Evidence map›Paper›PMID 38753590›Full record

ArticlePopulation studies2025

Multimorbid life expectancy across race, socio-economic status, and sex in South Africa.

Anastasia Lam, Katherine Keenan, Mikko Myrskylä, Hill Kulu

Abstract read
In one paragraph

Article in Population studies, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  2. 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

4 authors.

Anastasia LamUniversity of St Andrews.ORCID 0000-0003-3901-8796
Katherine KeenanUniversity of St Andrews.ORCID 0000-0002-9670-1607
Mikko MyrskyläMax Planck Institute for Demographic Research.ORCID 0000-0003-4995-027X
Hill KuluUniversity of St Andrews.ORCID 0000-0002-7936-8259

Funding

Academy of Medical SciencesDiabetes UKEconomic and Social Research Council GRANT ES/K007394/1European Research Council (ERC) under the European Union’s Horizon 2020 research and innovation programme GRANT AGREEMENT NUMBER 834103MigrantLife projectSt Andrews–Max Planck PhD Studentship in Population Healththe British Heart Foundationthe Global Challenges Research Fund [GRANT NUMBER SBF004\1093UK government’s Department of Business, Energy & Industrial StrategyWellcome Trust
6 · The paper itself

Abstract

Multimorbidity is increasing globally as populations age. However, it is unclear how long individuals live with multimorbidity and how it varies by social and economic factors. We investigate this in South Africa, whose apartheid history further complicates race, socio-economic, and sex inequalities. We introduce the term 'multimorbid life expectancy' (MMLE) to describe the years lived with multimorbidity. Using data from the South African National Income Dynamics Study (2008-17) and incidence-based multistate Markov modelling, we find that females experience higher MMLE than males (17.3 vs 9.8 years), and this disparity is consistent across all race and education groups. MMLE is highest among Asian/Indian people and the post-secondary educated relative to other groups and lowest among African people. These findings suggest there are associations between structural inequalities and MMLE, highlighting the need for health-system and educational policies to be implemented in a way proportional to each group's level of need.

Indexed as

Life ExpectancyMultimorbidityRacial GroupsSocial ClassAdolescentAdultAgedFemaleHealth Status DisparitiesHumansMaleMarkov ChainsMiddle AgedSex FactorsSocioeconomic FactorsSouth Africacumulative advantagehealth expectancyinequalitiesintersectionalitylife expectancymultimorbidityracesexsocio-economic statusSouth Africa

Identifiers

PMID38753590
PMCPMC11956785

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.