{"id":23515,"date":"2026-04-03T16:47:47","date_gmt":"2026-04-03T20:47:47","guid":{"rendered":"https:\/\/www.ices.on.ca\/?post_type=journal_article&#038;p=23515"},"modified":"2026-04-07T16:53:42","modified_gmt":"2026-04-07T20:53:42","slug":"examining-multimorbidity-in-older-adults-living-in-naturally-occurring-retirement-communities-in-ontario-canada-using-latent-class-analysis","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/examining-multimorbidity-in-older-adults-living-in-naturally-occurring-retirement-communities-in-ontario-canada-using-latent-class-analysis\/","title":{"rendered":"Examining multimorbidity in older adults living in naturally occurring retirement communities, in Ontario, Canada, using latent class analysis"},"content":{"rendered":"<p><strong>Background<\/strong> \u2014 Multimorbidity, \u2265\u20092 chronic conditions as per the World Health Organization, can complicate aging in place and lead to earlier transitions to nursing homes. To inform supportive service intervention planning in naturally occurring retirement communities (NORCs), which are areas where large proportions of older adults reside, we examined clustering patterns of specific chronic conditions among NORC residents.<\/p>\n<p><strong>Methods<\/strong> \u2014 We conducted a cross-sectional analysis of a population-based cohort of community-dwelling NORC residents aged \u2265\u200966\u2009years as of January 1, 2022, in Ontario, Canada. A provincial NORC registry of high-rise buildings was linked with individual-level health administrative records by postal code to identify NORC residents. Multimorbidity (\u2265\u20092 of 17 measured chronic conditions), sociodemographic, clinical, and health service use (HSU) characteristics in NORC residents were assessed. Baseline descriptive statistics of the NORC cohort were compared by multimorbidity status, overall, and by sex, using standardized differences (STD). Latent class analysis (LCA) identified groups (known as classes) with similar patterns of co-occurring chronic conditions.<\/p>\n<p><strong>Results<\/strong> \u2014 Among 200,565 older NORC residents (63% female, 89% in urban settings), 84% lived with multimorbidity. Multimorbid residents were older (mean 78 vs. 74\u2009years; STD 0.58) and more had low-income status (19% vs. 9%; STD 0.27) than non-multimorbid counterparts. LCA resulted in a 6-class solution. Class 1 (13% of the cohort with multimorbidity) was characterized by conditions including osteoarthritis, osteoporosis, cancer, and mood disorders, class 2 (36%) by hypertension, osteoarthritis, osteoporosis, cancer, and mood disorders, class 3 (23%) by diabetes, class 4 (10%) by cardiovascular conditions, class 5 (8%) by respiratory conditions, and class 6 (10%) contained above average prevalences for 16 conditions and had increased HSU, including unscheduled emergency visits (48%).<\/p>\n<p><strong>Conclusion<\/strong> \u2014 Findings suggest a substantial burden of multimorbidity in NORC residents and reinforce the importance of designing programs in NORCs to help older adults with multimorbidity age in place.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Background \u2014 Multimorbidity, \u2265\u20092 chronic conditions as per the World Health Organization, can complicate aging in place and lead to earlier transitions to nursing homes. To inform supportive service intervention planning in naturally occurring retirement communities (NORCs), which are areas where large proportions of older adults reside, we examined clustering patterns of specific chronic conditions [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[42,30,17],"migration-helper-qa-sample-set":[],"class_list":["post-23515","journal_article","type-journal_article","status-publish","hentry","topic-chronic-diseases-and-multimorbidity","topic-home-and-community-care","topic-older-people"],"acf":{"citation":"Isai A, Matai L, Bronskill SE, Feng P, Fu L, Hahn-Goldberg S, Humphries J, Huynh T, Li Z, McQuire T, Recknagel J, Rochon PA, Stall NM, Wang X, Yu C, Savage RD. <em>J Am Geriatr Soc<\/em>. 2026; Apr 3 [Epub ahead of print].","source_url":"https:\/\/doi.org\/10.1111\/jgs.70416","ices_scientist":[1159,1340,1355],"site":[6733],"research_program":[6740],"news_release":"","journal_article":"","atlas":"","research_report":"","infographic":"","video":"","downloads":null,"links":null,"sitecore_item_id":"","sitecore_item_name":"","sitecore_field_values":"","previous_url":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Examining multimorbidity in older adults living in naturally occurring retirement communities, in Ontario, Canada, using latent class analysis<\/title>\n<meta name=\"description\" content=\"Background \u2014 Multimorbidity, \u2265\u20092 chronic conditions as per the World Health Organization, can complicate aging in place and lead to earlier transitions to\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link 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