Multimorbidity is associated with the income, education, employment and health domains of area-level deprivation in adult residents in the UK.
Multimorbidity is associated with the income, education, employment and health domains of area-level deprivation in adult residents in the UK.
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在英国，多重死亡与收入、教育、就业和健康领域的地区一级剥夺有关。
DOI：
10.1038/s41598-022-11310-9
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发表时间：
2022-05-04
影响因子：
4.6
通讯作者：
中科院分区：
文献类型：
--
作者：
有证据表明，在多重贫困中存在着社会不平等，最近的一项审查表明，贫困地区的水平始终与更高的多重贫困水平有关。多发病的定义，其中最常见的是一个以上的长期条件的共同发生，可以包括长期的身体状况，心理健康状况或两者兼而有之。在英格兰和威尔士，最常用的贫困衡量标准是多重贫困指数（IMD），这是一个包含七个不同贫困领域的指数。尚不清楚IMD的哪些特征可能介导与多发性硬化的关联。因此，由于生活在贫困地区的人的个人特点、这些地区本身的特点或定义上的重叠，可能会有关联。来自理解社会（第10波，1/2018-3/2020）的25，000多名参与者（16岁以上）的数据被用来了解与IMD相关的多Morphism的最显著特征，以及身体或精神状况是否与IMD的七个领域有差异。24%的参与者报告多项死亡。与最不受剥夺的十分位数（16%，95% CI[14，18]）相比，最受剥夺的十分位数（22%，95% CI[19，25]）中仅由长期身体状况组成的多重死亡的患病率增加。精神健康症状，但不报告的条件不同的十分位的IMD。与多民族的联系仅限于IMD的健康、收入、教育和就业领域。我们的结论是，多莫尔是一个巨大的人口负担，特别是在英格兰和威尔士最贫困的地区。
Evidence suggests that there are social inequalities in multimorbidity, with a recent review indicating that area levels of deprivation are consistently associated with greater levels of multimorbidity. Definitions of multimorbidity, the most common of which is the co-occurrence of more than one long term condition, can include long term physical conditions, mental health conditions or both. The most commonly used measure of deprivation in England and Wales is the Index of Multiple Deprivation (IMD), an index of seven different deprivation domains. It is unclear which features of IMD may be mediating associations with multimorbidity. Thus, there may be associations because of the individual characteristics of those living in deprived areas, characteristics of the areas themselves or overlap in definitions. Data from over 25,000 participants (aged 16+) of Understanding Society (Wave 10, 1/2018–3/2020) were used to understand the most salient features of multimorbidity associated with IMD and whether physical or mental conditions are differentially associated with the seven domains of IMD. 24% of participants report multimorbidity. There is an increased prevalence of multimorbidity composed of only long-term physical conditions in the most deprived decile of deprivation (22%, 95% CI[19,25]) compared to the least deprived decile (16%, 95% CI[14,18]). Mental health symptoms but not reporting of conditions vary by decile of IMD. Associations with multimorbidity are limited to the health, income, education and employment domains of IMD. We conclude that multimorbidity represents a substantial population burden, particularly in the most deprived areas in England and Wales.
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影响因子：
3.2
作者：
Galster, George;Hedman, Lina
通讯作者：
Hedman, Lina
影响因子：
2.2
作者：
O'Halloran, J;Miller, GC;Britt, H
通讯作者：
Britt, H
DOI：
10.3399/bjgp18x695465
发表时间：
2018-04
期刊：
The British journal of general practice : the journal of the Royal College of General Practitioners
影响因子：
--
作者：
Cassell A;Edwards D;Harshfield A;Rhodes K;Brimicombe J;Payne R;Griffin S
通讯作者：
Griffin S
影响因子：
4.4
作者：
Adams, J.;White, M.
通讯作者：
White, M.
影响因子：
3.3
作者：
Foster, Stephen;O'Mealey, Molly
通讯作者：
O'Mealey, Molly