ArticleJournal of comorbidity
Measuring the association between marginalization and multimorbidity in Ontario, Canada: A cross-sectional study.
Article in Journal of comorbidity. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.
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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
35 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Household and area-level social determinants of multimorbidity: a systematic review.Journal of epidemiology and community health · 2021Pooled it
- Area-Based Marginalization and Incidence of Childhood Cancer.JAMA network open · 2026Article
- The structural roots of multimorbidity: social inequalities, health disparities, and systemic challenges in Southern Spain.International journal for equity in health · 2026Article
- Mental Health Service Use Among Children with Chronic Physical Illness.Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent · 2025Article
- Effect of disability, homelessness, and neighborhood marginalization on risk adjustment for hospital performance measurement.American journal of epidemiology · 2025Article
- Does marginalization status and distance from the hospital impact the timing of pediatric pyeloplasty in a universal access-to-care system?Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2025Article
- The Relationship Between Area-Level Marginalization and Overall Survival of Patients with Soft Tissue Sarcoma in Ontario: A Retrospective Cohort Study.Annals of surgical oncology · 2025Article
- The association between total social exposure and incident multimorbidity: A population-based cohort study.SSM - population health · 2025Article
- Analysis of influenza vaccination status and health information sources among middle-aged and older adults with multiple chronic diseases in Zhejiang, China: a cross-sectional study.Frontiers in public health · 2025Article
- Public funding for private for-profit centres and access to cataract surgery by patient socioeconomic status: an Ontario population-based study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2024Article
- Article
- Comorbidity patterns in cardiovascular diseases: the role of life-stage and socioeconomic status.Frontiers in cardiovascular medicine · 2024Article
- Cardiometabolic multimorbidity in Mexican adults: a cross-sectional analysis of a national survey.Frontiers in medicine · 2024Article
- Uncontrolled Hypertension, Treatment, and Predictors among Hypertensive Out-Patients Attending Primary Health Facilities in Johannesburg, South Africa.Healthcare (Basel, Switzerland) · 2023Article
- Multimorbidity, Treatment, and Determinants among Chronic Patients Attending Primary Health Facilities in Tshwane, South Africa.Diseases (Basel, Switzerland) · 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
- Article
- Geographic clustering of travel-acquired infections in Ontario, Canada, 2008-2020.PLOS global public health · 2023Article
- Opioid use for a first-incident upper extremity fracture in 220,440 patients without recent prior use in Ontario, Canada: a retrospective cohort study.OTA international : the open access journal of orthopaedic trauma · 2022Article
- Environmental Influences on Life Satisfaction and Depressive Symptoms Among Older Adults With Multimorbidity: Path Analysis Through Loneliness in the Canadian Longitudinal Study on Aging.The Gerontologist · 2022Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
There is growing evidence to suggest that multimorbidity is not only a consequence of aging but also other environmental risk factors such as socio-economic status and social marginalization. In this study, the prevalence of multimorbidity was examined (defined as the simultaneous occurrence of two or more chronic morbidities) by age, gender and the Ontario Marginalization index (material deprivation, residential instability, dependency and ethnic concentration). With a cross-sectional design, 2015 data on 18 morbidities from 12,516,587 residents of the province of Ontario, Canada, were analysed. About 82.1% of the population had one or no chronic conditions, 10.3% were multimorbid with two chronic conditions and 7.6% had three or more chronic conditions. The results showed that the prevalence of multimorbidity is noticeably higher in the most deprived areas compared to least deprived for all age groups. Our findings challenge the notion that multimorbidity is primarily driven by aging. Of the 18% of the total population which were multimorbid, 43% of them were under the age of 65. We noted a substantial excess of multimorbidity in younger and middle-aged adults who were most deprived. In some cases, those in the most deprived areas were showing increased cases of multimorbidity nearly 10 years sooner than those who were least deprived. This study shows that environmental factors such as material deprivation and residential instability are correlated with higher prevalence of multimorbidity.
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