The impact of economic conditions on the disablement process: A Markov transition approach using SHARE data

Arrighi, Yves; Rapp, Thomas; Sirven, Nicolas

doi:10.1016/j.healthpol.2017.05.002

Cited by 18 publications

(19 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Some information on SES and its relationship with sarcopenia and frailty is available 24 , 25 . Though, data studying this association with sarcopenic obesity is scarce 26 , whereas no study has evaluated its link with frail obesity.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Socioeconomic determinants of sarcopenic obesity and frail obesity in community-dwelling older adults: The Seniors-ENRICA Study

Moreno-Franco

Pérez-Tasigchana

López-Garcı́a

et al. 2018

Sci Rep

View full text Add to dashboard Cite

Information on the association between socioeconomic status (SES) throughout life and sarcopenic obesity is scarce, whereas no study has been focused on the association between SES and frail obesity. This analysis estimated the prevalence of sarcopenic obesity and frail obesity, and their associations with SES in older adults. Data were collected in 2012 from 1,765 non-institutionalized individuals aged ≥65 participating in the Seniors-ENRICA study in Spain, by using standardized techniques and equipment. SES throughout life was evaluated with the father’s occupation, participant’s educational level, former own occupation, and current poor housing condition. Overall, 17.2% of participants had sarcopenic obesity, and 4.0% frail obesity. No association was found between SES and sarcopenic obesity. In contrast, the prevalence of frail obesity was higher in those with lower education, having worked in manual job, and currently having poor housing condition. Having ≥1 social disadvantages throughout life was associated with higher prevalence of frail obesity. The prevalence of this disorder increased by 1.49 (95% CI: 1.21–1.85) times for each social disadvantage added. The OR (95% CI) of frail obesity was 3.13 (1.71–5.7) for those having 3 or 4 vs. 0 or 1 social disadvantages, implying a more complex process beginning early in life.

show abstract

Section: Discussionmentioning

confidence: 99%

“…It is well known that SES influences obesity 23 . Likewise, its relationship with sarcopenia and frailty has previously been studied 24 , 25 . However, information on the association between SES throughout life and sarcopenic obesity is scarce 26 , whereas no study has been focused on the association between SES and frail obesity.…”

Section: Introductionmentioning

confidence: 99%

Socioeconomic determinants of sarcopenic obesity and frail obesity in community-dwelling older adults: The Seniors-ENRICA Study

Moreno-Franco

Pérez-Tasigchana

López-Garcı́a

et al. 2018

Sci Rep

View full text Add to dashboard Cite

show abstract

“…Specifically, for all wave combinations and outcomes, the Nijman & Verbeek test was performed to assess whether missingness was at random [27]. Such specifications have been applied in SHARE analysis in previous studies, such as [28] or [29]. Based on both comparative baseline and stepwise regression analysis [27], attrition between waves 5 to 6 was judged to be random for the outcome variables in question.…”

Section: Methodsmentioning

confidence: 99%

The short-term effect of BMI, alcohol use, and related chronic conditions on labour market outcomes: A time-lag panel analysis utilizing European SHARE dataset

et al. 2019

View full text Add to dashboard Cite

IntroductionNon-communicable diseases (NCDs) like cancer, cardiovascular disease, and diabetes have spread at a remarkable pace in European countries over the past decades. Overweight/obesity and alcohol use are two leading risk factors contributing to both economic and epidemiological burden associated with NCDs. In OECD countries, the impact of indirect costs of obesity varies between 0.20% and 1.21% of GDP. Indirect costs of alcohol use range from 0.19% (Portugal) to 1.6% (Estonia) of GDP.AimTo assess the longitudinal impact of alcohol use and high body-mass index (BMI) on labour market outcomes in the European region by modeling the direct effect of high BMI and alcohol use, and the effect via associated diseases.MethodsThe impact of BMI, alcohol use, and associated diseases on employment likelihood, intent to retire early, days of absenteeism, and hours of work per week, were modelled via lagged Poisson and Zero-inflated Poisson regressions, adjusting for missingness via inverse probability weighting, as appropriate, using European SHARE data.ResultsControlling for other chronic conditions, being overweight increases employment likelihood among men, but not among women. Obesity decreased female, but not male, employment chances. All chronic conditions linked with high BMI negatively affected employment likelihood, and increased the intention to retire early significantly. Alcohol use positively affects employment likelihood in women at all drinking levels relative to lifetime abstainers, but only in moderate (not heavy) male drinkers. There is super-additionality of impact of NCDs on absenteeism and hours worked, presenting a key economic argument to tackle NCD prevention and compression of morbidity.ImplicationsNCD prevention is not just important for employment and hours worked, but also for employee morale, especially given increasing retirement age in Europe and globally.

show abstract

“…3 The aspects of SES in this regard include education, occupation, income and wealth. [4][5][6] The literature has confirmed that the progression in frailty could be partially controlled through interventions such as exercises, 7 physical therapies, 8 cognitive training 9 and nutrition supplements. 10 With further understanding toward the relationship between SES and frailty, policy makers can properly set the target for interventions to reduce the inequalities in health.…”

Section: Introductionmentioning

confidence: 99%

Frailty and Socioeconomic Status: A Systematic Review

Wang

Hulme

2021

Journal of Public Health Research

View full text Add to dashboard Cite

The relationship between frailty and socioeconomic status has been widely explored in the literature. A deeper understanding toward the underlying mechanism is required to further assist policy makers in reducing the inequalities. The objective of this study is to systematically review evidence investigating the direct relationship between frailty and socioeconomic status. The review was conducted following the principles of Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA). Among the included studies, 52.38% explored the pattern of frailty in age and 42.86% explored mediators as the pathway variables. With various measures and methodologies, included studies did not point to the same conclusions. In terms of the pattern of frailty in age, we found evidence for the age as leveller hypothesis, the status maintenance hypothesis and the cumulative advantage hypothesis. The included mediators differed across studies. However, we found that these mediators can be categorised into behaviours, health, social factors, material resources and mental status. These categories indicate the important aspects to consider for policies aiming at reducing the inequalities in frailty. To obtain a full picture of the underlying mechanism, future research should harmonise different measures for frailty and socioeconomic indicators and apply more comprehensive sets of mediators.

show abstract

The impact of economic conditions on the disablement process: A Markov transition approach using SHARE data

Cited by 18 publications

References 39 publications

Socioeconomic determinants of sarcopenic obesity and frail obesity in community-dwelling older adults: The Seniors-ENRICA Study

Socioeconomic determinants of sarcopenic obesity and frail obesity in community-dwelling older adults: The Seniors-ENRICA Study

The short-term effect of BMI, alcohol use, and related chronic conditions on labour market outcomes: A time-lag panel analysis utilizing European SHARE dataset

Frailty and Socioeconomic Status: A Systematic Review

Contact Info

Product

Resources

About