Table 3

Effect of Baseline Characteristics on Time to Developing Incident Multimorbidity Between 2002-2003 and 2012-2013: Complementary Log-Log Models

CharacteristicNo Condition in 2002-2003 (n = 1,477) and ≥2 Incident Conditions (Multimorbidity) by 2012-2013Any Number of Conditions in 2002- 2003 (n = 4,564) and ≥1 Incident Conditions by 2012-2013
HR (95% CI)P ValueHR (95% CI)P Value
Age, yLinear trend<.001Linear trend<.001
 50-541.00 [Reference]1.00 [Reference]
 55-591.44 (1.05-1.99)a.025a1.29 (1.14-1.45)a<.001a
 60-641.85 (1.31-2.61)a<.001a1.42 (1.25-1.62)a<.001a
 65-692.93 (2.08-4.13)a<.001a1.49 (1.31-1.70)a<.001a
 ≥702.58 (1.83-3.64)a<.001a1.49 (1.31-1.70)a<.001a
Female (vs male)1.14 (0.86-1.50).3601.10 (0.99-1.21).072
Wealth quintilesLinear trend.001aLinear trend.002a
 1 Wealthiest1.00 [Reference]1.00 [Reference]
 21.27 (0.89-1.80).1850.97 (0.85-1.10).620
 31.41 (1.00-1.97).0491.08 (0.95-1.23).215
 41.23 (0.85-1.78).2691.11 (0.97-1.26).120
 5 Least wealthy2.19 (1.50-3.19)a<.001a1.22 (1.06-1.39)a.005a
Educational attainmentLinear trend.058Linear trend.923
 Degree /higher ed1.00 [Reference]1.00 [Reference]
 Intermediate0.95 (0.73-1.23).7011.04 (0.94-1.15).413
 No qualification0.73 (0.53-1.00).0511.00 (0.89-1.12).993
Lives alone (vs cohabits)0.93 (0.71-1.21).5801.08 (0.98-1.19).128
BMI category (2004)Linear trend<.001aLinear trend<.001a
 Underweight or normal weight1.00 [Reference]1.00 [Reference]
 Overweight1.15 (0.87-1.52).3391.10 (0.99-1.21).070
 Obese1.92 (1.43-2.59)a<.001a1.27 (1.14-1.42)a<.001a
Smoking behavior
 Never smoked1.00 [Reference]1.00 [Reference]
 Smoked in past1.12 (0.88-1.43).3591.09 (1.00-1.19).050
 Current smoker1.22 (0.87-1.70).2481.21 (1.07-1.36)a.002a
Physical activityLinear trend.031aLinear trend.004a
 High1.00 [Reference]1.00 [Reference]
 Medium1.3 (1.00-1.70).0511.08 (0.97-1.19).149
 Low1.43 (1.02-2.00)a.039a1.19 (1.06-1.35)a.004a
Social detachment (vs none)1.16 (0.77-1.72).4801.07 (0.93-1.22).360
External locus of control (vs internal)1.41 (1.10-1.82)a.007a1.13 (1.03-1.23)a.010a
  • BMI = body mass index; HR = hazard ratio.

  • Note: Complementary log-log models are the discrete time equivalent of Cox proportional hazards models for continuous time. The reference category for each covariate is the first category listed. A HR >1.00 indicates increased risk, whereas an HR of <1.00 indicates reduced risk. Models were corrected for differential nonresponse using longitudinal sample weighting.

  • a Significant association.