Age and Ageing, Vol 29, 149-157, Copyright © 2000 by British Geriatrics Society
E Grundy and K Glaser
Objectives. To analyse socio-demographic differences
in the onset and progression of disability.Design.
Analysis of a cohort of people aged 55-69 in 1988-9 and in
1994.Subjects. A representative sample of 3543
adults.Method. We measured severity of disability at
baseline and follow-up. We analysed variations in incidence and progression
of disability by using logistic regression.Results.
Baseline severity of disability was similar for men and women
but varied by age group, social class, educational qualifications and
housing tenure. At follow-up, 36% had worse disability, 12% better and 53%
the same as at baseline. Increased severity of disability and new incidence
of disability were associated with lower socio-economic status, baseline
self-rated health status, age and gender. High initial levels of disability
were associated with improvement at follow-up.Conclusion.
Disability can be dynamic, although deterioration is more usual
than improvement. The reasons for the associations found between disability
and socio-economic status are unclear.Keywords:
disability, elderly, health inequalities, longitudinal,
self-rated health
ARTICLES
Socio-demographic differences in the onset and progression of disability in early old age: a longitudinal study
Centre for Population Studies, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK; Age Concern Institute of Gerontology, King's College, University of London, London SE1 8WA, UK; Corresponding author; Fax: (+44) 171 299 4637; E-mail: emily.grundy@lshtm.ac.uk
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