Table 3.
Effect of Baseline Characteristics on Time to Developing Incident Multimorbidity Between 2002-2003 and 2012-2013: Complementary Log-Log Models
Characteristic | No Condition in 2002-2003 (n = 1,477) and ≥2 Incident Conditions (Multimorbidity) by 2012-2013 | Any Number of Conditions in 2002- 2003 (n = 4,564) and ≥1 Incident Conditions by 2012-2013 | ||
---|---|---|---|---|
| ||||
HR (95% CI) | P Value | HR (95% CI) | P Value | |
Age, y | Linear trend | <.001 | Linear trend | <.001 |
50-54 | 1.00 [Reference] | … | 1.00 [Reference] | … |
55-59 | 1.44 (1.05-1.99)a | .025a | 1.29 (1.14-1.45)a | <.001a |
60-64 | 1.85 (1.31-2.61)a | <.001a | 1.42 (1.25-1.62)a | <.001a |
65-69 | 2.93 (2.08-4.13)a | <.001a | 1.49 (1.31-1.70)a | <.001a |
≥70 | 2.58 (1.83-3.64)a | <.001a | 1.49 (1.31-1.70)a | <.001a |
Female (vs male) | 1.14 (0.86-1.50) | .360 | 1.10 (0.99-1.21) | .072 |
Wealth quintiles | Linear trend | .001a | Linear trend | .002a |
1 Wealthiest | 1.00 [Reference] | … | 1.00 [Reference] | … |
2 | 1.27 (0.89-1.80) | .185 | 0.97 (0.85-1.10) | .620 |
3 | 1.41 (1.00-1.97) | .049 | 1.08 (0.95-1.23) | .215 |
4 | 1.23 (0.85-1.78) | .269 | 1.11 (0.97-1.26) | .120 |
5 Least wealthy | 2.19 (1.50-3.19)a | <.001a | 1.22 (1.06-1.39)a | .005a |
Educational attainment | Linear trend | .058 | Linear trend | .923 |
Degree /higher ed | 1.00 [Reference] | … | 1.00 [Reference] | … |
Intermediate | 0.95 (0.73-1.23) | .701 | 1.04 (0.94-1.15) | .413 |
No qualification | 0.73 (0.53-1.00) | .051 | 1.00 (0.89-1.12) | .993 |
Lives alone (vs cohabits) | 0.93 (0.71-1.21) | .580 | 1.08 (0.98-1.19) | .128 |
BMI category (2004) | Linear trend | <.001a | Linear trend | <.001a |
Underweight or normal weight | 1.00 [Reference] | … | 1.00 [Reference] | … |
Overweight | 1.15 (0.87-1.52) | .339 | 1.10 (0.99-1.21) | .070 |
Obese | 1.92 (1.43-2.59)a | <.001a | 1.27 (1.14-1.42)a | <.001a |
Smoking behavior | ||||
Never smoked | 1.00 [Reference] | … | 1.00 [Reference] | … |
Smoked in past | 1.12 (0.88-1.43) | .359 | 1.09 (1.00-1.19) | .050 |
Current smoker | 1.22 (0.87-1.70) | .248 | 1.21 (1.07-1.36)a | .002a |
Physical activity | Linear trend | .031a | Linear trend | .004a |
High | 1.00 [Reference] | … | 1.00 [Reference] | … |
Medium | 1.3 (1.00-1.70) | .051 | 1.08 (0.97-1.19) | .149 |
Low | 1.43 (1.02-2.00)a | .039a | 1.19 (1.06-1.35)a | .004a |
Social detachment (vs none) | 1.16 (0.77-1.72) | .480 | 1.07 (0.93-1.22) | .360 |
External locus of control (vs internal) | 1.41 (1.10-1.82)a | .007a | 1.13 (1.03-1.23)a | .010a |
BMI = body mass index; HR = hazard ratio.
Note: Complementary log-log models are the discrete time equivalent of Cox proportional hazards models for continuous time. The reference category for each covariate is the first category listed. A HR >1.00 indicates increased risk, whereas an HR of <1.00 indicates reduced risk. Models were corrected for differential nonresponse using longitudinal sample weighting.
Significant association.