Multimorbidity patterns and disability and healthcare use in Europe: do the associations change with the regional socioeconomic status?
dc.contributor.author
dc.date.accessioned
2024-09-26T11:10:55Z
dc.date.available
2024-09-26T11:10:55Z
dc.date.issued
2024-01-03
dc.identifier.issn
1613-9372
dc.identifier.uri
dc.description.abstract
Multimorbidity, the concurrence of several chronic conditions, is a rising concern that increases the years lived with disability and poses a burden on healthcare systems. Little is known on how it interacts with socioeconomic deprivation, previously associated with poor health-related outcomes. We aimed to characterize the association between multimorbidity and these outcomes and how this relationship may change with socioeconomic development of regions. 55,915 individuals interviewed in 2017 were drawn from the Survey of Health, Ageing and Retirement in Europe, a population-based study. A Latent Class Analysis was conducted to fit multimorbidity patterns based on 16 self-reported conditions. Physical limitation, quality-of-life and healthcare utilization outcomes were regressed on those patterns adjusting for additional covariates. Those analyses were then extended to assess whether such associations varied with the region socioeconomic status. We identified six different patterns, labelled according to their more predominant chronic conditions. After the “healthy” class, the “metabolic” and the “osteoarticular” classes had the best outcomes involving limitations and the lowest healthcare utilization. The “neuro-affective-ulcer” and the “several conditions” classes yielded the highest probabilities of physical limitation, whereas the “cardiovascular” group had the highest probability of hospitalization. The association of multimorbidity over physical limitations appeared to be stronger when living in a deprived region, especially for metabolic and osteoarticular conditions, whereas no major effect differences were found for healthcare use. Multimorbidity groups do differentiate in terms of limitation and healthcare utilization. Such differences are exacerbated with socioeconomic inequities between regions even within Europe
dc.format.mimetype
application/pdf
dc.language.iso
eng
dc.publisher
Springer
dc.relation.isformatof
Reproducció digital del document publicat a: https://doi.org/10.1007/s10433-023-00795-6
dc.relation.ispartof
European Journal of Ageing, 2024, vol. 21, art. núm. 1
dc.relation.ispartofseries
Articles publicats (D-EC)
dc.rights
Attribution 4.0 International
dc.rights.uri
dc.subject
dc.title
Multimorbidity patterns and disability and healthcare use in Europe: do the associations change with the regional socioeconomic status?
dc.type
info:eu-repo/semantics/article
dc.rights.accessRights
info:eu-repo/semantics/openAccess
dc.type.version
info:eu-repo/semantics/publishedVersion
dc.identifier.doi
dc.identifier.idgrec
037776
dc.type.peerreviewed
peer-reviewed
dc.identifier.eissn
1613-9380
dc.description.ods
3. Good Health and Well-being
dc.identifier.PMID
38170397
dc.identifier.PMCID
PMC10764705