ArticleInternational journal for equity in health2013
Short and long term determinants of incident multimorbidity in a cohort of 1988 earthquake survivors in Armenia.
Article in International journal for equity in health, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.
- Determinants of multimorbidity in low- and middle-income countries: A systematic review of longitudinal studies and discovery of evidence gaps.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2024Pooled it
- Article
- Demographic and clinical factors associated with psychiatric inpatient admissions during the COVID-19 pandemic.Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists · 2022Article
- Theoretical explanations for socioeconomic inequalities in multimorbidity: a scoping review.BMJ open · 2022Article
- Physical multimorbidity and subjective cognitive complaints among adults in the United Kingdom: a cross-sectional community-based study.Scientific reports · 2019Article
- Article
- Mapping the global research landscape and knowledge gaps on multimorbidity: a bibliometric study.Journal of global health · 2017Article
- Multimorbidity and equity in health.International journal for equity in health · 2013Article
- Disparities in multiple chronic conditions within populations.Journal of comorbidity · 2013Article
- The incidence of multimorbidity and patterns in accumulation of chronic conditions: A systematic review.Journal of multimorbidity and comorbidityReview
- Multimorbidity of chronic non-communicable diseases in low- and middle-income countries: A scoping review.Journal of comorbidityArticle
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMultimorbidity, presence of two or more health conditions, is a widespread phenomenon affecting populations' health all over the world. It becomes a serious public health concern due to its negative consequences on quality of life, mortality, and cost of healthcare services utilization. Studies exploring determinants of multimorbidity are limited, particularly those looking at vulnerable populations prospectively over time. This study aimed at identifying short and long term socioeconomic, psychosocial, and health behavioral determinants of incident multimorbidity among a cohort of the 1988 Armenian earthquake survivors.
methodsThe study included a representative subsample of 725 from a larger initial cohort of the earthquake survivors. Data on this subsample were collected via four phases of this cohort study during the period 1990-2012. The final logistic regression analysis eliminated all those cases with baseline multimorbidity to investigate short and long term determinants of incident multimorbidity; this subsample included 600 participants.
resultsMore than 75% of the studied sample had multimorbidity. Perceived low affordability of healthcare services, poor living standards during the post-earthquake decade, and lower education were independent predictors of incident multimorbidity developed during the period 1990-2012. Stressful life events and poor social support were among psychosocial determinants of incident multimorbidity. Participants' baseline BMI reported in 1990 was independently associated with incident multimorbidity.
conclusionsMost of the identified determinants of incident multimorbidity in our study population were markers of social inequities, indicating that inequities pose a serious threat to both individual and public health-related outcomes. Strategies targeting to decrease such inequities along with promotion of healthy lifestyle and strengthening of social networks may considerably reduce multimorbidity among population groups with similar socioeconomic and cultural profiles.
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