RT journal article
T1 Social determinants of multimorbidity patterns: A systematic review
A1 Álvarez Gálvez, Javier
A1 Ortega Martín, María Esther
A1 Carretero Bravo, Jesús Ángel
A1 Pérez Muñoz, Celia
A1 Sanz Suarez-Lledo, Víctor José
A1 Ramos Fiol, Begoña
A2 BiomedicinaBiotecnología y Salud Pública
A2 Economía General
A2 Ingeniería Mecánica y Diseño Industrial
K1 behavioral determinants
K1 chronic conditions
K1 chronicity
K1 comorbidity
K1 multimorbidity
K1 ocial determinants
AB Social determinants of multimorbidity are poorly understood in clinical practice. This review aims to characterize the different multimorbidity patterns described in the literature while identifying the social and behavioral determinants that may affect their emergence and subsequent evolution. We searched PubMed, Embase, Scopus, Web of Science, Ovid MEDLINE, CINAHL Complete, PsycINFO and Google Scholar. In total, 97 studies were chosen from the 48,044 identified. Cardiometabolic, musculoskeletal, mental, and respiratory patterns were the most prevalent. Cardiometabolic multimorbidity profiles were common among men with low socioeconomic status, while musculoskeletal, mental and complex patterns were found to be more prevalent among women. Alcohol consumption and smoking increased the risk of multimorbidity, especially in men. While the association of multimorbidity with lower socioeconomic status is evident, patterns of mild multimorbidity, mental and respiratory related to middle and high socioeconomic status are also observed. The findings of the present review point to the need for further studies addressing the impact of multimorbidity and its social determinants in population groups where this problem remains invisible (e.g., women, children, adolescents and young adults, ethnic groups, disabled population, older people living alone and/or with few social relations), as well as further work with more heterogeneous samples (i.e., not only focusing on older people) and using more robust methodologies for better classification and subsequent understanding of multimorbidity patterns. Besides, more studies focusing on the social determinants of multimorbidity and its inequalities are urgently needed in low- and middle-income countries, where this problem is currently understudied.
PB Frontiers Media
SN 2296-2565
YR 2023
FD 2023-03-27
LK http://hdl.handle.net/10498/31183
UL http://hdl.handle.net/10498/31183
LA eng
DS Repositorio Institucional de la Universidad de Cádiz
RD 06-nov-2026