Ten year trends in health inequalities among older people, 1993-2003

Sulander, Tommi; Rahkonen, Ossi; Nummela, Olli; Uutela, Antti

doi:10.1093/ageing/afp125

Cited by 10 publications

(8 citation statements)

References 28 publications

(40 reference statements)

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“…The opposite result, stronger associations in women compared to men, was reported in two studies from the UK (Grundy & Holt, 2000 ; Grundy & Sloggett, 2003 for education) and one from Spain (Lasheras, Patterson, Casado, & Fernandez, 2001 ). A number of studies did not find gender interaction, including one study with 17 countries (Bambra, Netuveli, & Eikemo, 2010 ); three studies from the UK (Connolly et al, 2010 ; McMunn et al, 2009 ; Melzer et al, 2000 ), five from Spain (Damian et al, 1999 ; Gonzalo & Pasarin, 2004 ; Orfila et al, 2006 ; Rueda & Artazcoz, 2009 ; Rueda, Artazcoz, & Navarro, 2008 ); two from Finland (Enroth, Raitanen, Hervonen, & Jylha, 2013 ; Sulander, Rahkonen, Nummela, & Uutela, 2009 ); and one each from Sweden (Parker, Andel, Nilsen, & Kareholt, 2013 ), Italy (Laudisio et al, 2013 ), Poland (Knurowski et al, 2005 for quality of life only); Poland and Croatia (Knurowski et al, 2004 ) and the Netherlands and Germany (Dykstra & Wagner, 2007 ).…”

Section: Resultsmentioning

confidence: 99%

Socio-economic position and subjective health and well-being among older people in Europe: a systematic narrative review

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Grundy

Foverskov

2015

Aging & Mental Health

134

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Objectives: Previous studies of older European populations have established that disability and morbidity vary with indicators of socio-economic position (SEP). We undertook a systematic narrative review of the literature to ascertain to what extent there is evidence of similar inequalities in the subjective health and well-being of older people in Europe. Method: Relevant original research articles were searched for using Medline, Global Health, Embase, Social Policy and Practice, Cinahl, Web of Science and International Bibliography of the Social Sciences (IBSS). We included studies of SEP and indicators of subjective health and well-being (self-rated health; life satisfaction; quality of life) conducted since 1991 using population-based samples of older people in Europe and published 1995–2013. Results: A total of 71 studies were identified. Poorer SEP was associated with poorer subjective health and well-being. Associations varied somewhat depending on the SEP measure and subjective health and well-being outcome used. Associations were weaker when social support and health-related behaviours were adjusted for suggesting that these factors mediate the relationship between SEP and subjective health and well-being. Associations tended to be weaker in the oldest age groups. The patterns of associations by gender were not consistent and tended to diminish after adjusting for indicators of health and life circumstances. Conclusion: The results of this systematic narrative review of the literature demonstrate the importance of social influences on later life subjective health and well-being and indicate areas which need further investigation, such as more studies from Eastern Europe, more longitudinal studies and more research on the role of mediating factors.

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Section: Resultsmentioning

confidence: 99%

Socio-economic position and subjective health and well-being among older people in Europe: a systematic narrative review

Read

Grundy

Foverskov

2015

Aging & Mental Health

134

View full text Add to dashboard Cite

show abstract

“…Some recent evidence also suggests that current cohorts of older adults in some countries (e.g., Japan) are experiencing worse health than previous cohorts (Christensen et al, 2009). Further, health status continues to differ depending on socioeconomic status in many nations (Sulander, Rahkonen, Nummela, & Uutela, 2009), and trends in mortality rates continue to differ among even the developed nations (Rau et al, 2008).…”

Section: Review Of Literaturementioning

confidence: 99%

Social Work Professions in an Aging World: Opportunities and Perspectives

Martin

Kosberg

Sun

et al. 2012

Educational Gerontology

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“…The special characteristic of these differences is that they do not exist only between the highest and the lowest group but typically show a gradient across the socio-economic hierarchy (Huijts, Eikemo, & Skalická, 2010;Marmot, Ryff, Bumpass, Shipley, & Marks, 1997;Townsend & Davidson, 1982). Similarly, studies including home-dwelling individuals in the age range of 60 to 85 have demonstrated a heavier burden of diseases (CVD, arthritis, depression and the total number of diseases), and a higher disability among those with low education, poor financial assets or low occupational status (Chandola, Ferrie, Sacker, & Marmot, 2007;Laitalainen, Helakorpi, Martelin, & Uutela, 2010;Ramsay, Whincup, Morris, Lennon, & Wannamethee, 2008;Rostad, Deeg, & Schei, 2009;Rueda, Artazcoz, & Navarro, 2008;Schöllgen, Huxhold, & Tesch-Römer, 2010;Sulander, Rahkonen, Nummela, & Uutela, 2009), and a consistent association between poor self-rated health and low occupational status or lack of means McMunn, Nazroo, & Breeze, 2009). Among people aged 80 years or older, poor selfrated health and functional limitations have been associated with low socio-economic status (Arber & Cooper, 1999;Huisman, Kunst, & Mackenbach, 2003;Rostad et al, 2009).…”

Section: Introductionmentioning

confidence: 99%