BRIEF RESEARCH REPORT article
Front. Epidemiol.
Sec. Cardiovascular Epidemiology
Volume 5 - 2025 | doi: 10.3389/fepid.2025.1571650
This article is part of the Research TopicThe Cardiovascular Continuum Between Hypertension, Diabetes and Cardiovascular DiseaseView all 5 articles
Trends in cardiometabolic multimorbidity in non-elderly adult Medicaid enrollees, 2018-2022
Provisionally accepted
- 1Department of Family and Preventive Medicine, School of Medicine, Emory University, Atlanta, Georgia, United States
- 2Duke University, Durham, North Carolina, United States
- 3School of Public Health, Brown University, Providence, Rhode Island, United States
- 4Rollins School of Public Health, Emory University, Atlanta, Georgia, United States
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Abstract•Importance: Medicaid, as the largest U.S. insurer, can reduce cardiometabolic multimorbidity.•Objective: Assess patterns and trends in cardiometabolic multimorbidity among Medicaid-enrolled adults.•Design: Analysis of 2018–2022 National Health Interview Survey data, a nationally representative cross-sectional survey.•Conditions Studied: Hypertension, hyperlipidemia, coronary heart disease, angina, heart attack, stroke, diabetes, and obesity.•Setting: U.S., 2018–2022.•Participants: 11,090 adults (19–64 years) with Medicaid coverage.•Main Outcomes: Proportion with one or multiple cardiometabolic conditions.•Findings: o29.3% had one cardiometabolic condition; 29.7% had multimorbidity: 14.5% with 2, 8.0% with 3, and 7.1% with 4+ conditions.oObesity, hypertension, hyperlipidemia were the most common conditions either individually or together. oObesity 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; however, these differences were larger in younger adults (<41 years) than older adults.oHigher multimorbidity among older, non-working, and less educated Medicaid enrollees.oNo significant change in prevalence of multimorbidity over time but decrease in no conditions offset by increase in single conditions.•Conclusion: 29.7% of Medicaid-insured adults had cardiometabolic multimorbidity, and another 29.3% were at risk for it. Continuity in Medicaid coverage is a necessary part of reducing the burden of cardiometabolic multimorbidity.
Keywords: Hypertension, Hyperlipidemia, coronary heart disease, angina, Heart Attack, Stroke, diabetes, and Obesity
Received: 02 Mar 2025; Accepted: 09 Jun 2025.
Copyright: © 2025 Chehal, Lalwani, Fuse Brown, Ali and A. Cunningham. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Puneet Kaur Chehal, Department of Family and Preventive Medicine, School of Medicine, Emory University, Atlanta, GA 30322, Georgia, United States
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