Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/64091
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Type: Journal article
Title: Multimorbidity - not just an older person's issue. Results from an Australian biomedical study
Author: Taylor, A.
Price, K.
Gill, T.
Adams, R.
Pilkington, R.
Carrangis, N.
Shi, Z.
Wilson, D.
Citation: BMC Public Health, 2010; 10(718):1-10
Publisher: BioMed Central Ltd.
Issue Date: 2010
ISSN: 1471-2458
1471-2458
Statement of
Responsibility: 
Anne W Taylor, Kay Price, Tiffany K Gill, Robert Adams, Rhiannon Pilkington, Natalie Carrangis, Zumin Shil and David Wilson
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.
Keywords: Humans; Cohort Studies; Comorbidity; Quality of Life; Adult; Middle Aged; Health Services; Australia; Female; Male; Interviews as Topic; Young Adult
Rights: © 2010 Taylor et al; licensee BioMed Central Ltd.This is an 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.
RMID: 0020104931
DOI: 10.1186/1471-2458-10-718
Appears in Collections:Medicine publications

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