ArticleThe journals of gerontology. Series B, Psychological sciences and social sciences2022
Cohort Trends in the Burden of Multiple Chronic Conditions Among Aging U.S. Adults.
Article in The journals of gerontology. Series B, Psychological sciences and social sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.
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Who cites it
44 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Implementation and effectiveness of advance care planning in hospitalized older adults with chronic heart failure: a mixed-methods systematic review and meta-analysis.Frontiers in medicine · 2025Pooled it
- Age-period-cohort analysis of multimorbidity prevalence among Chinese older adults: from 2002 to 2022.GeroScience · 2026Article
- Your brain doesn't look a day past 70! Cross-sectional associations with brain-predicted age in the cognitively-intact oldest-old.GeroScience · 2026Article
- Mortality Dynamics in Low-Mortality Countries: An Introduction to the Special Issue.European journal of population = Revue europeenne de demographie · 2026Article
- Article
- Trends In Care Needs Among Older US Adults Diverged By Age, 2011-22.Health affairs (Project Hope) · 2026Article
- Two steps forward, one step back: cohort shifts in cognitive function trajectories in aging European populations.The journals of gerontology. Series B, Psychological sciences and social sciences · 2026Article
- The Immune-Autonomic Interface in Aging: Baseline Immune Profile Shapes Cardiac Autonomic Response to Exercise.Aging cell · 2026Article
- Demographic and biosocial determinants of beneficial trends in older adult cognition in the USA and England: the role of cohort succession.International journal of epidemiology · 2026Article
- Multimorbidity trends in Catalonia, 2010-21: a population-based cohort study.International journal of epidemiology · 2026Article
- Editorial: Caregiving for older adults within community settings.Frontiers in public health · 2026Article
- Cold and hot consumption and health outcomes among US Asian and White populations.The British journal of nutrition · 2025Article
- Multi-Morbidity at Death and the US Disadvantage in Mortality.European journal of population = Revue europeenne de demographie · 2025Article
- Disease accumulation across birth cohorts in South Korea.The journals of gerontology. Series B, Psychological sciences and social sciences · 2025Article
- Evolution of shared care networks by race and ethnicity: findings from the National Health and Aging Trends Study.The journals of gerontology. Series B, Psychological sciences and social sciences · 2025Article
- Article
- Impact of multimorbidity on household expenditure in China: evidence from the China health and retirement longitudinal study.BMC public health · 2025Article
- Trends and Risk Factors for the Hospitalization of Older Adults Presenting to Emergency Departments After a Bed-Related Fall: A National Database Analysis.Journal of clinical medicine · 2025Article
- Contribution of chronic conditions to mortality: Differences by race and ethnicity.Aging and health research · 2025Article
- Prevalence of Multiple Chronic Conditions Among Adults in theJMIR formative research · 2025Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
objectivesMultimorbidity, also referred to as multiple chronic conditions (MCCs), is the concurrent presence of 2 or more chronic health conditions. Increasing multimorbidity represents a substantial threat to the health of aging populations. Recent trends suggest greater risk of poor health and mortality among later-born cohorts, yet we are unaware of work examining cohort differences in multimorbidity among aging U.S. adults.
methodsWe examine intercohort variation in MCC burden in adults aged 51 years and older using 20 years (n = 33,598; 1998-2018) of repeated assessment drawn from the Health and Retirement Study. The index of MCCs included 9 chronic conditions (heart disease, hypertension, stroke, diabetes, arthritis, lung disease, cancer excluding skin cancer, high depressive symptoms, and cognitive impairment). We used linear mixed models with various approaches to estimate age/period/cohort effects to model intercohort patterns in MCC burden. We also explored variation in the specific conditions driving cohort differences in multimorbidity.
resultsMore recent cohorts had greater MCC burden and developed multimorbidity at earlier ages than those born to prior generations. The burden of chronic conditions was patterned by life-course sociodemographic factors and childhood health for all cohorts. Among adults with multimorbidity, arthritis and hypertension were the most prevalent conditions for all cohorts, and there was evidence that high depressive symptoms and diabetes contributed to the observed cohort differences in multimorbidity risk. DISCUSSION: Our results suggest increasing multimorbidity burden among more recently born cohorts of aging U.S. adults and should inform policy to address diminishing health in aging populations.
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