ArticleBMJ global health2019
Chronic multimorbidity among older adults in rural South Africa.
Article in BMJ global health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers, 4 of them syntheses that pooled it.
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Who cites it
66 citing papers in PubMed, 4 syntheses or guidelines pooled it, 117 citations in OpenAlex.
- Social determinants of multimorbidity in older adults in sub-saharan Africa: A systematic review.Palliative & supportive care · 2025Pooled it
- Use of hospital services by patients with chronic conditions in sub-Saharan Africa: a systematic review and meta-analysis.Bulletin of the World Health Organization · 2023Pooled it
- Mental Health during the COVID-19 Crisis in Africa: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2021Pooled it
- Pooled it
- Aging with burden: multimorbidity, depression and quality of life in older adults residing in long-term care facilities in South Africa.BMC geriatrics · 2026Article
- A qualitative study of the social and structural vulnerabilities of HIV and chronic disease syndemics in low-resource urban health facilities in South Africa.Discover public health · 2026Article
- Prevalence of multiple lung diseases among the people and associated with wealth status and behavior factors: a longitudinal study in West Bengal.Journal of health, population, and nutrition · 2025Article
- Frailty, multimorbidity and quality of life in an ageing population in Africa: a cross-sectional, population-based study in rural and urban Rwanda.Family medicine and community health · 2025Article
- The burden of multimorbidity-associated acute hospital admissions in Malawi and Tanzania: a prospective multicentre cohort study.The Lancet. Global health · 2025Article
- Health and well-being of older adults in rural and urban Rwanda: epidemiological findings from a population based cross-sectional study.Journal of global health · 2025Article
- Multimorbid life expectancy across race, socio-economic status, and sex in South Africa.Population studies · 2025Article
- Harnessing HIV clinics to deliver integrated hypertension care for People living with HIV in Uganda: A formative mixed methods study.PLOS global public health · 2025Article
- Correlation between sleep and multimorbidity in community-dwelling older adults in Hunan Province: a cross-sectional study.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
- Article
- Intensity of care and the health status of caregivers to elderly rural South Africans.medRxiv : the preprint server for health sciences · 2024Article
- Material needs security and cardiovascular risk factors in rural South Africa.BMC public health · 2024Observational
- Determinants of self-reported chronic disease diagnoses among older persons in South Africa.African journal of primary health care & family medicine · 2024Article
- A model-based approach to estimating the prevalence of disease combinations in South Africa.BMJ global health · 2024Article
- Convergence of HIV and non-communicable disease epidemics: geospatial mapping of the unmet health needs in an HIV hyperendemic community in South Africa.BMJ global health · 2024Article
6 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
10 authors at 6 institutions in 3 countries.
Funding
Abstract
introductionThe rapid ageing of populations around the world is accompanied by increasing prevalence of multimorbidity. This study is one of the first to present the prevalence of multimorbidity that includes HIV in the complex epidemiological setting of South Africa, thus filling a gap in the multimorbidity literature that is dominated by studies in high-income or low-HIV prevalence settings.
methodsOut of the full sample of 5059 people aged 40+, we analysed cross-sectional data on 10 conditions from 3889 people enrolled in the Health and Ageing in Africa: A longitudinal study of an INDEPTH Community in South Africa (HAALSI) Programme. Two definitions of multimorbidity were applied: the presence of more than one condition and the presence of conditions from more than one of the following categories: cardiometabolic conditions, mental disorders, HIV and anaemia. We conducted descriptive and regression analyses to assess the relationship between prevalence of multimorbidity and sociodemographic factors. We examined the frequencies of the most prevalent combinations of conditions and assessed relationships between multimorbidity and physical and psychological functioning.
results69.4 per cent (95% CI 68.0 to 70.9) of the respondents had at least two conditions and 53.9% (52.4-55.5) of the sample had at least two categories of conditions. The most common condition groups and multimorbid profiles were combinations of cardiometabolic conditions, cardiometabolic conditions and depression, HIV and anaemia and combinations of mental disorders. The commonly observed positive relationships between multimorbidity and age and decreasing wealth were not observed in this population, namelydue to different epidemiological profiles in the subgroups, with higher prevalence of HIV and anaemia in the poorer and younger groups, and higher prevalence of cardiometabolic conditions in the richer and older groups. Both physical functioning and well-being negatively associated with multimorbidity. DISCUSSION: More coordinated, long-term integrated care management across multiple chronic conditions should be provided in rural South Africa.
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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.