The Association of Multimorbidity With Whole Health Activities Among Adults in the United States: Evidence From the NHIS and BRFSS

dc.creatorNeba, Rolake A.
dc.creatorWarner, Mayela
dc.creatorManning, Sydney E.
dc.creatorWiener, R. Constance
dc.creatorSambamoorthi, Usha
dc.creator.orcid0000-0002-7348-6369 (Neba, Rolake A.)
dc.creator.orcid0000-0001-8311-1360 (Sambamoorthi, Usha)
dc.creator.orcid0000-0003-1715-7891 (Manning, Sydney E.)
dc.description.abstractBACKGROUND: Whole health is a holistic approach encompassing integrative medicine, emotional, and spiritual health and is critical to improving health outcomes among individuals with multimorbidity. OBJECTIVE: To examine the prevalence of Whole Health activities and the association of multimorbidity and Whole Health activities using nationally representative datasets. METHODS: As no single dataset has information on Whole Health self-care activities, data from the 2017 National Health Interview Survey (n = 25 134) was used to measure participants' mind-body therapy usage, sleep, mental health, and physical activity. We used the 2017 Behavioral Risk Factor Surveillance System (n = 347 029) to assess regular vegetable and/or fruit consumption. RESULTS: A significantly lower percentage of adults with multimorbidity had adequate sleep (58.2%vs.67.1%), no psychological distress (71.8%vs.82.1%), adequate physical activity (48.2%vs.62.1%), and regular vegetable and/or fruit consumption (54.2%vs.56.6%) compared to those without multimorbidity. Although lower percentages of adults with multimorbidity utilized mind-body therapies (22.9%vs.25.2%), the association was reversed when adjusted for socioeconomic factors. In the fully adjusted models, adults with multimorbidity were more likely to use mind-body therapies (AOR = 1.19, 95%CI = 1.09, 1.31). Furthermore, when adjusting for other independent variables, the associations of multimorbidity with sleep, psychological distress, and diet were exacerbated, and the association of multimorbidity with physical activity was attenuated. CONCLUSION: Adults with multimorbidity were less likely to engage in most of the Whole Health activities except mind-body therapies compared to the no multimorbidity group. Findings suggest that adjustment for other factors such as age and socioeconomic status changed the magnitude and direction of the association of multimorbidity with Whole Health activities.
dc.description.sponsorshipThe author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: National Institute on Minority Health and Health Disparities, 5U54MD006882-10; National Institutes of Health, 1OT2OD032581-01 and National Institute of General Medical Sciences, 5U54GM104942-07.
dc.identifier.citationNeba, R. A., Warner, M., Manning, S. E., Wiener, R. C., & Sambamoorthi, U. (2023). The Association of Multimorbidity With Whole Health Activities Among Adults in the United States: Evidence From the NHIS and BRFSS. Global advances in integrative medicine and health, 12, 27536130231156857.
dc.publisherAcademic Consortium for Integrative Medicine & Health
dc.rights.holder© The Author(s) 2023
dc.rights.licenseAttribution-NonCommercial 4.0 International (CC BY-NC 4.0)
dc.sourceGlobal Advances in Integrative Medicine and Health
dc.subjectmental health
dc.subjectphysical activity
dc.subjectwhole health
dc.titleThe Association of Multimorbidity With Whole Health Activities Among Adults in the United States: Evidence From the NHIS and BRFSS


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