ArticleBMC public health2006
Regional differences in multidimensional aspects of health: findings from the MRC cognitive function and ageing study.
Article in BMC public health, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A Systematic Literature Review of Studies Analyzing Inequalities in Health Expectancy among the Older Population.PloS one · 2015Pooled it
- The geographic pattern of Belgian mortality: can socio-economic characteristics explain area differences?Archives of public health = Archives belges de sante publique · 2016Article
- Are gaps in disability free life expectancies diminishing in Italy?European journal of ageing · 2010Article
- Regional variations in and correlates of disability-free life expectancy among older adults in China.BMC public health · 2010Article
- Estimating stroke-free and total life expectancy in the presence of non-ignorable missing values.Journal of the Royal Statistical Society. Series A, (Statistics in Society) · 2010Article
- Education differences in life expectancy with cognitive impairment.The journals of gerontology. Series A, Biological sciences and medical sciences · 2009Article
- Cohort changes in cognitive function among Danish centenarians. A comparative study of 2 birth cohorts born in 1895 and 1905.Dementia and geriatric cognitive disorders · 2008Article
- Cohort differences in disease and disability in the young-old: findings from the MRC Cognitive Function and Ageing Study (MRC-CFAS).BMC public health · 2007Article
Corrections and comments
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Authors and funding
5 authors.
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Abstract
backgroundDifferences in mortality and health experience across regions are well recognised and UK government policy aims to address this inequality. Methods combining life expectancy and health have concentrated on specific areas, such as self-perceived health and dementia. Few have looked within country or across different areas of health. Self-perceived health, self-perceived functional impairment and cognitive impairment are linked closely to survival, as well as quality of life. This paper aims to describe regional differences in healthy life expectancy using a variety of states of health and wellbeing within the MRC Cognitive Function and Ageing Study (MRC CFAS).
methodsMRC CFAS is a population based study of health in 13,009 individuals aged 65 years and above in five centres using identical study methodology. The interviews included self-perceived health and measures of functional and cognitive impairment. Sullivan's method was used to combine prevalence rates for cognitive and functional impairment and life expectancy to produce expectation of life in various health states.
resultsThe prevalence of both cognitive and functional impairment increases with age and was higher in women than men, with marked centre variation in functional impairment (Newcastle and Gwynedd highest impairment). Newcastle had the shortest life expectancy of all the sites, Cambridgeshire and Oxford the longest. Centre differences in self-perceived health tended to mimic differences in life expectancy but this did not hold for cognitive or functional impairment.
conclusionSelf-perceived health does not show marked variation with age or sex, but does across centre even after adjustment for impairment burden. There is considerable centre variation in self-reported functional impairment but not cognitive impairment. Only variation in self-perceived health relates to the ranking of life expectancy. These data confirm that quite considerable differences in life experience exist across regions of the UK beyond basic life expectancy.
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