TITLE

Multimorbidity - not just an older persons issue. Results from an Australian biomedical study

AUTHOR(S)
Taylor, Anne W; Price, Kay; Gill, Tiffany K.; Adams, Robert; Pilkington, Rhiannon; Carrangis, Natalie; Shi, Zumin; Wilson, David
PUB. DATE
January 2010
SOURCE
BMC Public Health;2010, Vol. 10, p718
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
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.
ACCESSION #
57226912

 

Related Articles

  • Religious Fatalism and Its Association With Health Behaviors and Outcomes. Franklin, Monica D.; Schlundt, David C.; McClellan, Linda H.; Kinebrew, Tunu; Sheats, Jylana; Belue, Rhonda; Brown, Anne; Smikes, Dorlisa; Patel, Kushal; Hargreaves, Margaret // American Journal of Health Behavior;Nov/Dec2007, Vol. 31 Issue 6, p563 

    Objectives To examine the association between religious fatalism and health care utilization, health behaviors, and chronic illness. Methods As part of Nashville's REACH 2010 project, residents (n=1273) participated in a random telephone survey that included health variables and the helpless...

  • Multiple links towards integrating teams for understanding of disease and environment (MULTITUDE). Stewart, Alex G.; Ramsey, Michael H. // Environmental Geochemistry & Health;Jun2009, Vol. 31 Issue 2, p161 

    The article focuses on the studies on Multiple Links Towards Integrating Teams for Understanding of Disease and Environment (MULTITUDE) in Great Britain. It highlights research capacities presented from a workshop and a conference held in the country, directing to forge MULTITUDE. It also...

  • Reliability of the Health Hazard Appraisal. Sacks, Jeffrey J.; Krushat, Mark; Newman, Jeffrey // American Journal of Public Health;Jul1980, Vol. 70 Issue 7, p730 

    Abstract: As part of a controlled clinical trial of Health Hazard Appraisal's (HHA) efficacy in stimulating risk reduction, the reliability of the HHA questionnaire was evaluated. Of 203 subjects, only 30 (15 per ¢) had no contradictions when comparing the responses of the follow-up with...

  • Predicting Changes in Perceived Health Status. Goldstein, Michael S.; Siegel, Judith M.; Boyer, Richard // American Journal of Public Health;Jun84, Vol. 74 Issue 6, p611 

    Panel data from the Los Angeles Health Survey (N = 903) were used to examine variables associated with changes in perceived health status over a one-year period. Our findings replicate previous research showing that perceived health status is associated with variations in chronic illness,...

  • Joslin Medical Team Goes 'On the Road' to Screen for Diabetes May 29 at Asian Pacific American Community Summit at Tacoma Dome in Washington State; Effort Expected to Be Largest Free One-Day...  // Ascribe Newswire: Medicine;5/31/2004, p125 

    A medical team from Joslin Diabetes Center in Boston will offer a free one-day diabetes screening at the Asian Pacific American Community Summit, on May 29, at the Tacoma Dome in Washington. About 15,000 Asian Pacific Americans and others are expected to attend the one-day summit at the Tacoma...

  • High-flow nasal cannula as a device to provide continuous positive airway pressure in infants. Spence, K. L.; Murphy, D.; Kilian, C.; McGonigle, R.; Kilani, R. A. // Journal of Perinatology;Dec2007, Vol. 27 Issue 12, p772 

    Objective:To measure the intrapharyngeal pressure (IPP) generated by high-flow nasal cannula (HFNC) at varying flow rates up to 5 l min−1.Study Design:We studied 14 infants on HFNC or NCPAP using IPP manometry to measure the IPP generated at flows of 1, 2, 3, 4 and 5 l...

  • International collaborative research: a Colombian model that promotes infant health and research capacity. Rojas, M. A.; Lozano, J. M.; Rojas, M. X. // Journal of Perinatology;Dec2007, Vol. 27 Issue 12, p738 

    Current collaborative efforts in international research with resource-poor nations are frequently paternalistic and deprive these nations of the skills necessary to build independent research capacity. Resource-poor nations have become progressively suspicious of research endeavors originated in...

  • Screening for asymptomatic men. McMenamin, John // New Zealand Doctor;3/14/2007, p33 

    The article discusses the significance of planned health checks and the international evidence-based recommendations on what should be included in a health check. It states that planned health checks enable health risk assessment, interventions encouraging healthy lifestyle and management of...

  • When white lies become the new truth: How HRAs can be dangerous. Sykes, Andrew // Employee Benefit News;Apr2011, Vol. 25 Issue 4, p31 

    The article offers information on the factors that makes health reimbursement accounts (HRAs) dangerous in the U.S. It states that much of the problem in HRAs is the way people think about their health. He notes that HRAs keep people preoccupied with health risks, rather than on the aspects of...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics