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- Title
Socioeconomic Inequalities in Disability-free Life Expectancy in Older People from England and the United States: A Cross-national Population-Based Study.
- Authors
Zaninotto, Paola; Batty, George David; Stenholm, Sari; Kawachi, Ichiro; Hyde, Martin; Goldberg, Marcel; Westerlund, Hugo; Vahtera, Jussi; Head, Jenny
- Abstract
<bold>Background: </bold>We 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.<bold>Methods: </bold>We 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.<bold>Results: </bold>Socioeconomic 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.<bold>Conclusions: </bold>Inequalities 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.
- Subjects
ENGLAND; UNITED States; HEALTH expectancy; OLDER people; MEN; ACTIVITIES of daily living; LIFE expectancy; AGE groups; RESEARCH; CROSS-sectional method; RESEARCH methodology; EVALUATION research; MEDICAL cooperation; SOCIOECONOMIC factors; COMPARATIVE studies; RESEARCH funding; HEALTH equity; PEOPLE with disabilities
- Publication
Journals of Gerontology Series A: Biological Sciences & Medical Sciences, 2020, Vol 75, Issue 5, p906
- ISSN
1079-5006
- Publication type
journal article
- DOI
10.1093/gerona/glz266