Household Tenure and Its Associations with Multiple Long-Term Conditions amongst Working-Age Adults in East London: A Cross-Sectional Analysis Using Linked Primary Care and Local Government Records

Elizabeth Ingram, Manuel Gomes, Sue Hogarth, Helen I. McDonald, David Osborn and Jessica Sheringham
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Elizabeth Ingram: Department of Applied Health Research, University College London, London WC1E 7HB, UK
Manuel Gomes: Department of Applied Health Research, University College London, London WC1E 7HB, UK
Sue Hogarth: London Boroughs of Camden and Islington, London N1 1XR, UK
Helen I. McDonald: London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK
David Osborn: Division of Psychiatry, University College London, London W1T 7BN, UK
Jessica Sheringham: Department of Applied Health Research, University College London, London WC1E 7HB, UK

IJERPH, 2022, vol. 19, issue 7, 1-18

Abstract: Multiple long-term conditions (MLTCs) are influenced in extent and nature by social determinants of health. Few studies have explored associations between household tenure and different definitions of MLTCs. This study aimed to examine associations between household tenure and MLTCs amongst working-age adults (16 to 64 years old, inclusive). This cross-sectional study used the 2019–2020 wave of an innovative dataset that links administrative data across health and local government for residents of a deprived borough in East London. Three definitions of MLTCs were operationalised based on a list of 38 conditions. Multilevel logistic regression models were built for each outcome and adjusted for a range of health and sociodemographic factors. Compared to working-age owner-occupiers, odds of basic MLTCs were 36% higher for social housing tenants and 19% lower for private renters (OR 1.36; 95% CI 1.30–1.42; p < 0.001 and OR 0.81, 95% CI 0.77–0.84, p < 0.001, respectively). Results were consistent across different definitions of MLTCs, although associations were stronger for social housing tenants with physical-mental MLTCs. This study finds strong evidence that household tenure is associated with MLTCs, emphasising the importance of understanding household-level determinants of health. Resources to prevent and tackle MLTCs among working-age adults could be differentially targeted by tenure type.

Keywords: multimorbidity; multiple long-term conditions; comorbidity; social determinants of health; housing; household tenure; data linkage (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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