Abstract:
BACKGROUND:Whether or not, and how, health inequalities change throughout older age is currently under debate. The goal of this study was to assess the net impact of education, occupational class, income and wealth on frailty trajectories among older adults in Continental Europe. METHODS:We modelled frailty index trajectories within a repeated cohort design among the community-dwelling population (50+) in 10 countries, using growth curve models based on 54 036 observations from 20 965 respondents in 4 waves (2004-2013) of the Survey of Health, Ageing and Retirement in Europe. RESULTS:Gaps in frailty due to education, occupational class and wealth continued throughout old age, while the gap due to income, smaller in comparison, converged. Frailty levels were higher and trajectories steeper in later birth cohorts, and the impact of education increased over time. Frailty levels and growth curves were higher in Southern European countries, and results were consistent across countries regarding the continuous effect of education and occupation and more mixed regarding wealth and income. CONCLUSIONS:Health inequalities due to education, occupational class and wealth tend to persist throughout old age, whereas the negligible effect of income declines with age, which, substantially, highlights the importance of social conditions on the pace of physiological decline in older Europeans and, methodologically, highlights the need to assess multiple measures of socioeconomic position.
journal_name
J Epidemiol Community Healthjournal_title
Journal of epidemiology and community healthauthors
Stolz E,Mayerl H,Waxenegger A,Rásky É,Freidl Wdoi
10.1136/jech-2016-207712subject
Has Abstractpub_date
2017-01-01 00:00:00pages
73-80issue
1eissn
0143-005Xissn
1470-2738pii
jech-2016-207712journal_volume
71pub_type
杂志文章abstract:OBJECTIVES:To evaluate whether coronary artery bypass graft (CABG) surgery is equally provided among different socioeconomic status (SES) groups in accordance with need. To estimate the association between SES and mortality occurring 30 days after CABG surgery. DESIGN:Individual socioeconomic index assigned with respe...
journal_title:Journal of epidemiology and community health
pub_type: 临床试验,杂志文章,多中心研究
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更新日期:2000-12-01 00:00:00
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journal_title:Journal of epidemiology and community health
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2007-11-01 00:00:00
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更新日期:1992-10-01 00:00:00
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更新日期:2017-11-01 00:00:00
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pub_type: 杂志文章
doi:10.1136/jech-2012-202265
更新日期:2013-09-01 00:00:00
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更新日期:2019-02-01 00:00:00
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更新日期:2008-10-01 00:00:00
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更新日期:2010-08-01 00:00:00
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