ArticleClinical epidemiology2017
The impact of socioeconomic status and multimorbidity on mortality: a population-based cohort study.
Article in Clinical epidemiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.
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Who cites it
40 citing papers in PubMed.
- Socioeconomic Status, Frailty, and All-Cause Mortality in Korean Older Adults: A 3-Year Population-Based Prospective Study.BioMed research international · 2017Trial
- Income Volatility and Risk of All-Cause Mortality and Cause-Specific Hospitalization Among Adults With Depression: A Nationwide Cohort Study.Journal of Korean medical science · 2026Article
- Association between socioeconomic position and transitions to multimorbidity involving major chronic diseases in Northwest Italy.npj aging · 2026Article
- Observational
- From exposure to embedding: how interconnected social determinants drive health inequalities-a complex adaptive system dynamics approach.Frontiers in public health · 2026Article
- Measuring individual and community capacity factors in people with multimorbidity and exploring associations with health outcomes.BMC medicine · 2025Article
- A longitudinal Analysis of the Association between Socioeconomic Position and Multimorbidity in the European Prospective Investigation into Cancer and Nutrition Study.Aging and disease · 2024Article
- When the Going Gets Tough: Multimorbidity and Heavy and Binge Drinking Among Adults.American journal of preventive medicine · 2024Article
- A census tract-level assessment of social determinants of health, traffic exposure, and asthma exacerbations in New York State's Medicaid Population (2005-2015).Eco-Environment & Health · 2024Article
- An investigation on the prevalence and patterns of multi-morbidity among a group of slum-dwelling older women of Kolkata, India.BMC geriatrics · 2024Article
- Comorbidity patterns in cardiovascular diseases: the role of life-stage and socioeconomic status.Frontiers in cardiovascular medicine · 2024Article
- Healthcare fragmentation, multimorbidity, potentially inappropriate medication, and mortality: a Danish nationwide cohort study.BMC medicine · 2023Article
- Multimorbidity and determinants for initiating outpatient trajectories: A population-based study.BMC public health · 2023Article
- Socioeconomic gradient in mortality of working age and older adults with multiple long-term conditions in England and Ontario, Canada.BMC public health · 2023Article
- Experience of living with multimorbidity and health workers perspectives on the organization of health services for people living with multiple chronic conditions in Bahir Dar, northwest Ethiopia: a qualitative study.BMC health services research · 2023Article
- Social inequalities in all-cause mortality among adults with multimorbidity: a 10-year prospective study of 0.5 million Chinese adults.International health · 2023Article
- The influence of childhood socioeconomic status on non-communicable disease risk factor clustering and multimorbidity among adults in Botswana: a life course perspective.International health · 2023Article
- The Impact of Multimorbidity on All-Cause Mortality: A Longitudinal Study of 87,151 Thai Adults.International journal of public health · 2023Article
- Multimorbidity and associations with clinical outcomes in a middle-aged population in Iran: a longitudinal cohort study.BMJ global health · 2022Article
- Performance of quantitative measures of multimorbidity: a population-based retrospective analysis.BMC public health · 2021Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveMultimorbidity (MM) is more prevalent among people of lower socioeconomic status (SES), and both MM and SES are associated with higher mortality rates. However, little is known about the relationship between SES, MM, and mortality. This study investigates the association between educational level and mortality, and to what extent MM modifies this association.
methodsWe followed 239,547 individuals invited to participate in the Danish National Health Survey 2010 (mean follow-up time: 3.8 years). MM was assessed by using information on drug prescriptions and diagnoses for 39 long-term conditions. Data on educational level were provided by Statistics Denmark. Date of death was obtained from the Civil Registration System. Information on lifestyle factors and quality of life was collected from the survey. The main outcomes were overall and premature mortality (death before the age of 75).
resultsOf a total of 12,480 deaths, 6,607 (9.5%) were of people with low educational level (LEL) and 1,272 (2.3%) were of people with high educational level (HEL). The mortality rate was higher among people with LEL compared with HEL in groups of people with 0-1 disease (hazard ratio: 2.26, 95% confidence interval: 2.00-2.55) and ≥4 diseases (hazard ratio: 1.14, 95% confidence interval: 1.04-1.24), respectively (adjusted model). The absolute number of deaths was six times higher among people with LEL than those with HEL in those with ≥4 diseases. The 1-year cumulative mortality proportions for overall death in those with ≥4 diseases was 5.59% for people with HEL versus 7.27% for people with LEL, and 1-year cumulative mortality proportions for premature death was 2.93% for people with HEL versus 4.04% for people with LEL. Adjusting for potential mediating factors such as lifestyle and quality of life eliminated the statistical association between educational level and mortality in people with MM.
conclusionOur study suggests that LEL is associated with higher overall and premature mortality and that the association is affected by MM, lifestyle factors, and quality of life.
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