ArticleBMC public health2021
The association between mental-physical multimorbidity and disability, work productivity, and social participation in China: a panel data analysis.
Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Risk factors for voluntary early old-age retirement in middle-aged workers: A meta-analysis.Scandinavian journal of work, environment & health · 2025Pooled it
- Involuntary Retirement and Depression Among Adults: A Systematic Review and Meta-Analysis of Longitudinal Studies.Frontiers in psychiatry · 2022Pooled it
- Primary care and community interventions for multimorbidity involving depression or anxiety: systematic review with meta-analysis.BMJ medicine · 2026Article
- Association between sleep, sunlight exposure, and multimorbidity in older adults with and without mental illness.Frontiers in public health · 2026Article
- Multimorbidity and the indirect cost of productivity loss from health-related work absenteeism in Belgium.European journal of public health · 2025Observational
- Article
- Discrete choice experiment on the preferences for continuing medical education training programs among primary health care physicians in China.BMC medical education · 2025Article
- Multimorbidity patterns and function among adults in low- and middle-income countries: a scoping review.BMJ open · 2025Article
- Defining and measuring complex multimorbidity: a critical analysis.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023Article
- Re-examining the reversal hypothesis: A nationwide population-based study of the association between socioeconomic status, and NCDs and risk factors in China.SSM - population health · 2023Article
- Functional limitation as a mediator of the relationship between multimorbidity on health-related quality of life in Australia: evidence from a national panel mediation analysis.Frontiers in medicine · 2023Article
- The impact of depression and physical multimorbidity on health-related quality of life in China: a national longitudinal quantile regression study.Scientific reports · 2022Article
- Social Network Moderates the Association between Frequency of Social Participation and Physical Function among Community-dwelling Older Adults.Physical therapy research · 2022Article
- Less time spent walking and depressive symptoms are associated with more self-perceived disability in primary care patients: a cross-sectional study from Uganda.The Pan African medical journal · 2022Article
- Occupational Burnout and Productivity Loss: A Cross-Sectional Study Among Academic University Staff.Frontiers in public health · 2022Article
- Less Social Participation Is Associated With a Higher Risk of Depressive Symptoms Among Chinese Older Adults: A Community-Based Longitudinal Prospective Cohort Study.Frontiers in public health · 2022Article
- Urban-rural differences in the impacts of multiple chronic disease on functional limitations and work productivity among Chinese adults.Global health action · 2021Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe co-occurrence of mental and physical chronic conditions (mental-physical multimorbidity) is a growing and largely unaddressed challenge for health systems and wider economies in low-and middle-income countries. This study investigated the independent and combined (additive or synergistic) effects of mental and physical chronic conditions on disability, work productivity, and social participation in China.
methodsPanel data study design utilised two waves of the China Health and Retirement Longitudinal Study (2011, 2015), including 5616 participants aged ≥45 years, 12 physical chronic conditions and depression. We used a panel data approach of random-effects regression models to assess the relationships between mental-physical multimorbidity and outcomes.
resultsAfter adjusting for socio-economic and demographic factors, an increased number of physical chronic conditions was independently associated with a higher likelihood of disability (Adjusted odds ratio (AOR) = 1.39; 95% CI: 1.33, 1.45), early retirement (AOR = 1.37 [1.26, 1.49]) and increased sick leave days (1.25 days [1.16, 1.35]). Depression was independently associated with disability (AOR = 3.78 [3.30, 4.34]), increased sick leave days (2.18 days [1.72, 2.77]) and a lower likelihood of social participation (AOR = 0.57 [0.47, 0.70]), but not with early retirement (AOR = 1.24 [0.97, 1.58]). There were small and statistically insignificant interactions between physical chronic conditions and mental health on disability, work productivity and social participation, suggesting an additive effect of mental-physical multimorbidity on productivity loss.
conclusionMental-physical multimorbidity poses substantial negative health and economic effects on individuals, health systems, and societies. More research that addresses the challenges of mental-physical multimorbidity is needed to inform the development of interventions that can be applied to the workplace and the wider community in China.
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