Evidence map›Paper›PMID 27103663›Full record

ArticleJournal of epidemiology and community health2016

Assessing morbidity compression in two cohorts from the Health and Retirement Study.

Hiram Beltrán-Sánchez, Marcia P Jiménez, S V Subramanian

Open access · greenAbstract read
In one paragraph

Article in Journal of epidemiology and community health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
4.8field-weighted citation impact, top 6% 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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

  1. Pooled it
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  7. The urban-rural gap in older Americans' healthy life expectancy.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025
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  8. Are We Adding Pain-Free Years to Life? A Test of Compression Versus Expansion of Morbidity.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024
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  9. Cohort Differences in Physical Health and Disability in the United States and Europe.The journals of gerontology. Series B, Psychological sciences and social sciences · 2024
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  13. Uncovering the gender health data gap.Cadernos de saude publica · 2023
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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

3 authors at 3 institutions in 1 country.

Hiram Beltrán-SánchezDepartment of Community Health Sciences, Fielding School of Public Health and California Center for Population Research, University of California, Los Angeles, Los Angeles, California, USA.
Marcia P JiménezDepartment of Epidemiology, Brown University School of Public Health, Providence, Rhode Island, USA.
S V SubramanianHarvard University, Boston, Massachusetts, USA.
Brown University · USHarvard University · USUniversity of California, Los Angeles · US

Funding

Statistical Data Enclave CoreP30AG017266 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI Michal Engelman · 1999 to 2026
$17.0M
Statistics and Methods CoreR24HD041022 · NICHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI PEBLEY, ANNE R · 2001 to 2016
$10.1M
Center for Demography and EcologyR24HD047873 · NICHD · UNIVERSITY OF WISCONSIN-MADISON · PI RAYMO, JAMES M · 2004 to 2013
$7.2M
TRAINING IN DEMOGRAPHYT32HD007338 · NICHD · BROWN UNIVERSITY · PI ANDREW D. FOSTER · 1987 to 2026
$7.0M
Scientific and Technical CoreP2CHD041022 · NICHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Martha Jane Bailey · 2016 to 2026
$6.9M
NIA NIH HHS P30 AG017266NICHD NIH HHS P2C HD041022NICHD NIH HHS R24 HD041022NICHD NIH HHS R24 HD047873NICHD NIH HHS T32 HD007338
6 · The paper itself

Abstract

backgroundIncreases in life expectancy are hypothesised to be associated with shorter proportional time spent with morbidity (compression of morbidity). We assessed whether this has occurred among older adults in the USA during the 1990s and 2000s.

methodsWe used data from the Health and Retirement Study to estimate a morbidity score based on eight chronic conditions and compare it (1) prospectively between two age-matched cohorts in 1992 and 2004 over a 6-year follow-up, and (2) retrospectively in the three waves prior to death among respondents who die in (1998-2004) and (2004-2010).

resultsProspective assessment shows significantly higher prevalence in 6 of eight chronic conditions in the 2000s, with 37% higher diabetes prevalence. A retrospective evaluation shows significantly higher prevalence in 7 of eight chronic conditions in the three waves prior to death for (2004-2010) versus (1998-2004), with 41% higher prevalence of arthritis. Importantly, the farther away from time of death, the higher the average number of chronic conditions in (2004-2010).

conclusionsUsing the largest longitudinal ageing study in the USA, we found no clear evidence of compression of morbidity as measured by self-reported chronic disease. Older adults in the USA may be experiencing greater disease burden in recent times.

Indexed as

Life ExpectancyAgedAge FactorsChronic DiseaseFemaleFollow-Up StudiesHumansLongitudinal StudiesMaleMiddle AgedMorbidityPrevalenceProspective StudiesRetirementRetrospective StudiesUnited StatesCHRONIC DIDISABILITYMORBIDITYQUALITY OF LIFE

Identifiers

PMID27103663
PMCPMC5486403
OpenAlexW2337596333

What OpenQuestion holds

Textmetadata
LicenceTDM
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.