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Rising burden of multimorbidity and related socio-demographic factors: a repeated cross-sectional study of Ontarians
OBJECTIVE: This study aimed to provide population-level data regarding trends in multimorbidity over 13 years. METHODS: We linked provincial health administrative data in Ontario, Canada, to create 3 cross-sectional panels of residents of any age in 2003, 2009, and 2016 to describe: (i) 13-year tren...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8043089/ https://www.ncbi.nlm.nih.gov/pubmed/33847995 http://dx.doi.org/10.17269/s41997-021-00474-y |
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author | Kone, Anna Pefoyo Mondor, Luke Maxwell, Colleen Kabir, Umme Saika Rosella, Laura C. Wodchis, Walter P. |
author_facet | Kone, Anna Pefoyo Mondor, Luke Maxwell, Colleen Kabir, Umme Saika Rosella, Laura C. Wodchis, Walter P. |
author_sort | Kone, Anna Pefoyo |
collection | PubMed |
description | OBJECTIVE: This study aimed to provide population-level data regarding trends in multimorbidity over 13 years. METHODS: We linked provincial health administrative data in Ontario, Canada, to create 3 cross-sectional panels of residents of any age in 2003, 2009, and 2016 to describe: (i) 13-year trends in multimorbidity prevalence and constellations among residents and across age, sex, and income; and (ii) chronic condition clusters. Multimorbidity was defined as having at least any 2 of 18 selected conditions, and further grouped into levels of 2, 3, 4, or 5 or more conditions. Age-sex standardized multimorbidity prevalence was estimated using the 2009 population as the standard. Clustering was defined using the observed combinations of conditions within levels of multimorbidity. RESULTS: Standardized prevalence of multimorbidity increased over time (26.5%, 28.8%, and 30.0% across sequential panels), across sex, age, and area-based income. Females, older adults and those living in lower income areas exhibited higher rates in all years. However, multimorbidity increased relatively more among males, younger adults, and those with 4 or 5 or more conditions. We observed numerous and increasing diversity in disease clusters, namely at higher levels of multimorbidity. CONCLUSION: Our study provides relevant and needed population-based information on the growing burden of multimorbidity, and related socio-demographic risk factors. Multimorbidity is markedly increasing among younger age cohorts. Also, there is an increasing complexity and lack of common clustering patterns at higher multimorbidity levels. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.17269/s41997-021-00474-y. |
format | Online Article Text |
id | pubmed-8043089 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-80430892021-04-14 Rising burden of multimorbidity and related socio-demographic factors: a repeated cross-sectional study of Ontarians Kone, Anna Pefoyo Mondor, Luke Maxwell, Colleen Kabir, Umme Saika Rosella, Laura C. Wodchis, Walter P. Can J Public Health Quantitative Research OBJECTIVE: This study aimed to provide population-level data regarding trends in multimorbidity over 13 years. METHODS: We linked provincial health administrative data in Ontario, Canada, to create 3 cross-sectional panels of residents of any age in 2003, 2009, and 2016 to describe: (i) 13-year trends in multimorbidity prevalence and constellations among residents and across age, sex, and income; and (ii) chronic condition clusters. Multimorbidity was defined as having at least any 2 of 18 selected conditions, and further grouped into levels of 2, 3, 4, or 5 or more conditions. Age-sex standardized multimorbidity prevalence was estimated using the 2009 population as the standard. Clustering was defined using the observed combinations of conditions within levels of multimorbidity. RESULTS: Standardized prevalence of multimorbidity increased over time (26.5%, 28.8%, and 30.0% across sequential panels), across sex, age, and area-based income. Females, older adults and those living in lower income areas exhibited higher rates in all years. However, multimorbidity increased relatively more among males, younger adults, and those with 4 or 5 or more conditions. We observed numerous and increasing diversity in disease clusters, namely at higher levels of multimorbidity. CONCLUSION: Our study provides relevant and needed population-based information on the growing burden of multimorbidity, and related socio-demographic risk factors. Multimorbidity is markedly increasing among younger age cohorts. Also, there is an increasing complexity and lack of common clustering patterns at higher multimorbidity levels. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.17269/s41997-021-00474-y. Springer International Publishing 2021-04-13 /pmc/articles/PMC8043089/ /pubmed/33847995 http://dx.doi.org/10.17269/s41997-021-00474-y Text en © The Canadian Public Health Association 2021, corrected publication 2021 |
spellingShingle | Quantitative Research Kone, Anna Pefoyo Mondor, Luke Maxwell, Colleen Kabir, Umme Saika Rosella, Laura C. Wodchis, Walter P. Rising burden of multimorbidity and related socio-demographic factors: a repeated cross-sectional study of Ontarians |
title | Rising burden of multimorbidity and related socio-demographic factors: a repeated cross-sectional study of Ontarians |
title_full | Rising burden of multimorbidity and related socio-demographic factors: a repeated cross-sectional study of Ontarians |
title_fullStr | Rising burden of multimorbidity and related socio-demographic factors: a repeated cross-sectional study of Ontarians |
title_full_unstemmed | Rising burden of multimorbidity and related socio-demographic factors: a repeated cross-sectional study of Ontarians |
title_short | Rising burden of multimorbidity and related socio-demographic factors: a repeated cross-sectional study of Ontarians |
title_sort | rising burden of multimorbidity and related socio-demographic factors: a repeated cross-sectional study of ontarians |
topic | Quantitative Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8043089/ https://www.ncbi.nlm.nih.gov/pubmed/33847995 http://dx.doi.org/10.17269/s41997-021-00474-y |
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