Multimorbidity Development in Working People

Int J Environ Res Public Health. 2019 Nov 27;16(23):4749. doi: 10.3390/ijerph16234749.

Abstract

Multimorbidity is defined as the coexistence of multiple chronic conditions in one person. It affects the way people lead their lives and might be a heavy burden, especially for those with limited material resources. This study explores the prevalence of multimorbidity in the working population and discusses the distribution of multimorbidity in specific sub-groups. We conducted a longitudinal analysis of nationally representative data in South Korea (Korea Health Panel, 2010-2015). Generalized estimation models were applied to examine the individual effect of socioeconomic status (SES) and job-related variables. We found that about five percent of workers who initially had no or one chronic condition developed multimorbidity during within five years. About 20% of working women had multimorbidity at age 55, about 10 years earlier than working men. A higher prevalence appeared in working women with school-age children, non-standard employment, no autonomy at work, or unskilled occupation. SES was significantly associated with a higher prevalence of multimorbidity in both gender after controlling for the effect of age and other covariates. Multimorbidity is a major health concern in the working population and prevention and control should be promoted in the workplace.

Keywords: Korea Health Panel; SES; chronic disease; health disparities; multimorbidity; prevalence; working population.

MeSH terms

  • Adult
  • Female
  • Humans
  • Longitudinal Studies
  • Male
  • Middle Aged
  • Multimorbidity* / trends
  • Occupational Health*
  • Social Class