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. 2020 Jun 15;10(6):e035070.
doi: 10.1136/bmjopen-2019-035070.

Prevalence of multimorbidity with frailty and associations with socioeconomic position in an adult population: findings from the cross-sectional HUNT Study in Norway

Kristin Hestmann Vinjerui  1   2 , Pauline Boeckxstaens  3 , Kirsty A Douglas  4 , Erik R Sund  5   6   7
Affiliations

Prevalence of multimorbidity with frailty and associations with socioeconomic position in an adult population: findings from the cross-sectional HUNT Study in Norway

Kristin Hestmann Vinjerui et al. BMJ Open. .

Abstract

Objectives: To explore prevalences and occupational group inequalities of two measures of multimorbidity with frailty.

Design: Cross-sectional study.

Setting: The Nord-Trøndelag Health Study (HUNT), Norway, a total county population health survey, 2006-2008.

Participants: Participants older than 25 years, with complete questionnaires, measurements and occupation data were included.

Outcomes: ≥2 of 51 multimorbid conditions with ≥1 of 4 frailty measures (poor health, mental illness, physical impairment or social impairment) and ≥3 of 51 multimorbid conditions with ≥2 of 4 frailty measures.

Analysis: Logistic regression models with age and occupational group were specified for each sex separately.

Results: Of 41 193 adults, 38 027 (55% female; 25-100 years old) were included. Of them, 39% had ≥2 multimorbid conditions with ≥1 frailty measure, and 17% had ≥3 multimorbid conditions with ≥2 frailty measures. Prevalence differences in percentage points (pp) with 95% confidence intervals of those in high versus low occupational group with ≥2 multimorbid conditions and ≥1 frailty measure were largest in women age 30 years, 17 (14 to 20) pp and 55 years, 15 (13 to 17) pp and in men age 55 years, 15 (13 to 17) pp and 80 years, 14 (9 to 18) pp. In those with ≥3 multimorbid conditions and ≥2 frailty measures, prevalence differences were largest in women age 30 years, 8 (6 to 10) pp and 55 years, 10 (8 to 11) ppand in men age 55 years, 9 (8 to 11) pp and 80 years, 6 (95% CI 1 to 10) pp.

Conclusion: Multimorbidity with frailty is common, and social inequalities persist until age 80 years in women and throughout the lifespan in men. To manage complex multimorbidity, strategies for proportionate universalism in medical education, healthcare, public health prevention and promotion seem necessary.

Keywords: epidemiology; mental health; public health.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Flowchart for sample selection: inclusion and exclusion criteria and missing data.
See this image and copyright information in PMC

References

    1. Nicholson K, Makovski TT, Griffith LE, et al. . Multimorbidity and comorbidity revisited: Refining the concepts for international health research. J Clin Epidemiol 2019;105:142–6. 10.1016/j.jclinepi.2018.09.008 - DOI - PubMed
    1. van Oostrom SH, Gijsen R, Stirbu I, et al. . Time trends in prevalence of chronic diseases and multimorbidity not only due to aging: data from general practices and health surveys. PLoS One 2016;11:e0160264. 10.1371/journal.pone.0160264 - DOI - PMC - PubMed
    1. Uijen AA, van de Lisdonk EH. Multimorbidity in primary care: prevalence and trend over the last 20 years. Eur J Gen Pract 2008;14:28–32. 10.1080/13814780802436093 - DOI - PubMed
    1. van den Akker M, Buntinx F, Metsemakers JF, et al. . Multimorbidity in general practice: prevalence, incidence, and determinants of co-occurring chronic and recurrent diseases. J Clin Epidemiol 1998;51:367–75. 10.1016/S0895-4356(97)00306-5 - DOI - PubMed
    1. Glynn LG, Valderas JM, Healy P, et al. . The prevalence of multimorbidity in primary care and its effect on health care utilization and cost. Fam Pract 2011;28:516–23. 10.1093/fampra/cmr013 - DOI - PubMed

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