ArticleSSM - population health2019
Social determinants of multimorbidity and multiple functional limitations among the ageing population of England, 2002-2015.
Article in SSM - population health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 1 of them a synthesis that pooled it.
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Who cites it
55 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Multimorbidity, Loneliness, and Social Isolation. A Systematic Review.International journal of environmental research and public health · 2020Pooled it
- Bidirectional associations between loneliness and physical multimorbidity and the mediating role of social inactivity.Nature communications · 2026Article
- Social Support and Social Strain Sources as Predictors of Multimorbidity Changes in Middle-Aged and Older Adults.Journal of aging and health · 2026Article
- Acceptance and impact of Technology-Enabled Care (TEC) among community-dwelling older adults: A rapid review.PLOS digital health · 2026Review
- Social Determinants of Health and Incident Depressive Symptoms in Older Adults With Chronic Conditions: Prospective Cohort Study.Journal of the American Geriatrics Society · 2026Article
- Revolutionizing Multimorbidity Care: A Narrative Review on Artificial Intelligence Applications.Health science reports · 2026Article
- Community as Medicine: A Qualitative Study of How Group Health Coaching and Social Connection Improve Mental Well-Being in Older Adults.Healthcare (Basel, Switzerland) · 2026Article
- Multiple Maternal Chronic Conditions and Risk of Severe Neonatal Morbidity and Mortality.JAMA network open · 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
- Effects of household and neighbourhood attributes on four definitions of multimorbidity: a comparative multilevel analysis of linked clinical and census data of Wales.BMJ public health · 2026Article
- Influence of Social Determinants on Physical Performance and Geriatric Syndromes in Community-Dwelling Older Adults.International journal of environmental research and public health · 2025Observational
- Citizens' Jury as a Strategy to Increase Social Participation Among Older People.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- Cohort Changes in Cognitive Function Among Mexican Older Adults from 2001 to 2021.The Gerontologist · 2025Article
- Functional Limitations and Use of General Health Examination and Cancer Screening Among People with Disabilities Who Need Support from Others: Secondary Data Analysis of the 2022 Comprehensive Survey of Living Conditions in Japan.International journal of environmental research and public health · 2025Article
- Network analysis of chronic disease among middle-aged and older adults in China: a nationwide survey.Frontiers in public health · 2025Article
- Health inequities in functional limitation among Mexican older adults: An intersectional approach.PloS one · 2025Article
- Ageing, multimorbidity, and quality of life: a mediation analysis using longitudinal ageing study in India.Frontiers in public health · 2025Article
- Prevalence, patterns, and determinants of multimorbidity in South Africa: Insights from a nationally representative survey.PLOS global public health · 2025Article
- Resilience among older adults with multimorbidity using the Connor-Davidson scale in the Canadian Longitudinal Study on Aging: health behaviour, socio-economic, and social support predictors.BMC public health · 2024Article
- Longitudinal Associations Between Multimorbidities and Patient-Reported Quality of Life.The journals of gerontology. Series B, Psychological sciences and social sciences · 2024Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This study explores longitudinal relationships between material, psycho-social and behavioural social determinants of health and multimorbidity of people aged 50 years or older in England. We used data from the English Longitudinal Study of Ageing collected biannually between 2002 and 2015. Apart from the basic measure of multimorbidity (two or more diseases within a person) we constructed two distinct measures of health in order to take into account the biology of ageing (complex multimorbidity and multiple functional limitations). We found that the likelihood of multimorbidity and multiple functional limitations was consistently associated with the levels of household wealth, sense of control over one's life, physical activity and loneliness. Larger health inequalities were observed when health was measured as complex multimorbidity and multiple functional limitations than basic multimorbidity. Compared to the population group with the highest wealth, those with the lowest wealth had 47% higher odds of basic multimorbidity (95% C.I. 1.34-1.61), 73% higher odds of complex multimorbidity (95% C.I. 1.52-1.96) and 90% higher odds of having 10 or more functional limitations (95% C.I. 1.59-2.26). We did not find a dose-response relationship between alcohol consumption, smoking and multimorbidity but rather evidence of people in ill health actively moderating their health behaviour. We suggest that materialist models of multimorbidity and functional limitation at older age can not, on their own, explain the health inequalities as the behavioural and psycho-social factors play an important role. Policies aiming to reduce the risk of multimorbidity and functional limitation should address the issue at these three levels simultaneously, using the existing national infrastructure of General Practices.
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