Multiple Long-Term Conditions (MLTC) and the Environment: A Scoping Review

Hajira Dambha-Miller, Sukhmani Cheema, Nile Saunders and Glenn Simpson ()
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Hajira Dambha-Miller: Primary Care Research Centre, University of Southampton, Southampton SO16 5ST, UK
Sukhmani Cheema: Primary Care Research Centre, University of Southampton, Southampton SO16 5ST, UK
Nile Saunders: Swansea Medical School, University of Swansea, Swansea SA2 8PP, UK
Glenn Simpson: Primary Care Research Centre, University of Southampton, Southampton SO16 5ST, UK

IJERPH, 2022, vol. 19, issue 18, 1-10

Abstract: Background: Multiple Long Term conditions (MLTC) are a major health care challenge associated with high service utilisation and expenditure. Once established, the trajectory to an increased number and severity of conditions, hospital admission, increased social care need and mortality is multifactorial. The role of wider environmental determinants in the MLTC sequelae is unclear. Aim: the aim of this review was to summarise and collate existing evidence on environmental determinants on established MLTC. Methods: comprehensive search of Medline, Embase, Cochrane, CINAHL and Bielefeld Academic Search Engine (BASE), from inception to 4th June 2022 in addition to grey literature. Two authors independently screened and extracted papers. Disagreements were resolved with a third author. Results: searches yielded 9079 articles, 12 of which met the review’s inclusion criteria. Evidence of correlations between some environmental determinants and increased or decreased risks of MLTC were found, including the quality of internal housing/living environments, exposure to airborne environmental hazards and a beneficial association with socially cohesive, accessible and greener neighbourhood environments. Conclusions: The majority of the 12 included papers focused on the built and social environments. The review uncovered very limited evidence, indicating a need for further research to understand the role of environmental determinants in MLTC.

Keywords: MLTC; multimorbidity; environmental determinants (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (2)

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