Evidence map›Paper›PMID 24922134›Full record

ArticleAmerican journal of public health2014

Educational disparities in the burden of disability: contributions of disease prevalence and disabling impact.

Bart Klijs, Wilma J Nusselder, Caspar W Looman, Johan P Mackenbach

Open access · greenAbstract read
In one paragraph

Article in American journal of public health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
4.8field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 33 citations in OpenAlex.

  1. Trial
  2. 2050: An Arthroplasty Odyssey.Healthcare (Basel, Switzerland) · 2025
    Article
  3. [Advances of low-intensity pulsed ultrasound for treatment of musculoskeletal disorders in the past decade].Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2025
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  16. Socioeconomic inequalities and diabetes: A systematic review from Iran.Journal of diabetes and metabolic disorders · 2015
    Article
  17. Contribution of chronic diseases to the mild and severe disability burden in Belgium.Archives of public health = Archives belges de sante publique · 2015
    Article
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Bart KlijsAt the time of the study, Bart Klijs, Wilma J. Nusselder, Caspar W. Looman, and Johan P. Mackenbach were with the Department of Public Health, Erasmus MC, University Medical Center Rotterdam, The Netherlands. Bart Klijs was also with the Department of Epidemiology, University of Groningen, University Medical Center Groningen, The Netherlands.
Wilma J Nusselder
Caspar W Looman
Johan P Mackenbach
Erasmus MC · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe assessed the contributions of the prevalence and disabling impact of specific diseases to educational disparities in the prevalence of disability.

methodsWe examined a large representative survey of the Dutch population, the Dutch Permanent Survey of Living Conditions (2001-2007; n = 24 883; ages 40-97 years). We attributed the prevalence of disability to chronic diseases by using their empirical associations and assuming independent competing causes of disability. We estimated contributions of prevalence and the disabling impact of diseases to disparities in disability using counterfactuals.

resultsWe found that the prevalence of disability in individuals with only an elementary education was 19 to 20 percentage points higher than that in individuals with tertiary education. Sixty-five percent of this difference could be attributed to specific chronic diseases, but more so to their disabling impact (49%-51%) than to their prevalence (20%-29%). Back pain, neck or arm conditions, and peripheral vascular disease contributed most to the disparity in men, and arthritis, back pain, and chronic nonspecific lung disease contributed most to the disparity in women.

conclusionsEducational disparities in the burden of disability were primarily caused by high disabling impacts of chronic diseases among low educated groups. Tackling disparities might require more effective treatment or rehabilitation of disability in lower socioeconomic groups.

Indexed as

Cost of IllnessEducational StatusHealth Status DisparitiesAdultAgedAged, 80 and overChronic DiseaseCross-Sectional StudiesFemaleHumansMaleMiddle AgedNetherlandsPersons with DisabilitiesPrevalenceSex Factors

Identifiers

PMID24922134
PMCPMC4103239
OpenAlexW2135483171

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.