Abstract:
BACKGROUND:No clear synthesis of evidence examining household and area-level social determinants of multimorbidity exists. This study aimed to systematically review the existing literature on associations between household and area-level social determinants of health (SDoH) and multimorbidity prevalence or incidence in the general population. METHODS:Six databases (MedLine, EMBASE, PsychINFO, Web of Science, CINAHL Plus and Scopus) were searched. The search was limited to peer-reviewed studies conducted in high-income countries and published in English between 2010 and 2019. A second reviewer screened all titles with abstracts and a subset of full texts. Study quality was assessed and protocol pre-registered (CRD42019135281). RESULTS:41 studies spanning North America, Europe and Australasia were included. Household income and area-level deprivation were the most explored with fairly consistent findings. The odds of multimorbidity were up to 4.4 times higher for participants with the lowest level of income compared with the highest level. Those living in the most deprived areas had the highest prevalence or incidence of multimorbidity (pooled OR 1.42, 95% CI 1.41 to 1.42). Associations between deprivation and multimorbidity differed by age and multimorbidity type. Findings from the few studies investigating household tenure, household composition and area-level rurality were mixed and contradictory; homeownership and rurality were associated with increased and decreased multimorbidity, while living alone was found to be associated with a higher risk of multimorbidity and not associated. CONCLUSION:Improving our understanding of broader social determinants of multimorbidity-particularly at the household level-could help inform strategies to tackle multimorbidity.
journal_name
J Epidemiol Community Healthjournal_title
Journal of epidemiology and community healthauthors
Ingram E,Ledden S,Beardon S,Gomes M,Hogarth S,McDonald H,Osborn DP,Sheringham Jdoi
10.1136/jech-2020-214691subject
Has Abstractpub_date
2020-11-06 00:00:00eissn
0143-005Xissn
1470-2738pii
jech-2020-214691pub_type
杂志文章,评审abstract:STUDY OBJECTIVE:To determine the validity of a self administered physical activity questionnaire to be used as part of a screening device for postmenopausal osteopaenia (with additional questions on medical history and calcium intake). DESIGN:A questionnaire was posted to 86 perimenopausal women to enquire about weekl...
journal_title:Journal of epidemiology and community health
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abstract:BACKGROUND:School systems are increasingly typified by diversity of provision, parental choice and publication of performance data. Schools shape their students' lifestyles and health, but the effects of 'marketisation' are under-researched. The authors use qualitative data to develop a logic model regarding such effec...
journal_title:Journal of epidemiology and community health
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journal_title:Journal of epidemiology and community health
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更新日期:1983-06-01 00:00:00
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journal_title:Journal of epidemiology and community health
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journal_title:Journal of epidemiology and community health
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abstract:STUDY OBJECTIVE:To investigate the association of sexual problems with social, physical, and psychological problems. DESIGN:An anonymous postal questionnaire survey. SETTING:Four general practices in England. PARTICIPANTS:789 men and 979 women responding to a questionnaire sent to a stratified random sample of the a...
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更新日期:1999-03-01 00:00:00
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更新日期:1992-10-01 00:00:00
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journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,评审
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pub_type: 杂志文章
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更新日期:2007-09-01 00:00:00
abstract:BACKGROUND:Evidence from longitudinal studies on the influence of neighbourhood socioeconomic factors in older age on cardiovascular disease (CVD) mortality is limited. We aimed to investigate the prospective association of neighbourhood-level deprivation in later life with CVD mortality, and assess the underlying role...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
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更新日期:2015-12-01 00:00:00
abstract:BACKGROUND:Despite the implementation of policy interventions to address open drug consumption, public injecting continues to occur in many urban settings. This study sought to examine public injecting among a community-recruited cohort of injecting drug users (IDUs) in Vancouver. METHODS:The prevalence and correlates...
journal_title:Journal of epidemiology and community health
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更新日期:2009-01-01 00:00:00
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更新日期:2015-01-01 00:00:00
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journal_title:Journal of epidemiology and community health
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更新日期:2002-02-01 00:00:00
abstract::From 1969 to the end of 1983 in Norway, dementia was coded as the underlying cause of death from 2058 death certificates, and as a contributory cause from 19,459. This is 3.56% of the total number of deaths. It seems that a considerable proportion of dementia cases are noted on death certificates in Norway. Death rate...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.43.3.285
更新日期:1989-09-01 00:00:00