Journey to multimorbidity: longitudinal analysis exploring cardiovascular risk factors and sociodemographic determinants in an urban setting.

ABSTRACT:

Objective

To study the social determinants and cardiovascular risk factors for multimorbidity and the acquisition sequence of multimorbidity.

Design

Longitudinal study based on anonymised primary care data.

Setting

General practices in an urban multiethnic borough in London, UK.

Participants

332 353 patients aged ≥18 years.

Main outcome measures

Clinical and sociodemographic characteristics of patients with multimorbidity, defined as ≥3 of 12 long-term conditions (LTCs) selected according to high predicted healthcare use. Multilevel logistic regression was used to model social determinants and cardiovascular risk factors. Alluvial plots were constructed to illustrate multimorbidity acquisition sequences according to age, ethnicity and social deprivation.

SUBMITTER: Ashworth M 

PROVIDER: S-EPMC7008443 | biostudies-literature | 2019 Dec

REPOSITORIES: biostudies-literature