Multimorbidity patterns and disability and healthcare use in Europe: do the associations change with the regional socioeconomic status?
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...
| Publicado en: | European Journal of Ageing Vol. 21; no. 1; pp. 1 - 11 |
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| Autores principales: | , , , |
| Formato: | Artículo |
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Springer Nature
2024
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=174578088&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 174578088 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 16139372 3RAL jtl: European Journal of Ageing issn: 16139372 maglogo: N pubinfo: dt: 2024 vid: 21 iid: 1 pid: 237 pub: Springer Nature artinfo: ui: 174578088 10.1007/s10433-023-00795-6 ppf: 1 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P size: 1.2MB tig: atl: Multimorbidity patterns and disability and healthcare use in Europe: do the associations change with the regional socioeconomic status? aug: au: Zacarías-Pons, Lluís Turró-Garriga, Oriol Saez, Marc Garre-Olmo, Josep affil: Research Group on Aging, Disability and Health, Girona Biomedical Research Institute (IDIBGI), Girona, Catalonia, Spain Glòria Compte Research Institute, Fundació Salut Empordà, Figueres, Girona, Spain https://ror.org/01xdxns91 Research Group on Statistics, Econometrics and Health (GRECS), University of Girona, Girona, Spain CIBER of Epidemiology and Public Health (CIBERESP), Madrid, Spain https://ror.org/01xdxns91 Serra-Húnter Professor, Department of Nursing, University of Girona, Girona, Spain su: Europe Chronic diseases Life expectancy Self-evaluation Medical care Patients' attitudes Social classes Aging Quality of life Hospital care People with disabilities Retirement Structural equation modeling Disability determination Questionnaires Descriptive statistics Research funding Comorbidity sug: subj: Chronic diseases Life expectancy Self-evaluation Medical care Patients' attitudes Social classes Aging Quality of life Hospital care People with disabilities Retirement Europe Structural equation modeling Disability determination Questionnaires Descriptive statistics Research funding Comorbidity keyword: Aged Health inequities Latent class analysis Multimorbidity Aged Health inequities Latent class analysis Multimorbidity ab: 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. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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