ArticleJournal of health services research & policy2013
Impact of deprivation on occurrence, outcomes and health care costs of people with multiple morbidity.
Article in Journal of health services research & policy, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 4 of them syntheses that pooled it.
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Who cites it
57 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Improving Acceptability of mHealth Apps-The Use of the Technology Acceptance Model to Assess the Acceptability of mHealth Apps: Systematic Review.Journal of medical Internet research · 2025Pooled it
- Household and area-level social determinants of multimorbidity: a systematic review.Journal of epidemiology and community health · 2021Pooled it
- Impact of multimorbidity on healthcare costs and utilisation: a systematic review of the UK literature.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021Pooled it
- A systematic review and meta-analysis of effect of vitamin D levels on the incidence of COVID-19.Cardiology journal · 2021Pooled it
- Trial
- Building healthier communities: effectiveness and cost-sustainability of the ASL3 GENESIS program for chronic diseases prevention.Aging clinical and experimental research · 2026Article
- Cohort Profile: The North East London Diabetes Study (NELDS).International journal of epidemiology · 2026Article
- Pilot implementation and evaluation of a social risk screening tool for hospitalised patients in Singapore.Journal of hospital medicine · 2026Article
- Article
- Disparities in the use of remote general practice consultations: learning from the COVID-19 pandemic, an analysis of 19 million electronic health records using OpenSAFELY.BMC medicine · 2025Article
- Prevalence of living alone with dementia and other progressive neurological conditions: findings from primary care data in England.BMC medicine · 2025Article
- Social deprivation and morbidity and mortality after surgery: a UK national observational cohort study.British journal of anaesthesia · 2025Observational
- Socioeconomic inequality and modifiable cardiovascular risk factor clusters among consulters with and without osteoarthritis in England.BMC public health · 2025Article
- Socioeconomic deprivation and postoperative mortality: a retrospective analysis of prospectively collected data.BJA open · 2025Article
- Does change in area-level deprivation, change health outcomes? A latent class growth analysis of population data.SSM - population health · 2025Article
- Geographical Distance, Socioeconomic Deprivation, and Educational Level Shape Access to Voluntary Termination of Pregnancy in a Southern Region of Italy.Healthcare (Basel, Switzerland) · 2025Article
- Using the Welsh Index of Multiple Deprivation in research: estimating the effect of excluding domains on a routine health data study.BMC public health · 2025Article
- Multimorbidity healthcare expenditure in Belgium: a 4-year analysis (COMORB study).Health research policy and systems · 2024Article
- Socioeconomic and ethnic inequalities increase the risk of type 2 diabetes: an analysis of NHS health check attendees in Birmingham.Frontiers in public health · 2024Article
- Multimorbidity, Treatment, and Determinants among Chronic Patients Attending Primary Health Facilities in Tshwane, South Africa.Diseases (Basel, Switzerland) · 2023Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectiveThis study aimed to estimate the impact of deprivation on the occurrence, health outcomes and health care costs of people with multiple morbidity in England.
methodsCohort study in the UK Clinical Practice Research Datalink, using deprivation quintile (IMD2010) at individual postcode level. Incidence and mortality from diabetes mellitus, coronary heart disease, stroke and colorectal cancer, and prevalence of depression, were used to define multidisease states. Costs of health care use were estimated for each state from a two-part model.
resultsData were analysed for 141,535 men and 141,352 women aged ≥30 years, with 33,862 disease incidence events, and 13,933 deaths. Among incidences of single conditions, 22% were in the most deprived quintile and 19% in the least deprived; dual conditions, most deprived 26%, least deprived 16% and triple conditions, most deprived 29%, least deprived 14%. Deaths in participants without disease were distributed most deprived 22%, least deprived 19%; in participants with single conditions, most deprived 24%, least deprived 18%; dual conditions, most deprived 27%, least deprived 15%, and triple conditions, most deprived 33%, least deprived 17%. The relative rate of depression in most deprived participants with triple conditions, compared with least deprived and no disease, was 2.48 (1.74 to 3.54). Costs of health care use were associated with increasing deprivation and level of morbidity.
conclusionsThe higher incidence of disease, associated with deprivation, channels deprived populations into categories of multiple morbidity with a greater prevalence of depression, higher mortality and higher costs. This has implications for the way that resources are allocated in England's National Health Service.
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