{"doi":"10.1177/26335565241236410","title":"Variation in multimorbidity by sociodemographics and social drivers of health among patients seen at community-based health centers","abstract":"Purpose: Understanding variation in multimorbidity across sociodemographics and social drivers of health is critical to reducing health inequities. Methods: From the multi-state OCHIN network of community-based health centers (CBHCs), we identified a cross-sectional cohort of adult (> 25 years old) patients who had a visit between 2019-2021. We used generalized linear models to examine the relationship between the Multimorbidity Weighted Index (MWI) and sociodemographics and social drivers of health (Area Deprivation Index [ADI] and social risks [e.g., food insecurity]). Each model included an interaction term between the primary predictor and age to examine if certain groups had a higher MWI at younger ages. Results: Among 642,730 patients, 28.2% were Hispanic/Latino, 42.8% were male, and the median age was 48. The median MWI was 2.05 (IQR: 0.34, 4.87) and was higher for adults over the age of 40 and American Indians and Alaska Natives. The regression model revealed a higher MWI at younger ages for patients living in areas of higher deprivation. Additionally, patients with social risks had a higher MWI (3.16; IQR: 1.33, 6.65) than those without (2.13; IQR: 0.34, 4.89) and the interaction between age and social risk suggested a higher MWI at younger ages. Conclusions: Greater multimorbidity at younger ages and among those with social risks and living in areas of deprivation shows possible mechanisms for the premature aging and disability often seen in community-based health centers and highlights the need for comprehensive approaches to improving the health of vulnerable populations.","journal":"Journal of Multimorbidity and Comorbidity","year":2024,"id":459252,"datarank":0.3454947457915676,"base_score":1.6094379124341003,"endowment":1.6094379124341003,"self_citation_contribution":0.24141568686511508,"citation_network_contribution":0.10407905892645247,"self_endowment_contribution":0.24141568686511508,"citer_contribution":0.10407905892645247,"corpus_percentile":49.29217915989789,"corpus_rank":6556,"citation_count":4,"citer_count":3,"citers_with_citation_signal":2,"citers_with_endowment":2,"datacite_reuse_total":0,"is_dataset":true,"is_dataset_confidence":0.528,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2024-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1274016,"name":"Suparna Navale","orcid":"0000-0003-0782-8591","position":1,"is_corresponding":false},{"id":691164,"name":"Ryan McGrath","orcid":"0000-0003-4208-1059","position":2,"is_corresponding":false},{"id":1286025,"name":"Nicole Cook","orcid":"0000-0001-6672-1546","position":3,"is_corresponding":false},{"id":1286450,"name":"Yui Nishiike","orcid":null,"position":4,"is_corresponding":false},{"id":1286451,"name":"Gretchen Mertes","orcid":null,"position":5,"is_corresponding":false},{"id":1140819,"name":"Rose Goueth","orcid":"0000-0003-0827-5159","position":6,"is_corresponding":false},{"id":944045,"name":"Matthew Jones","orcid":"0000-0002-6974-8725","position":7,"is_corresponding":false},{"id":1274017,"name":"Anna Templeton","orcid":"0000-0001-7994-5952","position":8,"is_corresponding":false},{"id":446629,"name":"Stephen J. Zyzanski","orcid":null,"position":9,"is_corresponding":false},{"id":582767,"name":"Siran M. Koroukian","orcid":"0000-0002-8106-9581","position":10,"is_corresponding":false},{"id":446071,"name":"Kurt C. Stange","orcid":"0000-0002-2189-0191","position":11,"is_corresponding":false},{"id":582765,"name":"Wyatt P. Bensken","orcid":"0000-0002-2597-9732","position":0,"is_corresponding":true}],"reference_count":49,"raw_metadata":null,"created_at":"2026-07-19T02:03:55.280882Z","pmid":"38419819","pmcid":"PMC10901061","fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}