Multimorbidity - Not just an older person's issue. Results from an Australian biomedical study

Anne W. Taylor, Kay Price, Tiffany K. Gill, Robert Adams, Rhiannon Pilkington, Natalie Carrangis, Zumin Shi, David Wilson

Research output: Contribution to journalArticlepeer-review

134 Citations (Scopus)

Abstract

Background: Multimorbidity, the simultaneous occurrence of two or more chronic conditions, is usually associated with older persons. This research assessed multimorbidity across a range of ages so that planners are informed and appropriate prevention programs, management strategies and health service/health care planning can be implemented. Methods. Multimorbidity was assessed across three age groups from data collected in a major biomedical cohort study (North West Adelaide Health Study). Using randomly selected adults, diabetes, asthma, and chronic obstructive pulmonary disease were determined clinically and cardio-vascular disease, osteoporosis, arthritis and mental health by self-report (ever been told by a doctor). A range of demographic, social, risk and protective factors including high blood pressure and high cholesterol (assessed bio-medically), health service use, quality of life and medication use (linked to government records) were included in the multivariate modelling. Results. Overall 4.4% of the 20-39 year age group, 15.0% of the 40-59 age group and 39.2% of those aged 60 years of age or older had multimorbidity (17.1% of the total). Of those with multimorbidity, 42.1% were aged less than 60 years of age. A variety of variables were included in the final logistic regression models for the three age groups including family structure, marital status, education attainment, country of birth, smoking status, obesity measurements, medication use, health service utilisation and overall health status. Conclusions. Multimorbidity is not just associated with older persons and flexible care management support systems, appropriate guidelines and care-coordination programs are required across a broader age range. Issues such as health literacy and polypharamacy are also important considerations. Future research is required into assessing multimorbidity across the life course, prevention of complications and assessment of appropriate self-care strategies.

Original languageEnglish
Article number718
Number of pages10
JournalBMC Public Health
Volume10
Issue number718
DOIs
Publication statusPublished - 22 Nov 2010
Externally publishedYes

Bibliographical note

Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Keywords

  • Chronic Obstructive Pulmonary Disease
  • Chronic Condition
  • Mental Health Condition
  • Health Service Utilisation
  • Pharmaceutical Benefit Scheme

Fingerprint Dive into the research topics of 'Multimorbidity - Not just an older person's issue. Results from an Australian biomedical study'. Together they form a unique fingerprint.

Cite this