Global Multimorbidity Patterns
A Cross-Sectional, Population-Based, Multi-Country Study
Bibliographic Data
BACKGROUND: Population ageing challenges health care systems due to the high prevalence and impact of multimorbidity in older adults. However, little is known about how chronic conditions present in certain multimorbidity patterns, which could have great impact on public health at several levels. The aim of our study was to identify and describe multimorbidity patterns in low-, middle-, and high-income countries. METHODS: We analyzed data from the Collaborative Research on Ageing in Europe project (Finland, Poland, and Spain) and the World Health Organization's Study on Global Ageing and Adult Health (China, Ghana, India, Mexico, Russia, and South Africa). These cross-sectional studies obtained data from 41,909 noninstitutionalized adults older than 50 years. Exploratory factor analysis was performed to detect multimorbidity patterns. Additional adjusted binary logistic regressions were performed to identify associations between sociodemographic factors and multimorbidity. RESULTS: Overall multimorbidity prevalence was high across countries. Hypertension, cataract, and arthritis were the most prevalent comorbid conditions. Two or three multimorbidity patterns were found per country. Several patterns were identified across several countries: "cardio-respiratory" (angina, asthma, and chronic obstructive pulmonary disease), "metabolic" (diabetes, obesity, and hypertension), and "mental-articular" (arthritis and depression). CONCLUSIONS: A high prevalence of multimorbidity occurs in older adults across countries, with low- and middle-income countries gradually approaching the figures of richer countries. Certain multimorbidity patterns are present in several countries, which suggest that common underlying etiopathogenic factors may play a role. Deeper understanding of these patterns may lead to the development of preventive actions to diminish their prevalence and also give rise to new, comprehensive approaches for the management of these co-occurring conditions.
Asthma · Comorbidity · Cross-sectional study · Environmental health · Multimorbidity · Obesity · Population · Population ageing · Public health · Chronic Disease Management Strategies · Demography · Healthcare Systems and Reforms · Medicine · Primary Care and Health Outcomes · Gerontology
The association between total social exposure and incident multimorbidity
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Measurement and decomposition of socioeconomic inequality in single and multimorbidity in older adults in China and Ghana
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Incentivizing primary care utilization in China
Physical Multimorbidity and Social Participation in Adult Aged 65 Years and Older From Six Low- and Middle-Income Countries
Inequalities in Disability-Free and Disabling Multimorbid Life Expectancy in Costa Rica, Mexico, and the United States
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Research trends in the mental health and multimorbidity of older people from 2002 to 2022
Multimorbidity Patterns and Their Association with Social Determinants, Mental and Physical Health during the Covid-19 Pandemic
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Age, sex, residence, and region-specific differences in prevalence and patterns of multimorbidity among older Chinese
Gender and Socioeconomic Differences in the Prevalence and Patterns of Multimorbidity among Middle-Aged and Older Adults in China
Prevalence of multimorbidity among urban–rural older adults in Mongolia
Estimation of losses of quality-adjusted life expectancy attributed to the combination of cognitive impairment and multimorbidity among Chinese adults aged 45 years and older
Burden, patterns, and impact of multimorbidity in North India
Do the New Rural Pension Scheme promote the health status of chronic patients in old age? —Evidence from CHARLS 2018 in China
Utilizing a Team Kinesiology Model to Support Rehabilitative Care in Patients
Exploring food insecurity and multimorbidity in Indian socially disadvantaged people
Chronic physical conditions, physical multimorbidity, and quality of life among adults aged ≥ 50 years from six low- and middle-income countries
Decomposing urban-rural differences in multimorbidity among older adults in India
Multimorbidity among Two Million Adults in China
Racial inequalities in multimorbidity
Prevalence of Multimorbidity among Asian Indian, Chinese, and Non-Hispanic White Adults in the United States
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Subjective memory complaints and medication adherence among hypertensive Korean older adults with multimorbidity
Patterns and Determinants of Multimorbidity in Older Adults
Multimorbidity and care dependence in older adults
Perioperative outcomes among older surgical patients with multimorbidity
Patterns of Multimorbidity in Adults
The diabetes mellitus multimorbidity network in hospitalized patients over 50 years of age in China
Resilience among older adults with multimorbidity using the Connor-Davidson scale in the Canadian Longitudinal Study on Aging
The state of health in the European Union (EU-27) in 2019
Multimorbidity, health Literacy, and quality of life among older adults in an urban slum in India
Neighborhood’s locality, road types, and residents’ multimorbidity
Can countries shape the association between cumulative adversity and old-age health
Prevalence, Associated Factors, and Health Expenditures of Noncommunicable Disease Multimorbidity—Findings From Gorakhpur Health and Demographic Surveillance System
Prevalence and pattern of multimorbidity in China
Urban–Rural Differences in Patterns and Associated Factors of Multimorbidity Among Older Adults in China
Changes in patterns of multimorbidity and associated with medical costs among Chinese middle-aged and older adults from 2013 to 2023
Clustering and Healthcare Costs With Multiple Chronic Conditions in a US Study
Prevalence and factors associated with multimorbidity in adults in Brazil, according to sex
Multimorbidity patterns and trajectories in young and middle-aged adults
The Prevalence of Metabolic Disease Multimorbidity and Its Associations With Spending and Health Outcomes in Middle-Aged and Elderly Chinese Adults
Prevalence and Patterns of Multimorbidity Among Rural Elderly
Incidence, Progression, and Patterns of Multimorbidity in Community-Dwelling Middle-Aged Men and Women
Non-communicable diseases related multimorbidity, catastrophic health expenditure, and associated factors in Ernakulam district
Prevalence of multimorbidity combinations and their association with medical costs and poor health
Temporal change in multimorbidity prevalence, clustering patterns, and the association with mortality
Disparities in the Prevalence of Childhood Obesity-Related Comorbidities
Multimorbidity Patterns in a National HIV Survey of South African Youth and Adults
Social determinants of multimorbidity patterns
Associations between sleep changes and multimorbidity patterns in middle-aged and older Chinese adults
Epidemiology of multimorbidity in conditions of extreme poverty
A model-based approach to estimating the prevalence of disease combinations in South Africa
Community prevalence and dyad disease pattern of multimorbidity in China and India
To be happy and behave in a healthier way. A longitudinal study about gender differences in the older population
Multimorbidity, Polyiatrogenesis, and Covid‐19
Loneliness and depression among older European adults
Functioning profiles in a nationally representative cohort of Spanish older adults
Sociodemographic Factors Associated With Changes in Successful Aging in Spain
Relationships Between Neighborhood Social Capital and The Occurrence of Outdoor Falls in Canadian Older Adults
Social inequalities in multimorbidity patterns in Europe
Racial inequalities in the development of multimorbidity of chronic conditions
Subjective health status of multimorbidity
How Does Multi-Morbidity Relate to Feeling of Loneliness among Older Adults? Evidence from a Population-Based Survey in India
Does Migration Contribute to Chronic Health Conditions? Evaluating Multimorbidity Risk among Indian Older Adults
Prevalence, patterns, and determinants of multimorbidity in South Africa
Epidemiology of multimorbidity in low-income countries of sub-Saharan Africa
Multiple cardiovascular risk factor care in 55 low- and middle-income countries
Longitudinal insights into comorbidity patterns and burden among middle-aged and older adults with diabetes in China
Analyzing the Impact of Depression on All-Cause Mortality in Different Sex and Age Groups
Depression, Deprivation, and Dysbiosis
Influência de padrões de multimorbidade nas atividades de vida diária da pessoa idosa
Primary care and multimorbidity in six Latin American and Caribbean countries
How does chronic multimorbidity affect daily routines? An experience sampling study of community‐dwelling adults in Hong Kong
Padrões de multimorbidade e incapacidade funcional em idosos brasileiros
Inequalities in multimorbidity among elderly
Roles for community health workers in diabetes prevention and management in low- and middle-income countries
Comportamento sedentário e associação com multimorbidade e padrões de multimorbidade em idosos brasileiros
Mortalidad en adultos mexicanos de 50 a 80 años de edad con multimorbilidad en un período de observación de 18 años
Multimorbid life expectancy across race, socio-economic status, and sex in South Africa
Multiple Chronic Conditions
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Future of Multimorbidity Research
The Metabolic Syndrome and Cardiovascular Risk
Epidemiology of multimorbidity and implications for health care, research, and medical education
Self-reported prevalence of chronic non-communicable diseases and associated factors among older adults in South Africa
Decomposing race and gender differences in underweight and obesity in South Africa
The impact of education on risk factors and the occurrence of multimorbidity in the Epic-Heidelberg cohort
Chronic diseases and multi-morbidity - a conceptual modification to the WHO ICCC model for countries in health transition
Additive and Interactive Effects of Comorbid Physical and Mental Conditions on Functional Health
| Unique citing works | 91 |
|---|---|
| Citations per year | 10,11 |
| Citation span | 2017 - 2026 (10) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 84 |