Multimorbidity clusters in adults 50 years or older with and without a history of cancer: National Health Interview Survey, 2018
Abstract Background Multimorbidity is increasing among adults in the United States. Yet limited research has examined multimorbidity clusters in persons aged 50 years and older with and without a history of cancer. An increased understanding of multimorbidity clusters may improve the cancer survivor...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-01-01
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| Series: | BMC Geriatrics |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12877-023-04603-9 |
| _version_ | 1797355542753050624 |
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| author | Gabriela Plasencia Simone C. Gray Ingrid J. Hall Judith Lee Smith |
| author_facet | Gabriela Plasencia Simone C. Gray Ingrid J. Hall Judith Lee Smith |
| author_sort | Gabriela Plasencia |
| collection | DOAJ |
| description | Abstract Background Multimorbidity is increasing among adults in the United States. Yet limited research has examined multimorbidity clusters in persons aged 50 years and older with and without a history of cancer. An increased understanding of multimorbidity clusters may improve the cancer survivorship experience for survivors with multimorbidity. Methods We identified 7580 adults aged 50 years and older with 2 or more diseases—including 811 adults with a history of primary breast, colorectal, cervical, prostate, or lung cancer—from the 2018 National Health Interview Survey. Exploratory factor analysis identified clusters of multimorbidity among cancer survivors and individuals without a history of cancer (controls). Frequency tables and chi-square tests were performed to determine overall differences in sociodemographic characteristics, health-related characteristics, and multimorbidity between groups. Results Cancer survivors reported a higher prevalence of having 4 or more diseases compared to controls (57% and 38%, respectively). Our analysis identified 6 clusters for cancer survivors and 4 clusters for controls. Three clusters (pulmonary, cardiac, and liver) included the same diseases for cancer survivors and controls. Conclusions Diseases clustered differently across adults ≥ 50 years of age with and without a history of cancer. Findings from this study may be used to inform clinical care, increase the development and dissemination of multilevel public health interventions, escalate system improvements, and initiate innovative policy reform. |
| first_indexed | 2024-03-08T14:12:40Z |
| format | Article |
| id | doaj.art-e959a719859b4e6db4596133452834db |
| institution | Directory Open Access Journal |
| issn | 1471-2318 |
| language | English |
| last_indexed | 2024-03-08T14:12:40Z |
| publishDate | 2024-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj.art-e959a719859b4e6db4596133452834db2024-01-14T12:35:34ZengBMCBMC Geriatrics1471-23182024-01-0124111410.1186/s12877-023-04603-9Multimorbidity clusters in adults 50 years or older with and without a history of cancer: National Health Interview Survey, 2018Gabriela Plasencia0Simone C. Gray1Ingrid J. Hall2Judith Lee Smith3Epidemiology and Applied Research Branch, Division of Cancer Prevention and Control, Centers for Disease Control and PreventionEpidemiology and Applied Research Branch, Division of Cancer Prevention and Control, Centers for Disease Control and PreventionEpidemiology and Applied Research Branch, Division of Cancer Prevention and Control, Centers for Disease Control and PreventionEpidemiology and Applied Research Branch, Division of Cancer Prevention and Control, Centers for Disease Control and PreventionAbstract Background Multimorbidity is increasing among adults in the United States. Yet limited research has examined multimorbidity clusters in persons aged 50 years and older with and without a history of cancer. An increased understanding of multimorbidity clusters may improve the cancer survivorship experience for survivors with multimorbidity. Methods We identified 7580 adults aged 50 years and older with 2 or more diseases—including 811 adults with a history of primary breast, colorectal, cervical, prostate, or lung cancer—from the 2018 National Health Interview Survey. Exploratory factor analysis identified clusters of multimorbidity among cancer survivors and individuals without a history of cancer (controls). Frequency tables and chi-square tests were performed to determine overall differences in sociodemographic characteristics, health-related characteristics, and multimorbidity between groups. Results Cancer survivors reported a higher prevalence of having 4 or more diseases compared to controls (57% and 38%, respectively). Our analysis identified 6 clusters for cancer survivors and 4 clusters for controls. Three clusters (pulmonary, cardiac, and liver) included the same diseases for cancer survivors and controls. Conclusions Diseases clustered differently across adults ≥ 50 years of age with and without a history of cancer. Findings from this study may be used to inform clinical care, increase the development and dissemination of multilevel public health interventions, escalate system improvements, and initiate innovative policy reform.https://doi.org/10.1186/s12877-023-04603-9Cancer survivorsMultiple chronic conditionsMultimorbidityMultimorbidity clustersCancer health disparitiesFactor analysis |
| spellingShingle | Gabriela Plasencia Simone C. Gray Ingrid J. Hall Judith Lee Smith Multimorbidity clusters in adults 50 years or older with and without a history of cancer: National Health Interview Survey, 2018 BMC Geriatrics Cancer survivors Multiple chronic conditions Multimorbidity Multimorbidity clusters Cancer health disparities Factor analysis |
| title | Multimorbidity clusters in adults 50 years or older with and without a history of cancer: National Health Interview Survey, 2018 |
| title_full | Multimorbidity clusters in adults 50 years or older with and without a history of cancer: National Health Interview Survey, 2018 |
| title_fullStr | Multimorbidity clusters in adults 50 years or older with and without a history of cancer: National Health Interview Survey, 2018 |
| title_full_unstemmed | Multimorbidity clusters in adults 50 years or older with and without a history of cancer: National Health Interview Survey, 2018 |
| title_short | Multimorbidity clusters in adults 50 years or older with and without a history of cancer: National Health Interview Survey, 2018 |
| title_sort | multimorbidity clusters in adults 50 years or older with and without a history of cancer national health interview survey 2018 |
| topic | Cancer survivors Multiple chronic conditions Multimorbidity Multimorbidity clusters Cancer health disparities Factor analysis |
| url | https://doi.org/10.1186/s12877-023-04603-9 |
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