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Health promotion and public health
Barriers and facilitators to self-managing multiple long-term conditions: socioeconomic deprivation affects health outcomes in a UK cohort
  1. Elena Page1,2,
  2. Paolo Mazzola3,4
  1. 1Department of Internal Medicine and Medical Specialties (DIMI), Università degli Studi di Genova Facoltà di Medicina e Chirurgia, Genova, Italy
  2. 2IRCCS Ospedale Policlinico San Martino, Genova, Italy
  3. 3School of Medicine and Surgery, Università degli Studi di Milano-Bicocca, Monza, Italy
  4. 4Acute Geriatrics Unit, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy
  1. Correspondence to Professor Paolo Mazzola; paolo.mazzola{at}unimib.it

https://doi.org/10.1136/ebnurs-2024-104107

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    Commentary to: Woodward A, Nimmons D, Davies N, et al. A qualitative exploration of the barriers and facilitators to self-managing multiple long-term conditions amongst people experiencing socioeconomic deprivation. Health Expect 2024;27(2):e14046. doi: 10.1111/hex.14046.

    Implications for practice and research

    • Addressing socioeconomic barriers is crucial to develop patient-centred care models to help self-managing multiple long-term conditions (MLTCs).

    • Managing MLTCs is not solely an individual responsibility, and community-based interventions should aim to strengthen social support networks and reduce social isolation. The extent of the beneficial effects of social support networks on health outcomes and MLTCs self-management should also be addressed in research.

    Context

    Worldwide, one in three adults lives with multiple long-term conditions (MLTCs) and requires ongoing management and self-management. Socioeconomic deprivation exacerbates health inequalities due to limited resources and opportunities. In England, people living in deprived areas tend to develop MLTCs earlier and have a shorter lifespan compared with those in wealthier …

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    Footnotes

    • X @paolinomj

    • Funding None declared.

    • Competing interests None declared.

    • Provenance and peer review Commissioned; internally peer reviewed.