Evidence map›Paper›PMID 29941034›Full record

ArticleInternational journal for equity in health2018

Income inequalities in multimorbidity prevalence in Ontario, Canada: a decomposition analysis of linked survey and health administrative data.

Luke Mondor, Deborah Cohen, Anum Irfan Khan, Walter P Wodchis

Abstract read
In one paragraph

Article in International journal for equity in health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

45 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  10. The Burden of Antimicrobial Resistant Bacteremia in Ontario: A Population-Wide Analysis of Attributable Mortality From 110 Pathogen-Antibiotic Combinations.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
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  16. Association between opioid use disorder and palliative care: a cohort study using linked health administrative data in Ontario, Canada.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 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

4 authors.

Luke MondorInstitute for Clinical Evaluative Sciences (ICES), G1 06 2075 Bayview Ave, Toronto, ON, M4N 3M5, Canada.
Deborah CohenHealth System Performance Research Network (HSPRN), 155 College St 4th Floor, Toronto, ON, M5T 3M6, Canada.
Anum Irfan KhanHealth System Performance Research Network (HSPRN), 155 College St 4th Floor, Toronto, ON, M5T 3M6, Canada.
Walter P WodchisInstitute for Clinical Evaluative Sciences (ICES), G1 06 2075 Bayview Ave, Toronto, ON, M4N 3M5, Canada. walter.wodchis@utoronto.ca.

Funding

Ontario Ministry of Health and Long-Term Care 06034
6 · The paper itself

Abstract

backgroundThe burden of multimorbidity is a growing clinical and health system problem that is known to be associated with socioeconomic status, yet our understanding of the underlying determinants of inequalities in multimorbidity and longitudinal trends in measured disparities remains limited.

methodsWe included all adult respondents from four cycles of the Canadian Community Health Survey (CCHS) (between 2005 to 2011/12), linked at the individual-level to health administrative data in Ontario, Canada (pooled n = 113,627). Multimorbidity was defined at each survey response as having ≥2 (of 17) high impact chronic conditions, based on claims data. Using a decomposition method of the Erreygers-corrected concentration index (C

resultsMultimorbidity prevalence in 2011/12 was 33.5% and the C

conclusionsA pro-rich income gap in multimorbidity has persisted in Ontario from 2005 to 2011/12. These empirical findings suggest that to advance equality in multimorbidity prevalence, policymakers should target chronic disease prevention and control strategies focused on older adults, non-married persons and those that are physically inactive, in addition to addressing income disparities directly.

Indexed as

Health Status DisparitiesIncomeMultimorbidityPovertySocial ClassAdolescentAdultAgedAged, 80 and overAge FactorsData CollectionExerciseFemaleHealth SurveysHumansLife StyleAdultAdvance equality in multimorbidity prevalenceChronic diseaseComorbidityHealth status disparitiesOntario/ epidemiologyPrevalenceSocioeconomic factorsTrends

Identifiers

PMID29941034
PMCPMC6019796

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.