Multimorbidity trends in Catalonia, 2010-21

Background: With rising longevity, multimorbidity is an increasingly important challenge for healthcare systems. We describe trends in the prevalence and incidence of multimorbidity across socioeconomic groups in Catalonia. Methods: We use a random sample of 1 551 126 individuals (22% of the Catalan...

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Autores: Permanyer, Iñaki|||0000-0002-7051-5144, Centre d'Estudis Demogràfics, Gumà, Jordi|||0000-0003-2640-5391, Trias Llimós, Sergi|||0000-0002-8052-6736, Solé-Auró, Aïda|||0000-0003-3726-2509
Tipo de recurso: artículo
Fecha de publicación:2026
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:325240
Acceso en línea:https://ddd.uab.cat/record/325240
https://dx.doi.org/urn:doi:10.1093/ije/dyaf218
Access Level:acceso abierto
Palabra clave:Aging
Health registers
Inequalities
Mortality
Multimorbidity
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repository_id_str
spelling Multimorbidity trends in Catalonia, 2010-21a population-based cohort studyPermanyer, Iñaki|||0000-0002-7051-5144Centre d'Estudis DemogràficsGumà, Jordi|||0000-0003-2640-5391Trias Llimós, Sergi|||0000-0002-8052-6736Solé-Auró, Aïda|||0000-0003-3726-2509AgingHealth registersInequalitiesMortalityMultimorbidityBackground: With rising longevity, multimorbidity is an increasingly important challenge for healthcare systems. We describe trends in the prevalence and incidence of multimorbidity across socioeconomic groups in Catalonia. Methods: We use a random sample of 1 551 126 individuals (22% of the Catalan population, for whom we have the complete primary care health records) and follow them from 2010 until 2021. We document the age- and sex-specific prevalence and incidence of multimorbidity stratifying by income groups and birth cohorts. Logistic regression models are used to estimate the association between multimorbidity and mortality. Results: Between 2010 and 2021, the prevalence of multimorbidity, higher among women, has increased for both sexes and all cohorts in our analysis. Importantly, each cohort attains the same ages, with higher multimorbidity prevalence than their predecessors had 10 years ago. Older generations are mostly affected by degenerative diseases, while younger age groups are more affected by mental health problems. Incidence tends to be higher among the older cohorts across all adult ages. We observe a strong socioeconomic gradient, with lower-income individuals experiencing worse multimorbidity prevalence and incidence. Such a gradient is persistent and becomes more pronounced at the end of the study period. Across all age groups, individuals experiencing multimorbidity have a higher risk of dying than those who do not. Conclusion: The documented increases in multimorbidity alongside its socioeconomic gradients suggest that preventive strategies are urgently needed to defer or prevent its onset and slow its progression-especially among younger generations. 22026-01-0120262026-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/325240https://dx.doi.org/urn:doi:10.1093/ije/dyaf218reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengMinisterio de Ciencia e Innovación https://doi.org/10.13039/501100004837 PID2021-128892OBI00Generalitat de Catalunya https://doi.org/10.13039/501100002809 2021 / SGR-00957Generalitat de Catalunya https://doi.org/10.13039/501100002809 2021 / SGR-01337Agencia Estatal de Investigación https://doi.org/10.13039/501100011033 RYC2021-033123-IAgencia Estatal de Investigación https://doi.org/10.13039/501100011033 PID2023-148727OA-I00Agencia Estatal de Investigación https://doi.org/10.13039/501100011033 RYC2022-037781-Iopen accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:3252402026-06-06T12:50:31Z
dc.title.none.fl_str_mv Multimorbidity trends in Catalonia, 2010-21
a population-based cohort study
title Multimorbidity trends in Catalonia, 2010-21
spellingShingle Multimorbidity trends in Catalonia, 2010-21
Permanyer, Iñaki|||0000-0002-7051-5144
Aging
Health registers
Inequalities
Mortality
Multimorbidity
title_short Multimorbidity trends in Catalonia, 2010-21
title_full Multimorbidity trends in Catalonia, 2010-21
title_fullStr Multimorbidity trends in Catalonia, 2010-21
title_full_unstemmed Multimorbidity trends in Catalonia, 2010-21
title_sort Multimorbidity trends in Catalonia, 2010-21
dc.creator.none.fl_str_mv Permanyer, Iñaki|||0000-0002-7051-5144
Centre d'Estudis Demogràfics
Gumà, Jordi|||0000-0003-2640-5391
Trias Llimós, Sergi|||0000-0002-8052-6736
Solé-Auró, Aïda|||0000-0003-3726-2509
author Permanyer, Iñaki|||0000-0002-7051-5144
author_facet Permanyer, Iñaki|||0000-0002-7051-5144
Centre d'Estudis Demogràfics
Gumà, Jordi|||0000-0003-2640-5391
Trias Llimós, Sergi|||0000-0002-8052-6736
Solé-Auró, Aïda|||0000-0003-3726-2509
author_role author
author2 Centre d'Estudis Demogràfics
Gumà, Jordi|||0000-0003-2640-5391
Trias Llimós, Sergi|||0000-0002-8052-6736
Solé-Auró, Aïda|||0000-0003-3726-2509
author2_role author
author
author
author
dc.subject.none.fl_str_mv Aging
Health registers
Inequalities
Mortality
Multimorbidity
topic Aging
Health registers
Inequalities
Mortality
Multimorbidity
description Background: With rising longevity, multimorbidity is an increasingly important challenge for healthcare systems. We describe trends in the prevalence and incidence of multimorbidity across socioeconomic groups in Catalonia. Methods: We use a random sample of 1 551 126 individuals (22% of the Catalan population, for whom we have the complete primary care health records) and follow them from 2010 until 2021. We document the age- and sex-specific prevalence and incidence of multimorbidity stratifying by income groups and birth cohorts. Logistic regression models are used to estimate the association between multimorbidity and mortality. Results: Between 2010 and 2021, the prevalence of multimorbidity, higher among women, has increased for both sexes and all cohorts in our analysis. Importantly, each cohort attains the same ages, with higher multimorbidity prevalence than their predecessors had 10 years ago. Older generations are mostly affected by degenerative diseases, while younger age groups are more affected by mental health problems. Incidence tends to be higher among the older cohorts across all adult ages. We observe a strong socioeconomic gradient, with lower-income individuals experiencing worse multimorbidity prevalence and incidence. Such a gradient is persistent and becomes more pronounced at the end of the study period. Across all age groups, individuals experiencing multimorbidity have a higher risk of dying than those who do not. Conclusion: The documented increases in multimorbidity alongside its socioeconomic gradients suggest that preventive strategies are urgently needed to defer or prevent its onset and slow its progression-especially among younger generations.
publishDate 2026
dc.date.none.fl_str_mv 2
2026-01-01
2026
2026-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/325240
https://dx.doi.org/urn:doi:10.1093/ije/dyaf218
url https://ddd.uab.cat/record/325240
https://dx.doi.org/urn:doi:10.1093/ije/dyaf218
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.relation.none.fl_str_mv Ministerio de Ciencia e Innovación https://doi.org/10.13039/501100004837 PID2021-128892OBI00
Generalitat de Catalunya https://doi.org/10.13039/501100002809 2021 / SGR-00957
Generalitat de Catalunya https://doi.org/10.13039/501100002809 2021 / SGR-01337
Agencia Estatal de Investigación https://doi.org/10.13039/501100011033 RYC2021-033123-I
Agencia Estatal de Investigación https://doi.org/10.13039/501100011033 PID2023-148727OA-I00
Agencia Estatal de Investigación https://doi.org/10.13039/501100011033 RYC2022-037781-I
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
collection Dipòsit Digital de Documents de la UAB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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