ArticleAnnals of epidemiology2008
Extent of social inequalities in disability in the elderly: results from a population-based study of British men.
Article in Annals of epidemiology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.
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Who cites it
29 citing papers in PubMed.
- Dimensionality and invariance of ADL, IADL, BI-M2/WG-SS, and GALI in large surveys in France (2008-2014) and implications for measuring disability in epidemiology.Archives of public health = Archives belges de sante publique · 2023Article
- Trajectories of Intrinsic Capacity: Determinants and Associations with Disability.The journal of nutrition, health & aging · 2023Article
- Women carry the weight of deprivation on physical inactivity: Moderated mediation analyses in a European sample of adults over 50 Years of age.SSM - population health · 2022Article
- Article
- Determinants of acquired disability and recovery from disability in Indian older adults: longitudinal influence of socio-economic and health-related factors.BMC geriatrics · 2021Article
- Factors associated with long-term care certification in older adults: a cross-sectional study based on a nationally representative survey in Japan.BMC geriatrics · 2021Article
- Functional status and its associated factors among community-dwelling older adults in rural Nepal: findings from a cross-sectional study.BMC geriatrics · 2021Article
- Child Marriage and Adolescent Motherhood: A Nationwide Vulnerability for Women in Bangladesh.International journal of environmental research and public health · 2021Article
- Socioeconomic Status and Access to Healthcare: Interrelated Drivers for Healthy Aging.Frontiers in public health · 2020Review
- The relationship and mechanism between education and functional health status transition among older persons in China.BMC geriatrics · 2018Article
- Article
- Hospitalization-Associated Disability in Adults Admitted to a Safety-Net Hospital.Journal of general internal medicine · 2015Article
- The impact of occupational experience on cognitive and physical functional status among older adults in a representative sample of Korean subjects.Annals of occupational and environmental medicine · 2015Article
- Educational disparities in the burden of disability: contributions of disease prevalence and disabling impact.American journal of public health · 2014Article
- Income-related inequalities in chronic conditions, physical functioning and psychological distress among older people in Australia: cross-sectional findings from the 45 and up study.BMC public health · 2014Article
- Time trends in socioeconomic inequalities in cancer mortality: results from a 35 year prospective study in British men.BMC cancer · 2014Article
- Early maternal age at first birth is associated with chronic diseases and poor physical performance in older age: cross-sectional analysis from the International Mobility in Aging Study.BMC public health · 2014Article
- Article
- Marked ethnic, nativity, and socioeconomic disparities in disability and health insurance among US children and adults: the 2008-2010 American community survey.BioMed research international · 2013Article
- The association of health and income in the elderly: experience from a southern state of Brazil.PloS one · 2013Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeLittle is known about social inequalities in disability in the elderly. We examined the extent and determinants of socioeconomic inequalities in disability and functional limitation in elderly men in Britain.
methodsDisability was ascertained as problems with activities of daily living (ADLs) and instrumental ADL in a socioeconomically representative sample of 3,981 men from 24 British towns who were between 63 to 82 years of age in 2003. We also examined functional limitation. Measures of socioeconomic position were social class, age at leaving full-time education, and car and house ownership.
resultsMen in lower social classes had greater risks of both ADL and instrumental ADL disability and functional limitation compared with higher social classes; odds ratios (95% CI) for social class V compared with I were 3.13 (1.64-5.97), 2.87 (1.49-5.51), and 2.65 (1.31-5.35), respectively. Behavioral risk factors (smoking, body mass index, physical activity) and particularly co-morbidity attenuated these differences; together, they reduced relative risks to 1.11 (0.49-2.51), 1.01 (0.45-2.25), and 1.05 (0.46-2.42). Age at leaving full-time education had no relation to functional limitations after taking social class into account. Men who were not house or car owners had greater odds of functional limitation and ADL disability compared with house or car owners, independent of behavioural risk factors, comorbidities and social class.
conclusionStrong socioeconomic inequalities in disability exist in the elderly, which were considerably explained by behavioral factors and comorbidity. Policy efforts are needed to reduce the social disparities in disability in the elderly.
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