ArticleBMC public health2022
Burden, patterns, and impact of multimorbidity in North India: findings from a rural population-based study.
Article in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 18 citations in OpenAlex.
- The bidirectional relationships among multimorbidity, depression, and catastrophic health expenditures in middle-aged and older Chinese adults: random-intercept, cross-lagged panel model.BMC public health · 2026Article
- Frequency of diseases and use of medicinal plants in adults in a rural Peruvian community.Frontiers in public health · 2026Article
- Prevalence, patterns and associated behavioural risk factors of multimorbidity in rural India: Cross-sectional analysis from the Andhra Pradesh Children and Parents Study (APCAPS).PLOS global public health · 2026Article
- Prevalence, incidence, risk factors and economic burden in multimorbidity among adult Indians: the MILAN cohort study protocol.BMJ open · 2025Article
- Multimorbidity and its correlates in middle-aged and older adults in a city of North India.Journal of family medicine and primary care · 2025Article
- Article
- Regional variations in antimicrobial susceptibility of community-acquired uropathogenicIJID regions · 2024Article
- Prevalence and correlates of multimorbidity among patients attending AYUSH primary care settings in Delhi-National Capital Region, India.BMC complementary medicine and therapies · 2023Article
- Epidemiology of multimorbidity in low-income countries of sub-Saharan Africa: Findings from four population cohorts.PLOS global public health · 2023Article
- Patterns of multimorbidity among a community-based cohort in rural India.Journal of multimorbidity and comorbidityArticle
- Overview of multimorbidity research in India: A scoping review.Journal of multimorbidity and comorbidityReview
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Authors and funding
8 authors at 4 institutions in 2 countries.
Funding
Abstract
aimTo estimate the prevalence, socio-demographic determinants, common disease combinations, and health impact of multimorbidity among a young rural population.
methodsWe conducted a cross-sectional survey among participants aged ≥30 years in rural Punjab, North India, from Jan 2019 to April 2019. Multimorbidity was defined as the coexistence of ≥two conditions using a 14-condition tool validated in India. We also calculated a multimorbidity-weighted index (MWI), which provides a weight to each disease based on its impact on physical functioning. Logistic regression was conducted to evaluate the association with sociodemographic variables, mental health (PHQ-9), physical functioning (ADL scale), and self-rated health (SRH).
resultsWe analyzed data from 3213 adults [Mean age 51.5 (±13), 54% women]. Prevalence of single chronic condition, multimorbidity, and MWI was 28.6, 18% and - 1.9 respectively. Age, higher wealth index and ever use alcohol were significantly associated with multimorbidity. Overall, 2.8% of respondents had limited physical functioning, 2.1% had depression, and 61.5% reported low SRH. Poorer health outcomes were more prevalent among the elderly, women, less educated, and those having lower wealth index and multimorbidity, were found to be significantly associated with poor health outcomes.
conclusionsThe burden of multimorbidity was high in this young rural population, which portends significant adverse effects on their health and quality of life. The Indian health system should be reconfigured to address this emerging health priority holistically, by adopting a more integrated and sustainable model of care.
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