TY - JOUR AU - Ishida, Marie AU - Hulse, Emily SG AU - Mahar, Robert K AU - Gunn, Jane AU - Atun, Rifat AU - McPake, Barbara AU - Tenneti, Naveen AU - Anindya, Kanya AU - Armstrong, Gregory AU - Mulcahy, Patrick AU - Carman, Will AU - Lee, John Tayu PY - 2020 TI - The Joint Effect of Physical Multimorbidity and Mental Health Conditions Among Adults in Australia T2 - Preventing Chronic Disease JO - Prev Chronic Dis SP - E157 VL - 17 CY - Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA. N2 - INTRODUCTION The prevalence of chronic physical and mental health conditions is rising globally. Little evidence exists on the joint effect of physical and mental health conditions on health care use, work productivity, and health-related quality of life in Australia. METHODS We analyzed data from the Household, Income and Labour Dynamics in Australia (HILDA) Survey, waves 9 (2009), 13 (2013), and 17 (2017). Economic effects associated with multimorbidity were measured through health service use, work productivity loss, and health-related quality of life. We used generalized estimating equations to assess the effect of the association between physical multimorbidity and mental health conditions and economic outcomes. RESULTS From 2009 through 2017 the prevalence of physical multimorbidity increased from 15.1% to 16.2%, and the prevalence of mental health conditions increased from 11.2% to 17.3%. The number of physical health conditions was associated with the number of health services used (general practitioner visits, incidence rate ratio = 1.41), work productivity loss (labor force participation, adjusted odds ratio = 0.71), and reduced health-related quality of life (SF-6D score: Coefficient = -0.03). These effects were exacerbated by the presence of mental health conditions and low socioeconomic status. CONCLUSION Having multiple physical health conditions (physical multimorbidity) creates substantial health and financial burdens on individuals, the health system, and society, including increased use of health services, loss of work productivity, and decreased health-related quality of life. The adverse effects of multimorbidity on health, quality of life, and economic well-being are exacerbated by the co-occurrence of mental health conditions and low socioeconomic status. SN - 1545-1151 UR - https://doi.org/10.5888/pcd17.200155 DO - 10.5888/pcd17.200155 ER - 国产精品久久久久久一级毛片