Trends in cardiometabolic multimorbidity in non-elderly adult Medicaid enrollees, 2018–2022
ImportanceMedicaid, as the largest U.S. insurer, can reduce cardiometabolic multimorbidity.ObjectiveAssess patterns and trends in cardiometabolic multimorbidity among Medicaid-enrolled adults.DesignAnalysis of 2018–2022 National Health Interview Survey data, a nationally representative cross-section...
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Frontiers Media S.A.
2025-06-01
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| Series: | Frontiers in Epidemiology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fepid.2025.1571650/full |
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| author | Puneet Kaur Chehal Pooja Dilip Lalwani Erin C. Fuse Brown Mohammed K. Ali Solveig A. Cunningham |
| author_facet | Puneet Kaur Chehal Pooja Dilip Lalwani Erin C. Fuse Brown Mohammed K. Ali Solveig A. Cunningham |
| author_sort | Puneet Kaur Chehal |
| collection | DOAJ |
| description | ImportanceMedicaid, as the largest U.S. insurer, can reduce cardiometabolic multimorbidity.ObjectiveAssess patterns and trends in cardiometabolic multimorbidity among Medicaid-enrolled adults.DesignAnalysis of 2018–2022 National Health Interview Survey data, a nationally representative cross-sectional survey.Conditions StudiedHypertension, hyperlipidemia, coronary heart disease, angina, heart attack, stroke, diabetes, and obesity.SettingU.S., 2018–2022.Participants11,090 adults (19–64 years) with Medicaid coverage.Main OutcomesProportion with one or multiple cardiometabolic conditions.Findings(a) 29.3% had one cardiometabolic condition; 29.7% had multimorbidity: 14.5% with 2, 8.0% with 3, and 7.1% with 4+ conditions. (b) Obesity, hypertension, and hyperlipidemia were the most common conditions either individually or together. (c) Obesity was more common in women than men, and women were more likely to have a single condition while men were more likely to have multimorbidity; these differences between men and women were larger in younger adults (<41 years) than older adults. (d) There was higher multimorbidity among older, non-working, and less educated Medicaid enrollees. (e) Prevalence of multimorbidity over time did not change but there was a decrease in the proportion of enrollees with no conditions which was offset by an increase in enrollees with a single condition. Conclusion29.7% of Medicaid-insured adults had cardiometabolic multimorbidity, and another 29.3% were at risk for it. Potential cuts to Medicaid coverage may exacerbate the burden of cardiometabolic multimorbidity in Medicaid enrollees. |
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| language | English |
| publishDate | 2025-06-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Epidemiology |
| spelling | doaj-art-b7e1628c0b014db8a18afca7efc8c90d2025-08-20T03:30:36ZengFrontiers Media S.A.Frontiers in Epidemiology2674-11992025-06-01510.3389/fepid.2025.15716501571650Trends in cardiometabolic multimorbidity in non-elderly adult Medicaid enrollees, 2018–2022Puneet Kaur Chehal0Pooja Dilip Lalwani1Erin C. Fuse Brown2Mohammed K. Ali3Solveig A. Cunningham4Department of Family and Preventative Medicine, Emory School of Medicine, Atlanta, GA, United StatesDepartment of Biology, Duke University, Durham, NC, United StatesDepartment of Health Services, Policy & Practice, Brown University School of Public Health, Providence, RI, United StatesEmory Global Diabetes Research Center, Woodruff Health Sciences Center, Emory University, Atlanta, GA, United StatesHubert Department of Global Health, Emory University, Atlanta, GA, United StatesImportanceMedicaid, as the largest U.S. insurer, can reduce cardiometabolic multimorbidity.ObjectiveAssess patterns and trends in cardiometabolic multimorbidity among Medicaid-enrolled adults.DesignAnalysis of 2018–2022 National Health Interview Survey data, a nationally representative cross-sectional survey.Conditions StudiedHypertension, hyperlipidemia, coronary heart disease, angina, heart attack, stroke, diabetes, and obesity.SettingU.S., 2018–2022.Participants11,090 adults (19–64 years) with Medicaid coverage.Main OutcomesProportion with one or multiple cardiometabolic conditions.Findings(a) 29.3% had one cardiometabolic condition; 29.7% had multimorbidity: 14.5% with 2, 8.0% with 3, and 7.1% with 4+ conditions. (b) Obesity, hypertension, and hyperlipidemia were the most common conditions either individually or together. (c) Obesity was more common in women than men, and women were more likely to have a single condition while men were more likely to have multimorbidity; these differences between men and women were larger in younger adults (<41 years) than older adults. (d) There was higher multimorbidity among older, non-working, and less educated Medicaid enrollees. (e) Prevalence of multimorbidity over time did not change but there was a decrease in the proportion of enrollees with no conditions which was offset by an increase in enrollees with a single condition. Conclusion29.7% of Medicaid-insured adults had cardiometabolic multimorbidity, and another 29.3% were at risk for it. Potential cuts to Medicaid coverage may exacerbate the burden of cardiometabolic multimorbidity in Medicaid enrollees.https://www.frontiersin.org/articles/10.3389/fepid.2025.1571650/fullhypertensionhyperlipidemiacardiovascular diseasesMedicaidmultimorbiditydiabetes |
| spellingShingle | Puneet Kaur Chehal Pooja Dilip Lalwani Erin C. Fuse Brown Mohammed K. Ali Solveig A. Cunningham Trends in cardiometabolic multimorbidity in non-elderly adult Medicaid enrollees, 2018–2022 Frontiers in Epidemiology hypertension hyperlipidemia cardiovascular diseases Medicaid multimorbidity diabetes |
| title | Trends in cardiometabolic multimorbidity in non-elderly adult Medicaid enrollees, 2018–2022 |
| title_full | Trends in cardiometabolic multimorbidity in non-elderly adult Medicaid enrollees, 2018–2022 |
| title_fullStr | Trends in cardiometabolic multimorbidity in non-elderly adult Medicaid enrollees, 2018–2022 |
| title_full_unstemmed | Trends in cardiometabolic multimorbidity in non-elderly adult Medicaid enrollees, 2018–2022 |
| title_short | Trends in cardiometabolic multimorbidity in non-elderly adult Medicaid enrollees, 2018–2022 |
| title_sort | trends in cardiometabolic multimorbidity in non elderly adult medicaid enrollees 2018 2022 |
| topic | hypertension hyperlipidemia cardiovascular diseases Medicaid multimorbidity diabetes |
| url | https://www.frontiersin.org/articles/10.3389/fepid.2025.1571650/full |
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