Patterns of multimorbidity in India: A nationally representative cross-sectional study of individuals aged 15 to 49 years

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dc.contributor.authorJonas Prenissl
dc.contributor.authorJan-Walter De Neve
dc.contributor.authorNikkil Sudharsanan
dc.contributor.authorJennifer ManneGoehler
dc.contributor.authorViswanathan Mohan
dc.contributor.authorAshish Awasthi
dc.contributor.authorDorairaj Prabhakaran
dc.contributor.authorAmbuj Roy
dc.contributor.authorNikhil Tandon
dc.contributor.authorJustine I. Davies
dc.contributor.authorRifat Atun
dc.contributor.authorTill Ba¨rnighausen
dc.contributor.authorLindsay M. Jaacks
dc.contributor.authorSebastian Vollmer
dc.contributor.authorPascal Geldsetzer
dc.date.accessioned2024-04-08T20:59:05Z
dc.date.available2024-04-08T20:59:05Z
dc.date.issued2022-08-17
dc.description.abstractThere is a dearth of evidence on the epidemiology of multimorbidity in low- and middle-income countries. This study aimed to determine the prevalence of multimorbidity in India and its variation among states and population groups. We analyzed data from a nationally representative household survey conducted in 2015-2016 among individuals aged 15 to 49 years. Multimorbidity was defined as having two or more conditions out of five common chronic morbidities in India: anemia, asthma, diabetes, hypertension, and obesity. We disaggregated multimorbidity prevalence by condition, state, rural versus urban areas, district-level wealth, and individual-level sociodemographic characteristics. 712,822 individuals were included in the analysis. The prevalence of multimorbidity was 7·2% (95% CI, 7·1% - 7·4%), and was higher in urban (9·7% [95% CI, 9·4% - 10·1%]) than in rural (5·8% [95% CI, 5·7% - 6·0%]) areas. The three most prevalent morbidity combinations were hypertension with obesity (2·9% [95% CI, 2·8% - 3·1%]), hypertension with anemia (2·2% [95% CI, 2·1%- 2·3%]), and obesity with anemia (1·2% [95% CI, 1·1%- 1·2%]). The age-standardized multimorbidity prevalence varied from 3·4% (95% CI: 3·0% - 3·8%) in Chhattisgarh to 16·9% (95% CI: 13·2% - 21·5%) in Puducherry. Being a woman, being married, not currently smoking, greater household wealth, and living in urban areas were all associated with a higher risk of multimorbidity. Multimorbidity is common among young and middle-aged adults in India. This study can inform screening guidelines for chronic conditions and the targeting of relevant policies and interventions to those most in need.
dc.description.librarianPM2023
dc.facultyFaculty of Health Sciences
dc.identifier.urihttps://hdl.handle.net/10539/38342
dc.language.isoen
dc.schoolPublic Health
dc.titlePatterns of multimorbidity in India: A nationally representative cross-sectional study of individuals aged 15 to 49 years
dc.typeArticle
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