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Social determinants of multimorbidity patterns: A systematic review
Social determinants of multimorbidity are poorly understood in clinical practice. This review aims to characterize the different multimorbidity patterns described in the literature while identifying the social and behavioral determinants that may affect their emergence and subsequent evolution. We s...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10084932/ https://www.ncbi.nlm.nih.gov/pubmed/37050950 http://dx.doi.org/10.3389/fpubh.2023.1081518 |
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author | Álvarez-Gálvez, Javier Ortega-Martín, Esther Carretero-Bravo, Jesús Pérez-Muñoz, Celia Suárez-Lledó, Víctor Ramos-Fiol, Begoña |
author_facet | Álvarez-Gálvez, Javier Ortega-Martín, Esther Carretero-Bravo, Jesús Pérez-Muñoz, Celia Suárez-Lledó, Víctor Ramos-Fiol, Begoña |
author_sort | Álvarez-Gálvez, Javier |
collection | PubMed |
description | Social determinants of multimorbidity are poorly understood in clinical practice. This review aims to characterize the different multimorbidity patterns described in the literature while identifying the social and behavioral determinants that may affect their emergence and subsequent evolution. We searched PubMed, Embase, Scopus, Web of Science, Ovid MEDLINE, CINAHL Complete, PsycINFO and Google Scholar. In total, 97 studies were chosen from the 48,044 identified. Cardiometabolic, musculoskeletal, mental, and respiratory patterns were the most prevalent. Cardiometabolic multimorbidity profiles were common among men with low socioeconomic status, while musculoskeletal, mental and complex patterns were found to be more prevalent among women. Alcohol consumption and smoking increased the risk of multimorbidity, especially in men. While the association of multimorbidity with lower socioeconomic status is evident, patterns of mild multimorbidity, mental and respiratory related to middle and high socioeconomic status are also observed. The findings of the present review point to the need for further studies addressing the impact of multimorbidity and its social determinants in population groups where this problem remains invisible (e.g., women, children, adolescents and young adults, ethnic groups, disabled population, older people living alone and/or with few social relations), as well as further work with more heterogeneous samples (i.e., not only focusing on older people) and using more robust methodologies for better classification and subsequent understanding of multimorbidity patterns. Besides, more studies focusing on the social determinants of multimorbidity and its inequalities are urgently needed in low- and middle-income countries, where this problem is currently understudied. |
format | Online Article Text |
id | pubmed-10084932 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-100849322023-04-11 Social determinants of multimorbidity patterns: A systematic review Álvarez-Gálvez, Javier Ortega-Martín, Esther Carretero-Bravo, Jesús Pérez-Muñoz, Celia Suárez-Lledó, Víctor Ramos-Fiol, Begoña Front Public Health Public Health Social determinants of multimorbidity are poorly understood in clinical practice. This review aims to characterize the different multimorbidity patterns described in the literature while identifying the social and behavioral determinants that may affect their emergence and subsequent evolution. We searched PubMed, Embase, Scopus, Web of Science, Ovid MEDLINE, CINAHL Complete, PsycINFO and Google Scholar. In total, 97 studies were chosen from the 48,044 identified. Cardiometabolic, musculoskeletal, mental, and respiratory patterns were the most prevalent. Cardiometabolic multimorbidity profiles were common among men with low socioeconomic status, while musculoskeletal, mental and complex patterns were found to be more prevalent among women. Alcohol consumption and smoking increased the risk of multimorbidity, especially in men. While the association of multimorbidity with lower socioeconomic status is evident, patterns of mild multimorbidity, mental and respiratory related to middle and high socioeconomic status are also observed. The findings of the present review point to the need for further studies addressing the impact of multimorbidity and its social determinants in population groups where this problem remains invisible (e.g., women, children, adolescents and young adults, ethnic groups, disabled population, older people living alone and/or with few social relations), as well as further work with more heterogeneous samples (i.e., not only focusing on older people) and using more robust methodologies for better classification and subsequent understanding of multimorbidity patterns. Besides, more studies focusing on the social determinants of multimorbidity and its inequalities are urgently needed in low- and middle-income countries, where this problem is currently understudied. Frontiers Media S.A. 2023-03-27 /pmc/articles/PMC10084932/ /pubmed/37050950 http://dx.doi.org/10.3389/fpubh.2023.1081518 Text en Copyright © 2023 Álvarez-Gálvez, Ortega-Martín, Carretero-Bravo, Pérez-Muñoz, Suárez-Lledó and Ramos-Fiol. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Public Health Álvarez-Gálvez, Javier Ortega-Martín, Esther Carretero-Bravo, Jesús Pérez-Muñoz, Celia Suárez-Lledó, Víctor Ramos-Fiol, Begoña Social determinants of multimorbidity patterns: A systematic review |
title | Social determinants of multimorbidity patterns: A systematic review |
title_full | Social determinants of multimorbidity patterns: A systematic review |
title_fullStr | Social determinants of multimorbidity patterns: A systematic review |
title_full_unstemmed | Social determinants of multimorbidity patterns: A systematic review |
title_short | Social determinants of multimorbidity patterns: A systematic review |
title_sort | social determinants of multimorbidity patterns: a systematic review |
topic | Public Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10084932/ https://www.ncbi.nlm.nih.gov/pubmed/37050950 http://dx.doi.org/10.3389/fpubh.2023.1081518 |
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