There is a wide range of factors that impact on the development of multiple long-term conditions
In our work, we are particularly interested in how urban environment, high levels of diversity and deprivation affects people’s health. We know that drivers of multiple long-term conditions link with aspects including a person’s socio-economic status and ethnicity.
Research has shown that:
There appears to be a strong correlation between local deprivation and prevalence of multiple long-term conditions.
Most people with multiple long-term conditions live in the most deprived areas - typically developing their conditions 10-15 years before people in more affluent ones.
Increasing evidence suggests the prevalence of long-term conditions is concentrated in more deprived wards across Lambeth and Southwark:
There is emerging evidence of a link between diversity and multiple long-term conditions.
While the largest number of people with multiple long-term conditions are White, a larger proportion of Black and Asian people have multiple long-term conditions.
There is also a correlation between ethnicity and the number of uncontrolled risk factors – like high blood pressure or BMI – which can lead to the development of long-term conditions. Black or Black British have the largest relative numbers of people with two or more uncontrolled risk factors.
Black and Minority Ethnic populations are more likely to be diagnosed with mental health issues, experience a poor outcome from treatment and disengage from services.
Mental ill health is both a driver of multiple long-term conditions and a consequence of having a physical long-term condition. This can interact with other drivers of multiple long-term conditions – for example, serious mental health disproportionately affects people from Black ethnicity populations.
We know that:
We have also learned key lessons from projects we have funded in the past: