ArticleDisability and health journal2016
The Dynamic contribution of chronic conditions to temporal trends in disability among U.S. adults.
Article in Disability and health journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.
- International depiction of the cost of functional independence limitations among older adults living in the community: a systematic review and cost-of-impairment study.BMC geriatrics · 2022Pooled it
- Role of age in the association of chronic conditions and multimorbidity with incident ADL disability: multicohort analyses of 108,810 adults.GeroScience · 2026Article
- Physical Function and Residential Relocation of Older Adults Living With Chronic Conditions.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026Article
- Trends in disability and limitations among US adults aged 18-44 years, 2000-2018.American journal of epidemiology · 2025Article
- Morbidity status and changes in difficulty in activities of daily living among older adults in India: A panel data analysis.PloS one · 2022Article
- Abandonment at the Transition from Hospital to Home: Family Caregivers' Experiences.Ethiopian journal of health sciences · 2021Article
- Cross-classified multilevel models (CCMM) in health research: A systematic review of published empirical studies and recommendations for best practices.SSM - population health · 2020Review
- Trends in Risk of Limitations in Instrumental Activities of Daily Living Over Age in Older Persons With and Without Multiple Chronic Conditions.The journals of gerontology. Series A, Biological sciences and medical sciences · 2020Article
- Moderation of the Association Between Chronic Medical Conditions and Functional Limitations Over Time by Physical Activity: Effects of Age.The journals of gerontology. Series A, Biological sciences and medical sciences · 2020Article
- Longer and healthier lives for all? Successes and failures of a universal consumer-driven healthcare system, Switzerland, 1990-2014.International journal of public health · 2019Article
- Individual and Environmental Determinants of Late-Life Community Disability for Persons Aging With Cardiovascular Disease.American journal of physical medicine & rehabilitation · 2019Article
- The Long-Term Impact of Functional Disability on Hospitalization Spending in Singapore.Journal of the economics of ageing · 2019Article
- Chronic morbidity and reported disability among older persons from the India Human Development Survey.BMC geriatrics · 2018Article
- Forecasted trends in disability and life expectancy in England and Wales up to 2025: a modelling study.The Lancet. Public health · 2017Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
backgroundAlthough evidence has shown that U.S. late-life disability has been declining, studies have also suggested that there has been an increase in chronic diseases between 1984 and 2007.
objectivesTo further illuminate these potentially contradictory trends, we explicate how the contribution of chronic conditions changes across four common types of disability (ADL, IADL, mobility disability, and functional limitations) by age (A), period (P), and birth cohorts (C) among adults aged 20 and above.
methodsOur data came from seven cross-sectional waves of the National Health and Nutrition Examination Survey (NHANES). We utilize a cross-classified random effect model (CCREM) to simultaneously estimate age, period, and cohort trends for each disability. Each chronic condition was sequentially then simultaneously added to our base models (sociodemographics only). Reductions in predicted probability from the base model were then calculated for each chronic condition by each temporal dimension (A/P/C) to assess the contribution of each chronic condition.
resultsThere was increasing age-based contribution of chronic conditions to all disabilities. The period-based contribution remained quite stagnant across years while cohort-based contributions showed a continual decline for recent cohorts. Arthritis showed the greatest contribution to disability of all types which was followed by obesity. Cancer was the least important contributor to disabilities.
conclusionAlthough chronic conditions are becoming less disabling across recent cohorts, other competing risk factors might suggest prevailing causes of disability.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.