The enduring effect of education-socioeconomic differences in disability trajectories from age 85 years in the Newcastle 85+ Study
| العنوان: | The enduring effect of education-socioeconomic differences in disability trajectories from age 85 years in the Newcastle 85+ Study |
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| المؤلفون: | Andrew Kingston, J. Collerton, Rachel Duncan, Thomas B. L. Kirkwood, Karen Davies, Louise Robinson, Carol Jagger |
| المصدر: | Archives of Gerontology and Geriatrics |
| سنة النشر: | 2014 |
| مصطلحات موضوعية: | Gerontology, Male, Aging, Health (social science), Activities of daily living, Article, Health(social science), Education, Trajectories, 03 medical and health sciences, 0302 clinical medicine, Activities of Daily Living, Medicine, Humans, Disability progression, Disabled Persons, 030212 general & internal medicine, The very old, Severe disability, Newcastle 85+ Study, Geriatric Assessment, Socioeconomic differences, Aged, 80 and over, 030505 public health, Disability, business.industry, Longitudinal studies, Confounding, Ageing, Health assessment, Social Class, Disease Progression, Educational Status, Female, Geriatrics and Gerontology, 0305 other medical science, business |
| الوصف: | Highlights • Even at aged 85, four gender specific trajectories of disability are evident. • A disability-free trajectory is found in men only comprising 9% of the male sample. • Less education is associated with being more disabled in later life. Objective Little is known about disability progression in very old age despite this being vital for care planning. We investigate whether distinct trajectories of disability are evident from age 85 to 90 and their association with socio-economic status (SES). Methods The Newcastle 85+ Study recruited people born in 1921 through participating general practices in Newcastle and North Tyneside. Participants underwent a health assessment (HA) at baseline, 18, 36 and 60 months and a GP record review (GPRR) at baseline, 36 and 60 months. Disability was measured via difficulty in 17 Activities of Daily Living. Trajectory identification was assessed by gender stratified, mortality adjusted, group-based trajectory modelling (GBTM) and the impact of life-course SES (level of education; occupational class; deprivation) on trajectory membership evaluated (adjusting for confounding variables). Results 851 participants agreed to HA and GPRR, 840 (98.7%) with complete disability data. Four distinct trajectories were evident for both sexes. A disability-free trajectory between age 85 and 90 was identified in men only (9% of the sample). The most disabled trajectories had severe disability at age 85 progressing to profound disability by age 90. After adjusting for confounders education remained significant; men and women with most education being less likely to be in the most disabled trajectory (Men: OR = 0.80, 95% CI 0.65–0.98; women: OR = 0.59, 95% CI 0.42–0.83). Conclusion Distinct disability trajectories are evident in the very old and these are influenced by education, suggesting SES disadvantages cumulate throughout the life-course to create health and mortality inequalities later. |
| تدمد: | 1872-6976 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::3adca82955c6a1627ebe0889d0f0843d https://pubmed.ncbi.nlm.nih.gov/25747850 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....3adca82955c6a1627ebe0889d0f0843d |
| قاعدة البيانات: | OpenAIRE |
Full Text via ClinicalKey | تدمد: | 18726976 |
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