ArticleJournal of clinical epidemiology2012
Health burden in chronic disease: multimorbidity is associated with self-rated health more than medical comorbidity alone.
Article in Journal of clinical epidemiology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
56 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Effectiveness and Experiences of Self-Management Interventions in Adults With Multiple Long-Term Conditions: A Mixed Methods Systematic Review.Journal of evaluation in clinical practice · 2026Pooled it
- Self-Rated Health as a Predictor of Mortality in Older Adults: A Systematic Review.International journal of environmental research and public health · 2023Pooled it
- The association of comorbid conditions with patient-reported outcomes in Veterans with hip and knee osteoarthritis.Clinical rheumatology · 2015Trial
- Cognitive impairment and hospital admission risk among community-dwelling adults in the MAUCO cohort.Annals of medicine · 2026Article
- Prevalence, associated factors and temporal trends in multimorbidity in older adults in Singapore.Scientific reports · 2025Article
- Observational
- Perceived neighborhood disadvantage and poor chronic health in Israel.Israel journal of health policy research · 2025Article
- Article
- Migrant Work Conditions and Health Status-A Longitudinal Study on 'Dirty Work' Among Undocumented and Newly Regularized Workers.Journal of international migration and integration · 2025Article
- A Joint Model for Disability, Self-Rated Health, and Mortality Among Medicare Beneficiaries-Differences by Chronic Disease and Race/Ethnicity.Journal of aging and health · 2024Article
- Self-Rated Health in Middle Age and Risk of Hospitalizations and Death: Recurrent Event Analysis of the ARIC Study.Journal of general internal medicine · 2024Article
- Multimorbidity prevalence and patterns in chronic kidney disease: findings from an observational multicentre UK cohort study.International urology and nephrology · 2023Article
- Association between impairment and self-rated heath: a brazilian population study considering type, origin, and degree of limitation.BMC public health · 2023Article
- Article
- How do individual, social, environmental, and resilience factors shape self-reported health among community-dwelling older adults: a qualitative case study.BMC geriatrics · 2023Article
- The Association between Fear of COVID-19 and Health-Related Quality of Life: A Cross-Sectional Study in the Greek General Population.Journal of personalized medicine · 2022Article
- Ethnic Differences in Socioeconomic and Health Determinants Related to Self-Rated Health Status: A Study on Community-Dwelling Israeli Jews and Arabs in Old Age.International journal of environmental research and public health · 2022Article
- Multimorbidity patterns and the relation to self-rated health among older Japanese people: a nationwide cross-sectional study.BMJ open · 2022Article
- Self-reported health and the well-being paradox among community-dwelling older adults: a cross-sectional study using baseline data from the Canadian Longitudinal Study on Aging (CLSA).BMC geriatrics · 2022Article
- Does the Number of Reasons for Seeking Care and Self-Rated Health Predict Sick Leave during the Following 12 Months? A Prospective, Longitudinal Study in Swedish Primary Health Care.International journal of environmental research and public health · 2021Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
objectivesTo investigate the association between multimorbidity-a construct comprising several health domains (medical comorbidity, musculoskeletal, physical and social functional status, mental health, and geriatric problems)-and overall self-rated health (SRH), an important chronic disease health outcome. We investigate whether medical comorbidity effects are mediated through other health domains and whether these domains have independent effects on SRH. STUDY DESIGN AND
settingMedicare recipients (n=958) completed a questionnaire 3 years post primary total hip replacement surgery. Self-reported sociodemographic characteristics, SRH, and health domain statuses were ascertained. Probit regressions and path analyses were used to evaluate the independent effects of the health domains on SRH and the interrelationships between domains and to quantify direct and mediated effects.
resultsAll domains were independently associated with SRH. Medical comorbidity explained 11.7% of the variance in SRH, and all other health domains explained 27.3%. The impact of medical comorbidity was largely direct (only 21.5% mediated through other domains). Medical comorbidity minimally explained the variance in other domain scores.
conclusionSRH has multiple determinants. This finding suggests that an exclusive focus on any one domain in health research may limit the researchers' ability to understand health outcomes for which SRH is predictive.
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