Beyond the grey tsunami: a cross-sectional population-based study of multimorbidity in Ontario

Canadian Journal of Public Health = Revue Canadienne De Santé Publique
Bridget L RyanMoira Stewart

Abstract

To determine volumes and rates of multimorbidity in Ontario by age group, sex, material deprivation, and geography. A cross-sectional population-based study was completed using linked provincial health administrative databases. Ontario residents were classified as having multimorbidity (3+ chronic conditions) or not, based on the presence of 17 chronic conditions. The volumes (number of residents) of multimorbidity were determined by age categories in addition to crude and age-sex standardized rates. Among the 2013 Ontario population, 15.2% had multimorbidity. Multimorbidity rates increased across successively older age groups with lowest rates observed in youngest (0-17 years, 0.2%) and highest rates in the oldest (80+ years, 73.5%). The rate of multimorbidity increased gradually from ages 0 to 44 years, with a substantial and graded increase in the rates as the population aged. The top five chronic conditions, of the 17 examined, among those with multimorbidity were mood disorders, hypertensive disorders, asthma, arthritis, and diabetes. Much of the common rhetoric around multimorbidity concerns the aging 'grey tsunami'. This study demonstrated that the volume of multimorbidity is derived from adults beginning as young as age...Continue Reading

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Citations

Jul 17, 2019·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Kathryn NicholsonAmardeep Thind
Aug 1, 2019·Genetics in Medicine : Official Journal of the American College of Medical Genetics·Sarah L MaleckiAnne S Bassett
Nov 8, 2020·Journal of Epidemiology and Community Health·Elizabeth IngramJessica Sheringham
Dec 29, 2020·Problemy Radiat︠s︡iĭnoï Medyt︠s︡yny Ta Radiobiolohiï·D BelyiO Kovaliov
Feb 13, 2021·International Journal of Environmental Research and Public Health·Ying Pin ChuaEng Sing Lee
Mar 24, 2021·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Moira StewartMerrick Zwarenstein

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