Neighborhood socioeconomic disadvantage is associated with multimorbidity in a geographically-defined community.

ABSTRACT:

Background

Persons with low socioeconomic status may be disproportionately at risk for multimorbidity.

Methods

Adults aged ≥20 years on 4/1/2015 from 7 counties in Minnesota were identified using the Rochester Epidemiology Project (population-based sample). A composite measure of neighborhood socioeconomic disadvantage, the area deprivation index (ADI), was estimated at the census block group level (n = 251). The prevalence of 21 chronic conditions was obtained to calculate the proportion of persons with multimorbidity (≥2 chronic conditions) and severe multimorbidity (≥5 chronic conditions). Hierarchical logistic regression was used to estimate the association of ADI with multimorbidity and severe multimorbidity using odds ratios (OR).

Results

Among 198,941 persons (

SUBMITTER: Chamberlain AM 

PROVIDER: S-EPMC6945427 | biostudies-literature | 2020 Jan

REPOSITORIES: biostudies-literature