ArticleJournal of the American Board of Family Medicine : JABFM
Multimorbidity Trends in United States Adults, 1988-2014.
Article in Journal of the American Board of Family Medicine : JABFM. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 130 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
130 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Nurse-led Telehealth Intervention for Rehabilitation (Telerehabilitation) Among Community-Dwelling Patients With Chronic Diseases: Systematic Review and Meta-analysis.Journal of medical Internet research · 2022Pooled it
- The experience of financial burden for people with multimorbidity: A systematic review of qualitative research.Health expectations : an international journal of public participation in health care and health policy · 2021Pooled it
- Efficacy of a Blended Low-Intensity Internet-Delivered Psychological Program in Patients With Multimorbidity in Primary Care: Randomized Controlled Trial.Journal of medical Internet research · 2025Trial
- Using Geriatric Assessment to Guide Conversations Regarding Comorbidities Among Older Patients With Advanced Cancer.JCO oncology practice · 2022Trial
- Examining Interprofessional teams structures and processes in the implementation of a primary care intervention (Health TAPESTRY) for older adults using normalization process theory.BMC family practice · 2020Trial
- Life-Stage Differences in the Longitudinal Associations of Multimorbidity Profiles with Economic Burden, Health-Related Quality of Life, and Inpatient Utilization.Healthcare (Basel, Switzerland) · 2026Article
- Stakeholder Perspectives on the Use of Telehealth to Support Deprescribing for Older Patients Transitioning From the Hospital to Home Health Care.Journal of the American Geriatrics Society · 2026Article
- Health insurance type moderates the association between substance use disorders and cardiovascular multimorbidity among U.S. adults - Results from the 2023 National Survey on Drug use and Health.Substance abuse treatment, prevention, and policy · 2026Article
- Person-Centered Multimorbidity Care in UK Primary Care: Identifying Changes to Practice.Annals of family medicine · 2026Article
- Paths to multimorbidity: a longitudinal perspective on disease accumulation in Catalonia, Spain.European journal of public health · 2026Article
- Trends and expenditures in polypharmacy and hyperpolypharmacy among older adults in the United States, 2002-2017.BMC geriatrics · 2026Article
- Duration of health insurance coverage gaps and subsequent cost-related barriers to care among adults aged 18-64 years with multimorbidity.Frontiers in public health · 2026Article
- State-level prevalence of chronic conditions co-occurring with obesity among US adults.Diabetes, obesity & metabolism · 2025Article
- Multi-Morbidity at Death and the US Disadvantage in Mortality.European journal of population = Revue europeenne de demographie · 2025Article
- Multimorbidity in dementia: Current perspectives and future challenges.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Review
- CORA: An Open-Source Software Tool for Combinational Regularity Analysis.Social science computer review · 2025Article
- Structural validity and test-retest reliability of the Patient Reported Inventory of Self-Management of Chronic Conditions (PRISM-CC) in a Swedish population of seventy-year-olds with long-term health conditions.Journal of patient-reported outcomes · 2025Article
- Multimorbidity: Addressing the Elephant in the Clinic Room.Healthcare (Basel, Switzerland) · 2025Article
- Multimorbidity patterns and premature mortality in a prospective cohort: effect modifications by socioeconomic status and healthy lifestyles.BMC public health · 2025Article
- Association between nap time, nighttime sleep, and multimorbidity in Chinese older adults: a cross-sectional study.BMC geriatrics · 2025Article
70 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
importanceThe simultaneous presence of multiple conditions in one patient (multi-morbidity) is a key challenge facing primary care.
objectiveThe purpose of this study was to determine the prevalence of multi-morbidity and to document changes in prevalence during the last 25 years. DESIGN/
settingCross-sectional study using multiple years (1988-2014) of the National Health and Nutrition Examination Survey (NHANES) were analyzed.
settingMultiple years (1988 to 2014) of the National Health and Nutrition Examination Survey (NHANES) from the United States were analyzed.
participantsNoninstitutionalized adults. MAIN OUTCOMES AND MEASURES: Number of chronic conditions per individual analyzed by age, race, gender, and socioeconomic factors.
resultsA total of 57,303 individuals were surveyed regarding the presence of multi-morbidity in separate surveys spanning 1988-2014. The overall current prevalence in 2013-2014 of >2 morbidities was 59.6% (95% CI 58.1%-61.1%), 38.5% had 3 or more, and 22.7% had 4 or more morbidities, which was significantly higher than in 1988 (45.7%, 95% CI 43.5%-47.8%, with >2 morbidities). Among individuals with 2 or more morbidities, 54.1% have obesity compared to 41.9% in 1988. Among adults age >65, prevalence was 91.8% for 2 or more morbidities. Whites and Blacks had significantly higher prevalence (59.2% and 60.1%) than Hispanic or "other" race (45.0%, CONCLUSIONS AND RELEVANCE: Multimorbidity is common and has been increasing over the last 25 years. This finding has implications for public health policy and anticipated health costs for the coming years.
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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.