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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...

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Autores principales: Álvarez-Gálvez, Javier, Ortega-Martín, Esther, Carretero-Bravo, Jesús, Pérez-Muñoz, Celia, Suárez-Lledó, Víctor, Ramos-Fiol, Begoña
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
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.
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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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