{"doi":"10.3389/fepid.2025.1571650","title":"Trends in cardiometabolic multimorbidity in non-elderly adult Medicaid enrollees, 2018–2022","abstract":"Importance: Medicaid, as the largest U.S. insurer, can reduce cardiometabolic multimorbidity. Objective: Assess patterns and trends in cardiometabolic multimorbidity among Medicaid-enrolled adults. Design: Analysis of 2018-2022 National Health Interview Survey data, a nationally representative cross-sectional survey. Conditions Studied: Hypertension, hyperlipidemia, coronary heart disease, angina, heart attack, stroke, diabetes, and obesity. Setting: U.S., 2018-2022. Participants: 11,090 adults (19-64 years) with Medicaid coverage. Main Outcomes: Proportion with one or multiple cardiometabolic conditions. Findings: (a) 29.3% had one cardiometabolic condition; 29.7% had multimorbidity: 14.5% with 2, 8.0% with 3, and 7.1% with 4+ conditions. (b) Obesity, hypertension, and hyperlipidemia were the most common conditions either individually or together. (c) Obesity was more common in women than men, and women were more likely to have a single condition while men were more likely to have multimorbidity; these differences between men and women were larger in younger adults (<41 years) than older adults. (d) There was higher multimorbidity among older, non-working, and less educated Medicaid enrollees. (e) Prevalence of multimorbidity over time did not change but there was a decrease in the proportion of enrollees with no conditions which was offset by an increase in enrollees with a single condition. Conclusion: 29.7% of Medicaid-insured adults had cardiometabolic multimorbidity, and another 29.3% were at risk for it. Potential cuts to Medicaid coverage may exacerbate the burden of cardiometabolic multimorbidity in Medicaid enrollees.","journal":"Frontiers in Epidemiology","year":2025,"id":553296,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":1,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.907,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1450325,"name":"Pooja Dilip Lalwani","orcid":null,"position":1,"is_corresponding":false},{"id":964071,"name":"Erin C. Fuse Brown","orcid":"0000-0002-6821-5345","position":2,"is_corresponding":false},{"id":22946,"name":"Mohammed K. Ali","orcid":"0000-0001-7266-2503","position":3,"is_corresponding":false},{"id":499408,"name":"Solveig A. Cunningham","orcid":"0000-0002-2354-1526","position":4,"is_corresponding":false},{"id":751352,"name":"Puneet Kaur Chehal","orcid":"0000-0003-4993-3242","position":0,"is_corresponding":true}],"reference_count":12,"raw_metadata":null,"created_at":"2026-07-19T02:54:41.819682Z","pmid":"40642595","pmcid":null,"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":[]}