ArticleInternational journal of epidemiology2019
Socio-economic inequalities in life expectancy of older adults with and without multimorbidity: a record linkage study of 1.1 million people in England.
Article in International journal of epidemiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.
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Who cites it
35 citing papers in PubMed, 59 citations in OpenAlex.
- How a healthy lifestyle mediates socioeconomic inequities in healthy ageing and life expectancies: A 20-year cohort of older adults.Fundamental research · 2026Article
- Impact of socioeconomic deprivation on early and long-term outcomes after major aortic surgery: insights from a 20-year single-centre cohort.Open heart · 2026Article
- Health-related quality of life in poverty-alleviated individuals living with chronic conditions: a cross-sectional survey from an impoverished county in China.Scientific reports · 2026Article
- Multimorbidity trends in Catalonia, 2010-21: a population-based cohort study.International journal of epidemiology · 2026Article
- Multiple Chronic Conditions Before Pregnancy and Risk of Adverse Maternal Health Outcomes: Population-Based Cohort Study.BJOG : an international journal of obstetrics and gynaecology · 2026Article
- Regional and gender disparities in depression and late life expectancy in Chile.Social psychiatry and psychiatric epidemiology · 2025Article
- Examining the Effect of SNAP-Multibehaviours on Multimorbidity Risk: A Cross-Sectional Study in Three General Practices' Electronic Health Records.International journal of environmental research and public health · 2025Observational
- Estimating healthcare resource utilisation and cardiovascular events in people with high body mass index and established cardiovascular disease.Diabetes, obesity & metabolism · 2025Article
- Multimorbid life expectancy across race, socio-economic status, and sex in South Africa.Population studies · 2025Article
- Understanding demographic events and migration patterns in two urban slums of Nairobi City in Kenya.Scientific reports · 2024Article
- The impact of the English national health inequalities strategy on inequalities in mortality at age 65: a time-trend analysis.European journal of public health · 2024Article
- Sociodemographic characteristics and longitudinal progression of multimorbidity: A multistate modelling analysis of a large primary care records dataset in England.PLoS medicine · 2023Article
- Multimorbidity and complex multimorbidity in Brazilians with severe obesity.Scientific reports · 2023Article
- Trajectories in chronic disease accrual and mortality across the lifespan in Wales, UK (2005-2019), by area deprivation profile: linked electronic health records cohort study on 965,905 individuals.The Lancet regional health. Europe · 2023Article
- 20-year trends in multimorbidity by race/ethnicity among hospitalized patient populations in the United States.International journal for equity in 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
- Social inequalities in all-cause mortality among adults with multimorbidity: a 10-year prospective study of 0.5 million Chinese adults.International health · 2023Article
- Clustering long-term health conditions among 67728 people with multimorbidity using electronic health records in Scotland.PloS one · 2023Article
- Observational
- An Analysis of Life-Year Lost Due to COVID-19 - 34 Countries, December 2019-March 2021.China CDC weekly · 2022Article
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundAge of onset of multimorbidity and its prevalence are well documented. However, its contribution to inequalities in life expectancy has yet to be quantified.
methodsA cohort of 1.1 million English people aged 45 and older were followed up from 2001 to 2010. Multimorbidity was defined as having 2 or more of 30 major chronic diseases. Multi-state models were used to estimate years spent healthy and with multimorbidity, stratified by sex, smoking status and quintiles of small-area deprivation.
resultsUnequal rates of multimorbidity onset and subsequent survival contributed to higher life expectancy at age 65 for the least (Q1) compared with most (Q5) deprived: there was a 2-year gap in healthy life expectancy for men [Q1: 7.7 years (95% confidence interval: 6.4-8.5) vs Q5: 5.4 (4.4-6.0)] and a 3-year gap for women [Q1: 8.6 (7.5-9.4) vs Q5: 5.9 (4.8-6.4)]; a 1-year gap in life expectancy with multimorbidity for men [Q1: 10.4 (9.9-11.2) vs Q5: 9.1 (8.7-9.6)] but none for women [Q1: 11.6 (11.1-12.4) vs Q5: 11.5 (11.1-12.2)]. Inequalities were attenuated but not fully attributable to socio-economic differences in smoking prevalence: multimorbidity onset was latest for never smokers and subsequent survival was longer for never and ex smokers.
conclusionsThe association between social disadvantage and multimorbidity is complex. By quantifying socio-demographic and smoking-related contributions to multimorbidity onset and subsequent survival, we provide evidence for more equitable allocation of prevention and health-care resources to meet local needs.
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