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Is Transient and Persistent Poverty Harmful to Multimorbidity?: Model Testing Algorithms.
Sukyong Seo1, Young Dae Kwon2, Ki-Bong Yoo3
1College of Nursing, Eulji University, Seongnam 13135, Korea.
Summary
Persistent poverty significantly increases the risk of multimorbidity, the coexistence of multiple chronic conditions. Long-term income, not just yearly income, is crucial for health outcomes.
Area of Science:
- Public Health
- Socioeconomic Determinants of Health
- Epidemiology
Background:
- Multimorbidity disproportionately affects low-income populations.
- The impact of long-term income versus single-point income on multimorbidity is not well understood.
- The differential effects of persistent versus transient poverty require further investigation.
Purpose of the Study:
- To investigate the association between long-term income, poverty dynamics, and wealth with multimorbidity.
- To determine if persistent poverty poses a greater risk than transient poverty.
- To examine the influence of income changes on multimorbidity.
Main Methods:
- Longitudinal study using the Korean Health Panel (KHP) survey data (2010-2015).
- Multivariate analysis employing logistic regression models.
- Inclusion of various income and wealth variables to assess their impact.
Main Results:
- Low-income individuals (lowest 20%) exhibited a higher likelihood of multimorbidity.
- Average income demonstrated a stronger association with multimorbidity than same-year income.
- Persistent poverty episodes presented a greater health hazard compared to transient poverty.
- Changes in income were found to be statistically insignificant in relation to multimorbidity.
Conclusions:
- Long-term income and persistent poverty are significant determinants of multimorbidity.
- Findings underscore the importance of policies aimed at mitigating persistent poverty.
- Public investment in education and job creation may be effective strategies to address multimorbidity.
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