1.16	1.19
	1.02 to 1.27	1; 1.38	1.07 to 1.27	1.09 to 1.39	0.87 to 1.14	0.78 to 1.11	1.05 to 1.26	1.08 to 1.38	1.02 to 1.32	1.01 to 1.4
Skin colour* (ref: white)
Black	1.01	1.06	1.12	1.14	0.94	0.89	1.11	1.15	1.00	0.98
	0.82 to 1.23	0.79 to 1.42	0.97 to 1.3	0.94 to 1.39	0.74 to 1.21	0.63 to 1.26	0.96 to 1.29	0.95 to 1.4	0.76 to 1.31	0.7 to 1.38
Brown	0.92	0.92	0.96	0.93	1.13	1.14	1.07	1.02	1.08	0.88
	0.81 to 1.04	0.76 to 1.1	0.87 to 1.05	0.81 to 1.05	0.98 to 1.29	0.95 to 1.36	0.97 to 1.18	0.89 to 1.16	0.91 to 1.27	0.71 to 1.09
Schooling (in years)† (ref: more educated)
III	1.17	1.12	1.10	0.95	1.16	1.32	1.35	1.47	1.12	1.27
	0.99 to 1.39	0.86 to 1.47	0.95 to 1.28	0.76 to 1.18	0.94 to 1.42	0.99 to 1.75	1.18 to 1.55	1.22 to 1.78	0.94 to 1.35	0.99 to 1.62
II	1.23	1.36	1.33	1.35	1.33	1.32	1.65	1.89	1.43	1.73
	1.05 to 1.44	1.08 to 1.71	1.18 to 1.51	1.14 to 1.6	1.11 to 1.59	1.03 to 1.68	1.46 to 1.86	1.61 to 2.22	1.22 to 1.68	1.41 to 2.13
I (less educated)	1.32	1.48	1.38	1.36	1.17	1.25	1.43	1.40	1.19	1.46
	1.12 to 1.55	1.16 to 1.88	1.21 to 1.58	1.13 to 1.65	0.94 to 1.46	0.94 to 1.68	1.22 to 1.67	1.14 to 1.71	0.97 to 1.47	1.12 to 1.89
Wealth index (in quintiles) (ref: high)
2°	1.03	0.92	1.07	1.21	1.29	1.17	1.03	1.09	1.22	1.25
	0.83 to 1.29	0.67 to 1.27	0.91 to 1.26	0.96 to 1.52	1.05 to 1.58	0.89 to 1.55	0.90 to 1.18	0.91 to 1.3	1.04 to 1.44	1.00 to 1.57
3°	1.21	0.98	1.26	1.40	1.19	1.10	1.02	1.05	1.42	1.33
	0.98 to 1.51	0.71 to 1.34	1.07 to 1.48	1.11 to 1.76	0.95 to 1.48	0.82 to 1.48	0.89 to 1.18	0.87 to 1.27	1.18 to 1.7	1.05 to 1.69
4°	0.90	0.82	1.07	1.22	1.13	1.18	0.96	0.98	1.34	1.30
	0.72 to 1.12	0.60 to 1.11	0.91 to 1.26	0.97 to 1.53	0.9 to 1.42	0.88 to 1.59	0.82 to 1.12	0.79 to 1.20	1.09 to 1.66	1.00 to 1.7
5° (Low)	0.80	0.74	0.93	0.97	1.05	1.16	0.94	1.13	0.92	0.85
	0.64 to 1.01	0.53 to 1.03	0.78 to 1.12	0.76 to 1.25	0.80 to 1.36	0.83 to 1.62	0.77 to 1.14	0.88 to 1.45	0.71 to 1.20	0.61 to 1.19
Private health plan (ref: no)
Yes	1.15	1.29	1.23	1.22	1.15	1.16	1.12	1.05	1.10	0.91
	0.98 to 1.35	1.02 to 1.61	1.09 to 1.39	1.04 to 1.44	0.99 to 1.34	0.95 to 1.41	1.01 to 1.24	0.92 to 1.2	0.96 to 1.25	0.77 to 1.09
Geographical area (ref: urban)
Rural	0.89	0.76	0.84	0.75	0.91	0.85	0.88	0.82	0.82	0.83
	0.77 to 1.03	0.61 to 0.94	0.75 to 0.94	0.64 to 0.88	0.75 to 1.11	0.65 to 1.11	0.76 to 1.02	0.67 to 1.00	0.68 to 0.97	0.67 to 1.04

MM, multimorbidity.
The bold values are the results statistically significant (IC95% does not include the null value).