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Multiple Long-Term Conditions (MLTC) and the environment: a scoping review

Multiple Long-Term Conditions (MLTC) and the environment: a scoping review
Multiple Long-Term Conditions (MLTC) and the environment: a scoping review

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.

MLTC, environmental determinants, multimorbidity
1660-4601
Dambha-Miller, Hajira
58961db5-31aa-460e-9394-08590c4b7ba1
Cheema, Sukhmani
e83d9149-007e-42e0-bb89-2ce42e19c259
Saunders, Nile
b218c16b-3104-4c0f-8a6a-00a7c7e69830
Simpson, Glenn
802b50d9-aa00-4cca-9eaf-238385f8481c
Dambha-Miller, Hajira
58961db5-31aa-460e-9394-08590c4b7ba1
Cheema, Sukhmani
e83d9149-007e-42e0-bb89-2ce42e19c259
Saunders, Nile
b218c16b-3104-4c0f-8a6a-00a7c7e69830
Simpson, Glenn
802b50d9-aa00-4cca-9eaf-238385f8481c

Dambha-Miller, Hajira, Cheema, Sukhmani, Saunders, Nile and Simpson, Glenn (2022) Multiple Long-Term Conditions (MLTC) and the environment: a scoping review. International Journal of Environmental Research and Public Health, 19 (18), [11492]. (doi:10.3390/ijerph191811492).

Record type: Review

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.

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Accepted/In Press date: 9 September 2022
Published date: 13 September 2022
Additional Information: Funding Information: The Primary Care Research Centre at the University of Southampton is a member of the NIHR School for Primary Care Research and supported by NIHR Research funds. H.D.-M. is an NIHR Clinical Lecturer and received NIHR funding to carry out this work. This paper reports independent research funded by the National Institute for Health Research (Artificial Intelligence for Multiple Long-Term Conditions (AIM), (NIHR202637). The views expressed are those of the author(s) and not necessarily those of the NHS, the NIHR or the Department of Health and Social Care.
Keywords: MLTC, environmental determinants, multimorbidity

Identifiers

Local EPrints ID: 470887
URI: http://eprints.soton.ac.uk/id/eprint/470887
ISSN: 1660-4601
PURE UUID: ab51b68a-efe4-450d-b1b6-1ecb006552fb
ORCID for Hajira Dambha-Miller: ORCID iD orcid.org/0000-0003-0175-443X
ORCID for Glenn Simpson: ORCID iD orcid.org/0000-0002-1753-942X

Catalogue record

Date deposited: 20 Oct 2022 16:45
Last modified: 22 Oct 2022 01:57

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Contributors

Author: Sukhmani Cheema
Author: Nile Saunders
Author: Glenn Simpson ORCID iD

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