ArticleBMJ open2013
The effect of multiple chronic conditions on self-rated health, disability and quality of life among the older populations of Northern Ireland and the Republic of Ireland: a comparison of two nationally representative cross-sectional surveys.
Article in BMJ open, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 2 of them syntheses that pooled it.
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Who cites it
44 citing papers in PubMed, 2 syntheses or guidelines pooled it, 118 citations in OpenAlex.
- Pooled it
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- Why is there a gap in self-rated health among people with hypertension in Zambia? A decomposition of determinants and rural‒urban differences.BMC public health · 2024Article
- Illness Perception and the Severity of Depression and Anxiety Symptoms in Patients with Multimorbidity: Observational Cohort Studies.Journal of clinical medicine · 2023Article
- Quality of life among geriatric population residing in Bhavnagar city, Gujarat, Western India.Journal of family medicine and primary care · 2023Article
- 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
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- Associations Between Smoking Status and Physical and Mental Health-Related Quality of Life Among Individuals With Mobility Impairments.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2022Article
- Health related quality of life among rural elderly using WHOQOL-BREF in the most backward district of India.Journal of family medicine and primary care · 2022Article
- Association between comorbidity and health-related quality of life in a hypertensive population: a hospital-based study in Bangladesh.BMC public health · 2022Article
- The effect of socioeconomic factors on quality of life of elderly in Jaffna district of Sri Lanka.PLOS global public health · 2022Article
- The association between physical activity, sedentary time and health-related quality of life in cancer survivors.Health and quality of life outcomes · 2021Article
- Psychological distress, cardiometabolic diseases and musculoskeletal pain: A cross-sectional, population-based study of syndemic ill health in a Dutch fishing village.Journal of global health · 2021Article
- The association of health-related factors with quality of life among the elderly population in the Jaffna district of Sri Lanka.BMC public health · 2021Article
- Characterization of occupational, demographic and health determinants in Canadian reservists veterans and the relationship with poor self-rated health.Health and quality of life outcomes · 2020Article
- Health-related quality of life and medical comorbidities in older patients with pancreatic adenocarcinoma: An analysis using the 1998-2011 surveillance, epidemiology, and end results-medicare health outcomes survey data.Journal of geriatric oncology · 2020Article
- Racial-ethnic disparities in self-reported health status among US adults adjusted for sociodemographics and multimorbidities, National Health and Nutrition Examination Survey 2011-2014.Ethnicity & health · 2020Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 2 countries.
Funding
Abstract
objectivesMultimorbidity is common in the older population, but the impact of combinations of chronic conditions on disability and quality of life (QoL) is not well known. This analysis explores the effect of specific combinations of chronic diseases on disability, QoL and self-rated health (SRH).
designWe used data from two population representative cross-sectional studies, the Northern Ireland Health and Social Wellbeing Survey (NIHSWS) 2005 and the Survey of Lifestyle, Attitudes and Nutrition (SLAN) 2007 (conducted in the Republic of Ireland).
settingRandomly selected community-living participants were interviewed at home.
participantsA total of 6159 participants aged 50 years and older were included in the analysis. OUTCOME MEASURES: Chronic conditions were classified as cardiovascular disease, chronic pain, diabetes or respiratory disease. Interaction terms estimated by logistic regression were used to examine the effects of multiple chronic conditions on disability, SRH and QoL.
resultsEach chronic condition group was correlated with each of the others after adjusting for sociodemographic factors. Those from Northern Ireland were more likely to report a limitation in daily activities (45%) compared to those from the Republic of Ireland (21%). Each condition had an independent effect on disability, SRH and QoL, and those with multiple chronic conditions reported the worst outcomes. However, there were no statistically significant positive interactions between chronic condition groups with respect to any outcome.
conclusionsChronic conditions affect individuals largely independent of each other with respect to their effect on disability, SRH and QoL. However, a significant proportion of the population aged 50 years and over across the island of Ireland lives with multimorbidity, and this group is at the highest risk of disability, poor SRH and poor QoL.
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