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. 2018 Jul;16(4):322–329. doi: 10.1370/afm.2271

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.

a

Significant association.