Publications by authors named "C J L Dibben"
Background: Despite active travel investment increasing, evidence of benefit is often limited to selected health outcomes and a short follow-up period, and cyclists and pedestrians are often analysed together. We aimed to examine prospective associations with multiple health outcomes over 18 years for pedestrians and cyclists separately.
Methods: The Scottish Longitudinal Study is based on census data, from which we selected 82 297 individuals aged 16-74 years.
The ability to manage ill health and care needs might be affected by who a person lives with. This study examined how the risk of unplanned hospitalisation and transition to living in a care home varied according to household size and co-resident multimorbidity. Here we show results from a cohort study using Welsh nationwide linked healthcare and census data, that employed multilevel multistate models to account for the competing risk of death and clustering within households.
View Article and Find Full Text PDFIn the context of population ageing, multimorbidity is an increasingly prevalent public health issue that has a substantial impact on both individuals and healthcare systems. Alongside the literature looking at risk factors at the individual level, there is a growing body of research examining the role of neighbourhoods in the development of multimorbidity. However, most of this work has focused on physical features of place such as air pollution and green space, while social features of place have been largely overlooked.
View Article and Find Full Text PDFArticle Synopsis
- The study investigates how living alone or with someone who is chronically ill affects outcomes for hip fracture patients aged 50 and older.
- It found that 56% of 12,089 patients lived alone, who were generally older and had more long-term health conditions compared to those living with a co-resident.
- Living alone and living with someone with dementia significantly increased the risk of needing care home admission after a hip fracture, but living alone had no substantial effect on the likelihood of emergency hospital admission within 30 days.
Article Synopsis
- Multimorbidity refers to the simultaneous presence of two or more long-term health conditions, posing significant challenges to health systems globally.
- A systematic review identified 12 place-based risk factors influencing multimorbidity, with area-level deprivation, pollution, and urban/rural context being the most impactful.
- The study emphasizes the need for more research on additional place-related factors like social cohesion and greenspace, and suggests developing a conceptual framework to better understand these relationships.