Evidence map›Paper›PMID 36220313›Full record

ArticleBMJ open2022

Epidemiology of physical-mental multimorbidity and its impact among Aboriginal and Torres Strait Islander in Australia: a cross-sectional analysis of a nationally representative sample.

William Carman, Marie Ishida, Justin S Trounson, Stewart W Mercer, Kanya Anindya, Grace Sum, Gregory Armstrong, Brian Oldenburg, Barbara McPake, John Tayu Lee

Abstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. The Australian and New Zealand journal of psychiatry · 2026
    Guideline
  2. Article
  3. Observational
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Multimorbidity and health-related quality of life amongst Indigenous Australians: A longitudinal analysis.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024
    Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

William Carman *Nossal Institute for Global Health, The University of Melbourne, Melbourne, Victoria, Australia.
Marie Ishida *Nossal Institute for Global Health, The University of Melbourne, Melbourne, Victoria, Australia ishida.m@unimelb.edu.au.ORCID 0000-0003-1212-9330
Justin S TrounsonCentre for Forensic Behavioural Science, Swinburne University of Technology, Hawthorn, Victoria, Australia.
Stewart W MercerThe Usher Institute of Population Health Sciences and Informatics, The University of Edinburgh, Edinburgh, UK.ORCID 0000-0002-1703-3664
Kanya AnindyaNossal Institute for Global Health, The University of Melbourne, Melbourne, Victoria, Australia.ORCID 0000-0001-6832-0412
Grace SumSaw Swee Hock School of Public Health, National University Singapore, Singapore.
Gregory ArmstrongNossal Institute for Global Health, The University of Melbourne, Melbourne, Victoria, Australia.ORCID 0000-0002-8073-9213
Brian OldenburgNossal Institute for Global Health, The University of Melbourne, Melbourne, Victoria, Australia.
Barbara McPakeNossal Institute for Global Health, The University of Melbourne, Melbourne, Victoria, Australia.
John Tayu LeeNossal Institute for Global Health, The University of Melbourne, Melbourne, Victoria, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aimed to examine the differences in multimorbidity between Aboriginal and Torres Strait Islander people and non-Indigenous Australians, and the effect of multimorbidity on health service use and work productivity.

settingCross-sectional sample of the Household, Income and Labour Dynamics in Australia wave 17.

participantsA nationally representative sample of 16 749 respondents aged 18 years and above. OUTCOME MEASURES: Multimorbidity prevalence and pattern, self-reported health, health service use and employment productivity by Indigenous status.

resultsAboriginal respondents reported a higher prevalence of multimorbidity (24.2%) compared with non-Indigenous Australians (20.7%), and the prevalence of mental-physical multimorbidity was almost twice as high (16.1% vs 8.1%). Multimorbidity pattern varies significantly among the Aboriginal and non-Indigenous Australians. Multimorbidity was associated with higher health service use (any overnight admission: adjusted OR=1.52, 95% CI=1.46 to 1.58), reduced employment productivity (days of sick leave: coefficient=0.25, 95% CI=0.19 to 0.31) and lower perceived health status (SF6D score: coefficient=-0.04, 95% CI=-0.05 to -0.04). These associations were found to be comparable in both Aboriginal and non-Indigenous populations.

conclusionsMultimorbidity prevalence was significantly greater among Aboriginal and Torres Strait Islanders compared with the non-Indigenous population, especially mental-physical multimorbidity. Strategies are required for better prevention and management of multimorbidity for the aboriginal population to reduce health inequalities in Australia.

Indexed as

Australian Aboriginal and Torres Strait Islander PeoplesMultimorbidityAustraliaCross-Sectional StudiesHumansEpidemiologyHealth economicsHealth policyHEALTH SERVICES ADMINISTRATION & MANAGEMENTPublic health

Identifiers

PMID36220313
PMCPMC9557280

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Registered trials

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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.