Multimorbidity and its associated factors among adults aged 50 and over: A cross-sectional study in 17 European countries

PLoS One. 2021 Feb 11;16(2):e0246623. doi: 10.1371/journal.pone.0246623. eCollection 2021.

Abstract

Aims: To estimate the prevalence of multimorbidity among European community-dwelling adults, as well as to analyse the association with gender, age, education, self-rated health, loneliness, quality of life, size of social network, Body Mass Index (BMI) and disability.

Methods: A cross-sectional study based on wave 6 (2015) of the Survey of Health, Ageing and Retirement in Europe (SHARE) was conducted, and community-dwelling participants aged 50+ (n = 63,844) from 17 European countries were selected. Multimorbidity was defined as presenting two or more health conditions. The independent variables were gender, age group, educational level, self-rated health, loneliness, size of network, quality of life, BMI and disability (1+ limitations of basic activities of daily living). Poisson regression models with robust variance were fit for bivariate and multivariate analysis.

Results: The prevalence of multimorbidity was 28.2% (confidence interval-CI 95%: 27.5.8-29.0) among men and 34.5% (CI95%: 34.1-35.4) among women. The most common health conditions were cardiometabolic and osteoarticular diseases in both genders, and emotional disorders in younger women. A large variability in the prevalence of multimorbidity in European countries was verified, even between countries of the same region.

Conclusions: Multimorbidity was associated with sociodemographic and physical characteristics, self-rated health, quality of life and loneliness.

Publication types

  • Multicenter Study
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Activities of Daily Living
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Bone Diseases / epidemiology*
  • Cartilage Diseases / epidemiology*
  • Cross-Sectional Studies
  • Depression / epidemiology*
  • Disabled Persons / rehabilitation
  • Disabled Persons / statistics & numerical data*
  • Europe / epidemiology
  • Female
  • Humans
  • Independent Living / statistics & numerical data*
  • Male
  • Metabolic Syndrome / epidemiology*
  • Middle Aged
  • Multimorbidity
  • Prevalence
  • Quality of Life