Thanya Pathirana|Caroline Jackson
Socioeconomic status and multimorbidity: a systematic review and meta?analysis
Bond University|University of Queensland|University of Edinburgh
performed systematic review identify critically appraise synthesise existing literature association sep multimorbidity occurrencewe searched medline embase inception december 2014 possible performed metaanalysis obtain summary odds ratios ors exploring heterogeneity studies subgroup analysiswe identified 24 crosssectional studies largely reported education deprivation income relation multimorbidity occurrence differences analysis methods allowed pooling results education low versus high education level associated 64 increased odds multimorbidity summary 164 95 ci 141 191 substantial heterogeneity studies partly explained method multimorbidity ascertainment increasing deprivation consistently associated increasing risk multimorbidity whereas evidence income mixed studies reported interaction age sexmore methodologically robust studies address gaps investigate alternate measures social circumstances environment may advance understanding sep affects multimorbidity risk implications public health deeper understanding socioeconomic demographic patterning multimorbidity help identify subpopulations greatest risk becoming multimorbid