Evidence map›Paper›PMID 39917378›Full record

ArticleFrontiers in psychiatry2024

Can social adversity and mental, physical and oral multimorbidity form a syndemic? A concept and protocol paper.

Easter Joury, Eliana Nakhleh, Ed Beveridge, Derek Tracy, Ellie Heidari, David Shiers, Silke Vereeken, Emily Peckham, Simon Gilbody, Jayati Das-Munshi and 5 more

Abstract read
In one paragraph

Article in Frontiers in psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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. Article
  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

15 authors.

Easter JouryCentre for Dental Public Health and Primary Care, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom.
Eliana NakhlehHomerton College, University of Cambridge, Cambridge, United Kingdom.
Ed BeveridgeUCLPartners, London, United Kingdom.
Derek TracyWest London National Health Service (NHS) Trust, London, United Kingdom.
Ellie HeidariFaculty of Dentistry, Oral & Craniofacial Sciences King' College London, London, United Kingdom.
David ShiersGreater Manchester Mental Health National Health Service (NHS) Foundation Trust, Manchester, United Kingdom.
Silke VereekenDepartment of Health Sciences, Hull York Medical School, University of York, York, United Kingdom.
Emily PeckhamSchool of Health Sciences, Bangor University, Gwynedd, United Kingdom.
Simon GilbodyDepartment of Health Sciences, Hull York Medical School, University of York, York, United Kingdom.
Jayati Das-MunshiDepartment of Psychological Medicine, Institute of Psychiatry, Psychology, and Neuroscience, King's College London, London, United Kingdom.
Farida FortuneCentre for Clinical and Diagnostic Oral Sciences, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom.
Vishal R AggarwalSchool of Dentistry, University of Leeds, Leeds, United Kingdom.
Masuma MishuDepartment of Health Sciences, Hull York Medical School, University of York, York, United Kingdom.
Joseph FirthDivision of Psychology and Mental Health, University of Manchester, Manchester Academic Health Science Centre, Manchester, United Kingdom.
Kamaldeep BhuiDepartment of Psychiatry, Nuffield Department of Primary Care Health Science, University of Oxford, Oxford, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Clustering mental, physical and oral conditions reduce drastically the life expectancy. These conditions are precipitated and perpetuated by adverse social, economic, environmental, political and healthcare contextual factors, and sustained through bidirectional interactions forming potentially a 'syndemic'. No previous study has investigated such potential syndemic. Thus, the present project aimed to (i) test for syndemic interactions between social adversity (socioeconomic adversity and traumatic events) and mental, physical and oral multimorbidity using the syndemic theoretical framework; and (ii) determine whether the syndemic relationships vary by age, sex and ethnicity. Methods: Data from three large-scale population-based databases: UK BioBank, US National Health and Nutrition Examination Survey (NHANES) and the Research with East London Adolescents Community Health Survey (RELACHS) will be analysed. Structural equation modelling (SEM) will be utilised to conceptualise syndemic factors and model complex relationships between directly observed and indirectly observed (latent) variables (syndemic constructs). Discussion: the syndemic conceptualisation provides a valuable framework to understand health and illness, and hence to better design and deliver effective and cost-effective preventative and curative integrated (syndemic) care to improve patient and population health. Such syndemic care aims to address the social determinants of health, whilst simultaneously managing all interlocked conditions.

Indexed as

conceptualisationdental diseaseshealth equityintegrated caremental disordersmethodologyphysical conditionssyndemics

Identifiers

PMID39917378
PMCPMC11799670

What OpenQuestion holds

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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.