Evidence map›Paper›PMID 29864712›Full record

ArticleSocial science & medicine (1982)2018

Explaining the increasing disability prevalence among mid-life US adults, 2002 to 2016.

Anna Zajacova, Jennifer Karas Montez

Abstract read
In one paragraph

Article in Social science & medicine (1982), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
–field-weighted citation impact
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

35 citing papers in PubMed.

  1. Depression trends in Europe: sociodemographic differences.European journal of public health · 2026
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  10. Does Pain Explain Trends in Disability? An Analysis of Middle-Aged and Older U.S. Adults, 2002-2018.The journals of gerontology. Series B, Psychological sciences and social sciences · 2024
    Article
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  15. Quantifying the Contribution of Work Characteristics to Educational Disparities in Health-Induced Work Limitations.The journals of gerontology. Series B, Psychological sciences and social sciences · 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

2 authors.

Anna ZajacovaUniversity of Western Ontario, Canada. Electronic address: anna.zajacova@uwo.ca.
Jennifer Karas MontezSyracuse University, United States.

Funding

Statistical Data EnclaveP30AG012846 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Esther M. Friedman · 1999 to 2026
$23.2M
Network on Life Course Health Dynamics and Disparities in 21st Century America RenewalR24AG045061 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI JENNIFER A AILSHIRE, Sarah A. Burgard · 2014 to 2026
$5.2M
Educational Attainment, Geography, and U.S. Adult Mortality RiskR01AG055481 · NIA · SYRACUSE UNIVERSITY · PI MONTEZ, JENNIFER KARAS · 2017 to 2021
$1.7M
Anomaly in the gradient: Health of U.S. adults with subbaccalaureate education.R03AG050130 · NIA · UNIVERSITY OF WYOMING · PI ZAJACOVA, ANNA · 2016 to 2017
$144k
NIA NIH HHS P30 AG012846NIA NIH HHS R01 AG055481NIA NIH HHS R03 AG050130NIA NIH HHS R24 AG045061
6 · The paper itself

Abstract

Several recent studies have documented an alarming upward trend in disability and functional limitations among US adults. In this study, we draw on the sociomedical Disablement Process framework to produce up-to-date estimates of the trends and identify key social and medical precursors of the trends. Using data on US adults aged 45-64 in the 2002-2016 National Health Interview Surveys, we estimate parametric and semiparametric models of disability and functional limitations as a function of interview time. We also determine the impact of socioeconomic resources, health behaviors, and health conditions on the trends. Our results show increasing prevalence of disability and functional limitations. These trends reflect the net result of complex countervailing forces, some associated with increases in functioning problems (unfavorable trends in economic well-being, especially income, and psychological distress) while other factors have suppressed the growth of functioning problems (favorable trends in educational attainment and some health behaviors, such as smoking and alcohol use). The results underscore that disability prevention must expand beyond medical interventions to include fundamental social factors and be focused on preventing or delaying the onset of chronic health problems and functional limitations.

Indexed as

Chronic DiseaseFemaleHumansInterviews as TopicLogistic ModelsMaleMiddle AgedPersons with DisabilitiesPrevalenceSocioeconomic FactorsSurveys and QuestionnairesUnited StatesDisabilityFunctioningIncomeSocial determinantsTrendUS adults

Identifiers

PMID29864712
PMCPMC6067976

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.