Evidence map›Paper›PMID 42099564›Full record

ReviewJournal of multimorbidity and comorbidity

Childhood socioeconomic disadvantage and adult multimorbidity: A systematic review and meta-analysis.

Philip Broadbent, Alistair Carr, Erik Igelström, Valerie Wells, Anna Pearce, Daniel Kopasker, Srinivasa Vittal Katikireddi

Abstract readReview
In one paragraph

Review in Journal of multimorbidity and comorbidity. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Philip BroadbentSchool of Health and Wellbeing, University of Glasgow, Glasgow, UK.ORCID https://orcid.org/0000-0003-0403-7380
Alistair CarrSchool of Health and Wellbeing, University of Glasgow, Glasgow, UK.ORCID https://orcid.org/0000-0002-3497-1943
Erik IgelströmSchool of Health and Wellbeing, University of Glasgow, Glasgow, UK.ORCID https://orcid.org/0000-0002-2863-4983
Valerie WellsSchool of Health and Wellbeing, University of Glasgow, Glasgow, UK.ORCID https://orcid.org/0000-0002-7283-6208
Anna PearceSchool of Health and Wellbeing, University of Glasgow, Glasgow, UK.ORCID https://orcid.org/0000-0003-0085-5263
Daniel KopaskerSchool of Health and Wellbeing, University of Glasgow, Glasgow, UK.ORCID https://orcid.org/0000-0002-2636-8431
Srinivasa Vittal KatikireddiSchool of Health and Wellbeing, University of Glasgow, Glasgow, UK.ORCID https://orcid.org/0000-0001-6593-9092

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Childhood socioeconomic disadvantage is linked to individual chronic diseases in adulthood, but its relationship with multimorbidity remains unclear. Understanding this is crucial for informing prevention strategies and the economic case for investment. This review and meta-analysis evaluated the association between childhood disadvantage and adult multimorbidity. Methods: Following pre-registration (PROSPERO: CRD42024588657), we searched MEDLINE, SocIndex, ASSIA, and ProQuest Public Health to March 2025 for studies assessing childhood socioeconomic circumstances (SECs) and adult multimorbidity (≥2 chronic conditions). Risk of bias was assessed using ROBINS-E and evidence certainty using GRADE. Random-effects meta-analysis and synthesis without meta-analysis (SWiM) were conducted. Subgroup analyses explored heterogeneity by region, design, and exposure type. Results: From 5,617 records, 10 studies met inclusion criteria. Most were cross-sectional, using retrospective reports of exposure and self-reported outcomes. Exposures included perceived childhood economic adversity (n=6), parental education (n=4), parental occupation (n=1), and composite measures (n=3). Meta-analyses found no clear associations for perceived adversity (OR 1.08, 95% CI 0.87-1.23; I Conclusions: Evidence for an association between childhood socioeconomic disadvantage and adult multimorbidity is limited and uncertain. Findings suggest possible harmful effects but remain constrained by methodological weaknesses and heterogeneity. High-quality longitudinal studies with standardised multimorbidity definitions are needed.

Indexed as

childhood povertyhealth inequalitiesmultimorbiditysocioeconomic circumstances

Identifiers

PMID42099564
PMCPMC13145020

What OpenQuestion holds

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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.