Associations between socioeconomic status, healthy lifestyle, and multimorbidity in the US.

IF 2.1 4区医学 Q2 HEALTH CARE SCIENCES & SERVICES

American Journal of Managed Care Pub Date : 2026-06-01 DOI:10.37765/ajmc.2026.89967

Shifeng Wu

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引用次数: 0

Abstract

Objective: To investigate the relationships between socioeconomic status (SES) and multimorbidity, which can inform public health strategies.

Study design: Cross-sectional study.

Methods: Data from participants in the National Health and Nutrition Examination Survey 2007-2018 were analyzed. Weighted multivariate logistic regression assessed associations between multimorbidity, SES, and healthy lifestyles. Subgroup analyses stratified by key covariates evaluated stratified risks. Sensitivity analyses verified result robustness.

Results: After adjustment, compared with low-SES individuals, medium-SES individuals showed a significantly increased OR of multimorbidity (1.267; 95% CI, 1.079-1.489), whereas high-SES individuals exhibited a significantly decreased OR (0.723; 95% CI, 0.647-0.807). Healthy lifestyles exerted a protective effect, particularly within the medium-SES subgroup. Middle-aged non-Hispanic White women in the medium-SES group demonstrated elevated risk.

Conclusions: Moderate SES is a critical risk factor for multimorbidity. Lifestyle interventions effectively reduce disease burden, particularly in middle-SES populations, with targeted protection needed for middle-aged non-Hispanic White women. Additionally, heightened vigilance is warranted regarding the expanding disease risks among young and middle-aged populations, alongside advocating for robust research initiatives to optimize evidence-based public health interventions.

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美国社会经济地位、健康生活方式和多病之间的关系

目的：探讨社会经济地位（SES）与多发病的关系，为公共卫生对策提供依据。研究设计：横断面研究。方法：对2007-2018年全国健康与营养调查参与者的数据进行分析。加权多变量逻辑回归评估了多发病、SES和健康生活方式之间的关系。按关键协变量分层的亚组分析评估分层风险。敏感性分析验证了结果的稳健性。结果：调整后，与低经济地位个体相比，中等经济地位个体多病的OR值显著增加（1.267,95% CI, 1.079-1.489），而高经济地位个体多病的OR值显著降低（0.723,95% CI, 0.647-0.807）。健康的生活方式发挥了保护作用，特别是在中等经济地位的亚组中。中等经济地位组的中年非西班牙裔白人妇女表现出较高的风险。结论：中度SES是多病的关键危险因素。生活方式干预措施有效地减轻了疾病负担，特别是在中等社会地位人群中，需要有针对性地保护中年非西班牙裔白人妇女。此外，有必要对青年和中年人群中不断扩大的疾病风险提高警惕，同时倡导开展强有力的研究行动，以优化循证公共卫生干预措施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American Journal of Managed Care 医学-卫生保健

CiteScore

3.60

自引率

0.00%

发文量

177

审稿时长

4-8 weeks

期刊介绍： The American Journal of Managed Care is an independent, peer-reviewed publication dedicated to disseminating clinical information to managed care physicians, clinical decision makers, and other healthcare professionals. Its aim is to stimulate scientific communication in the ever-evolving field of managed care. The American Journal of Managed Care addresses a broad range of issues relevant to clinical decision making in a cost-constrained environment and examines the impact of clinical, management, and policy interventions and programs on healthcare and economic outcomes.