Evidence map›Paper›PMID 27043599›Full record

ArticleInternational journal of environmental research and public health2016

How Does Sex Influence Multimorbidity? Secondary Analysis of a Large Nationally Representative Dataset.

Karolina Agur, Gary McLean, Kate Hunt, Bruce Guthrie, Stewart W Mercer

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.

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  15. Longitudinal Associations Between Multimorbidities and Patient-Reported Quality of Life.The journals of gerontology. Series B, Psychological sciences and social sciences · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Karolina AgurGeneral Practice and Primary Care, Institute of Health and Wellbeing, University of Glasgow, Glasgow, Scotland G12 9LX, UK. karolina.agur@glasgow.ac.uk.
Gary McLeanGeneral Practice and Primary Care, Institute of Health and Wellbeing, University of Glasgow, Glasgow, Scotland G12 9LX, UK. Gary.McLean@glasgow.ac.uk.
Kate HuntMRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Glasgow, Scotland G2 3QB, UK. Kate.Hunt@glasgow.ac.uk.
Bruce GuthrieQuality, Safety and Informatics Research Group, University of Dundee, Dundee, Scotland DD2 4BF, UK. b.guthrie@dundee.ac.uk.
Stewart W MercerGeneral Practice and Primary Care, Institute of Health and Wellbeing, University of Glasgow, Glasgow, Scotland G12 9LX, UK. Stewart.Mercer@glasgow.ac.uk.
University of Glasgow · GBMRC/CSO Social and Public Health Sciences Unit · GBUniversity of Dundee · GB

Funding

Chief Scientist Office ARPG/07/01Chief Scientist Office ARPG/07/1Medical Research Council MC_U130059811Medical Research Council MC_UU_12017/12Medical Research Council MC_UU_12017/3
6 · The paper itself

Abstract

Multimorbidity increases with age and is generally more common in women, but little is known about sex effects on the "typology" of multimorbidity. We have characterized multimorbidity in a large nationally representative primary care dataset in terms of sex in ten year age groups from 25 years to 75 years and over, in a cross-sectional analysis of multimorbidity type (physical-only, mental-only, mixed physical and mental; and commonest conditions) for 1,272,685 adults in Scotland. Our results show that women had more multimorbidity overall in every age group, which was most pronounced in the 45-54 years age group (women 26.5% vs. men 19.6%; difference 6.9 (95% CI 6.5 to 7.2). From the age of 45, physical-only multimorbidity was consistently more common in men, and physical-mental multimorbidity more common in women. The biggest difference in physical-mental multimorbidity was found in the 75 years and over group (women 30.9% vs. men 21.2%; difference 9.7 (95% CI 9.1 to 10.2). The commonest condition in women was depression until the age of 55 years, thereafter hypertension. In men, drugs misuse had the highest prevalence in those aged 25-34 years, depression for those aged 35-44 years, and hypertension for 45 years and over. Depression, pain, irritable bowel syndrome and thyroid disorders were more common in women than men across all age groups. We conclude that the higher overall prevalence of multimorbidity in women is mainly due to more mixed physical and mental health problems. The marked difference between the sexes over 75 years especially warrants further investigation.

Indexed as

ComorbiditySex CharacteristicsAdultAgedCross-Sectional StudiesDepressionFemaleHumansHypertensionMaleMiddle AgedPrevalenceScotlandYoung Adultmultimorbidityprimary caresex

Identifiers

PMID27043599
PMCPMC4847053
OpenAlexW2322765052

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.