ArticleBMJ open2019
Impact of educational attainment on the association between social class at birth and multimorbidity in middle age in the Aberdeen Children of the 1950s cohort study.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.
- Household and area-level social determinants of multimorbidity: a systematic review.Journal of epidemiology and community health · 2021Pooled it
- Article
- Exploring the relationship between education and academic ability in childhood with healthcare utilization in adulthood: findings from the Aberdeen Children of the 1950s (ACONF).European journal of public health · 2025Article
- Mapping domains of early life determinants of future multimorbidity across three UK longitudinal cohort studies.Scientific reports · 2024Article
- Youth organizations, social mobility and health in middle age: evidence from a Scottish 1950s prospective cohort study.European journal of public health · 2023Article
- Article
- Theoretical explanations for socioeconomic inequalities in multimorbidity: a scoping review.BMJ open · 2022Article
- Associations between Multimorbidity Patterns and Subsequent Labor Market Marginalization among Refugees and Swedish-Born Young Adults-A Nationwide Registered-Based Cohort Study.Journal of personalized medicine · 2021Article
- Article
- Prevalence and early-life determinants of mid-life multimorbidity: evidence from the 1970 British birth cohort.BMC public health · 2021Article
- Article
- Multidisciplinary ecosystem to study lifecourse determinants and prevention of early-onset burdensome multimorbidity (MELD-B) - protocol for a research collaboration.Journal of multimorbidity and comorbidityArticle
- A conceptual framework for characterising lifecourse determinants of multiple long-term condition multimorbidity.Journal of multimorbidity and comorbidityArticle
- Prevalence of multimorbidity in community settings: A systematic review and meta-analysis of observational studies.Journal of comorbidityReview
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Authors and funding
5 authors at 2 institutions in 1 country.
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Abstract
objectiveMultimorbidity (the coexistence of two or more health conditions) is increasingly prevalent. No long-term cohort study has examined the impact of contemporaneously measured birth social class along with educational attainment on adult self-reported multimorbidity. We investigated the impact of educational attainment on the relationship between social class at birth and adult self-reported multimorbidity in the Aberdeen Children of the 1950s (ACONF) cohort.
methodsA prospective cohort study using the ACONF cohort. ACONF included 12 150 individuals born in Aberdeen, Scotland 1950-1956. In 2001, 7184 (64%) responded to a questionnaire providing information including self-reported morbidity and educational attainment. The exposure was father's social class at birth from birth records and the outcome was self-reported multimorbidity.Logistic regression assessed the association between social class and multimorbidity with adjustment for gender, then by educational attainment and finally by childhood cognition and secondary school type. ORs and 95% CIs were presented.
resultsOf 7184 individuals (mean age 48, 52% female), 5.4% reported multimorbidity. Birth social class was associated with adult multimorbidity. For example, the OR of multimorbidity adjusted by gender was 0.62 (95% CI 0.39 to 1.00) in the highest social class group (I/II) in relation to the reference group (III (manual)) and was 1.85 (95% CI 1.19 to 2.88) in the lowest social class group. This was partially attenuated in all social class categories by educational attainment, for example, the OR was 0.74 (95% CI 0.45 to 1.21) in group I/II following adjustment.
conclusionLower social class at birth was associated with developing multimorbidity in middle age. This was partially mediated by educational attainment and future research should consider identifying the other explanatory variables. The results are relevant to researchers and to those aiming to reduce the impact of multimorbidity.
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