Evidence map›Paper›PMID 31940032›Full record

ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2020

Socioeconomic Inequalities in Disability-free Life Expectancy in Older People from England and the United States: A Cross-national Population-Based Study.

Paola Zaninotto, George David Batty, Sari Stenholm, Ichiro Kawachi, Martin Hyde, Marcel Goldberg, Hugo Westerlund, Jussi Vahtera, Jenny Head

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In one paragraph

Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 1 pooled it
–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

44 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  10. Socioeconomic Inequalities in Frailty Distribution: A Cross-National Comparison of the United States and England.The journals of gerontology. Series B, Psychological sciences and social sciences · 2024
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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

9 authors.

Paola ZaninottoDepartment of Epidemiology and Public Health, University College London, UK.
George David BattyDepartment of Epidemiology and Public Health, University College London, UK.
Sari StenholmDepartment of Public Health, University of Turku and Turku University Hospital, Finland.
Ichiro KawachiDepartment of Social and Behavioral Sciences, Harvard University, Boston, Massachusetts.
Martin HydeCentre for Innovative Ageing, College of Human and Health Sciences, Swansea University, UK.
Marcel GoldbergInserm, Population-based Epidemiologic Cohorts Unit-UMS 011, Villejuif, France.
Hugo WesterlundStress Research Institute, Stockholm University, Sweden.
Jussi VahteraDepartment of Public Health, University of Turku and Turku University Hospital, Finland.
Jenny HeadDepartment of Epidemiology and Public Health, University College London, UK.

Funding

Project-001R01AG017644 · NIA · UNIVERSITY OF LONDON INST OF NEUROLOGY · PI Andrew Steptoe · 2000 to 2026
$56.2M
Integrting Information About Aging SurveysR01AG030153 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Sara Adar, Alden L. Gross · 2007 to 2026
$41.7M
Mega Meta Data Set of the Health and Retirement Surveys Around the WorldRC2AG036619 · NIA · RAND CORPORATION · PI KAPTEYN, ARIE · 2009 to 2010
$2.0M
Archiving & Creating User Friendly Data: the Longitudinal Aging Survey in IndiaR03AG043052 · NIA · RAND CORPORATION · PI LEE, JINKOOK · 2012 to 2012
$95k
Department of HealthNIA NIH HHS R01 AG017644NIA NIH HHS R01 AG030153NIA NIH HHS R03 AG043052NIA NIH HHS RC2 AG036619
6 · The paper itself

Abstract

backgroundWe examined socioeconomic inequalities in disability-free life expectancy in older men and women from England and the United States and explored whether people in England can expect to live longer and healthier lives than those in the United States.

methodsWe used harmonized data from the Gateway to Global Aging Data on 14,803 individuals aged 50+ from the U.S. Health and Retirement Study (HRS) and 10,754 from the English Longitudinal Study of Ageing (ELSA). Disability was measured in terms of impaired activities and instrumental activities of daily living. We used discrete-time multistate life table models to estimate total life expectancy and life expectancy free of disability.

resultsSocioeconomic inequalities in disability-free life expectancy were of a similar magnitude (in absolute terms) in England and the United States. The socioeconomic disadvantage in disability-free life expectancy was largest for wealth, in both countries: people in the poorest group could expect to live seven to nine fewer years without disability than those in the richest group at the age of 50.

conclusionsInequalities in healthy life expectancy exist in both countries and are of similar magnitude. In both countries, efforts in reducing health inequalities should target people from disadvantaged socioeconomic groups.

Indexed as

Health Status DisparitiesLife ExpectancySocioeconomic FactorsAgedAged, 80 and overCross-Sectional StudiesEnglandFemaleHumansMaleMiddle AgedPersons with DisabilitiesUnited StatesCross-nationalDisabilityHealthy life expectancySocioeconomic status

Identifiers

PMID31940032
PMCPMC7164527

What OpenQuestion holds

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LicenceCC BY
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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.