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01-03-2009 | Original Investigation

Socioeconomic inequalities in health in older women

Authors: Berit Rostad, Dorly J. H. Deeg, Berit Schei

Published in: European Journal of Ageing | Issue 1/2009

Abstract

Socioeconomic status differentials in health are well documented. Less is known about the socioeconomic variation in health in older people, and in older women in particular. The aim of the study was to examine the association between socioeconomic status and health in older women in relation to two indicators of socioeconomic status and three measures of health, and further, to investigate whether socioeconomic differences in health increase or decrease with advancing age. Data from a cross-sectional population based health survey inviting all women ≥70 years were analysed; 6,380 women aged 70–103 years participated. Logistic regression was applied to analyse variation in health by socioeconomic status. Disadvantaged socioeconomic status (i.e. lower educational levels and previous manual or never been in paid work) was significantly associated with poorer health outcomes, whether measured as self-assessed health or depression. Limiting long-standing illness was significantly associated with never been in paid work. The associations were not attenuated by simultaneous adjustments for health behavioural factors, social support, and marital status. Additional adjustments for medical conditions did only alter the significant association between employment status and limiting long-standing illness. The analyses revealed that educational inequalities did not decrease with advancing age, whereas the results for employment varied across age groups. Our findings suggest an enduring relation between socioeconomic status and health in later life. The study adds to the understanding of the consistent associations between poorer health and social disadvantages at older age. We are not aware of any previous study showing the persistence of social inequalities in health upon adjustments for medical conditions.

Arber S (1990) Revealing women’s health: re-analysing the general household survey. In: Roberts H (ed) Women’s health counts. Routledge, London, pp 63–93

Arber S (1991) Class, paid employment and family roles. Making sense of structural disadvantage, gender and health status. Soc Sci Med 32(4):425–436CrossRef

Arber S, Ginn J (1993) Gender and inequalities in health in later life. Soc Sci Med 36(1):33–46CrossRef

Avlund K, Holstein BE, Osler M, Damsgaard MT, Holm-Pedersen P, Rasmussen NK (2003) Social position and health in older age: the relevance of different indicators of social position. Scand J Public Health 31(2):126–136CrossRef

Bartley M (2004) Health inequalities—an introduction to theories, concepts and methods. Blackwell, Oxford

Bartley M, Popay J, Plewis I (1992) Domestic conditions, paid employment and women’s experience of ill-health. Sociol Health Illn 14(3):313–343CrossRef

Berkman CS, Gurland BJ (1998) The relationship among income, other socioeconomic indicators, and functional level in older persons. J Aging Health 10(1):81–98CrossRef

Berkman LF, Glass T (2000) Social integration, social networks, social support, and health. In: Berkman LF, Kawachi I (eds) Social epidemiology. Oxford University Press, Oxford

Bjelland I, Dahl AA, Haug TT, Neckelmann DOG (2002) The validity of the Hospital Anxiety and Depression Scale. An updated literature review. J Psychosom Res 52(2):69–77CrossRef

Broese van Groenou MI (2003) Unequal chances for reaching ‘a good old age’. Socio-economic health differences among older adults from a life course perspective. Tijdschr Gerontol Geriatr 34(5):196–207

Broese van Groenou MI, Deeg DJH, Penninx BW (2003) Income differentials in functional disability in old age: relative risk of onset, recovery, decline, attrition and mortality. Aging Clin Exp Res 15:174–183

Dahl E, Birkelund GE (1997) Health inequalities in later life in a social democratic welfare state. Soc Sci Med 44(6):871–881CrossRef

Goldman N, Korenman S, Weinstein R (1995) Marital status and health among the elderly. Soc Sci Med 40(12):1717–1730CrossRef

Grundy E, Holt G (2000) Adult life experiences and health in early old age in Great Britain. Soc Sci Med 51(7):1061–1074CrossRef

Grundy E, Holt G (2001) The socio-economic status of older adults: how should we measure it in studies of health inequalities? J Epidemiol Commun Health 55(12):895–904CrossRef

Holmen J, Midthjell K, Bjartveit K, Hjort P, Lund-Larsen P, Moum T, Næss T, Waaler H (1990) The Nord-Trøndelag health survey 1984–1986. Purpose and methods. Report no. 4. National Institute of Public Health, Verdal

House JS, Landis KR, Umberson D (1994) Social relationship and health. In: Conrad P, Kern R (eds) Sociology of health and illness. St Martin’s Press, New York, pp 83–92

Huisman M, Kunst AE, Mackenbach JP (2003) Socioeconomic inequalities in morbidity among the elderly; a European overview. Soc Sci Med 57(5):861–873CrossRef

Joung IM, van de Mheen H, Stronks K, van Poppel FW, Mackenbach JP (1994) Differences in self-reported morbidity by marital status and by living arrangements. Int J Epidemiol 23(1):91–97CrossRef

Koster A, Bosma H, Broese van Groenou MI, Kempen GI, Penninx BW, van Eijk JT, Deeg DJH (2006) Explanation of socioeconomic differences in changes in physical function in older adults: results from the Longitudinal Aging Study Amsterdam. BMC Public Health 6:244–259CrossRef

Mackenbach JP, Kunst AE, Cavelaars AEJM, Groenhof F, Geurts JJM (1997) Socioeconomic inequalities in morbidity and mortality in western Europe. Lancet 349:1655–1659CrossRef

Matthews RJ, Smith LK, Hancock RM, Jagger C, Spiers NA (2005) Socioeconomic factors associated with the onset of disability in older age: a longitudinal study of people aged 75 years and over. Soc Sci Med 61(7):1567–1575CrossRef

Patrick JH, Cottrell LE, Barnes JF (2001) Gender, emotional support, and well-being among rural elderly. Sex Roles 45:15–29CrossRef

Ross CE, Wu CL (1996) Education, age and the cumulative advantage in health. J Health Soc Behav 37:104–120CrossRef

Rostad B, Schei B, Krokstad S (2006) Socioeconomic factors and health in two generations of Norwegian women. Gend Med 3(4):328–340CrossRef

Statistics Norway (2006) http://www.ssb.no. Statistics Norway, Oslo

Stevens N, van Tilburg T (2000) Stimulating friendship in late life. A strategy for reducing loneliness among older women. Educ Gerontol 26:15–35CrossRef

von dem Knesebeck O, Luschen G, Cockerham WC, Siegrist J (2003) Socioeconomic status and health among the aged in the United States and Germany: a comparative cross-sectional study. Soc Sci Med 57(9):1643–1652CrossRef

Waldron I, Hughes ME, Brooks TL (1996) Marriage protection and marriage selection-prospective evidence for reciprocal effects of marital status and health. Soc Sci Med 43(1):113–123CrossRef

Zigmond AS, Snaith RP (1983) The hospital anxiety and depression scale. Acta Psychiatr Scand 67(6):361–370CrossRef

Title: Socioeconomic inequalities in health in older women
Authors: Berit Rostad
Dorly J. H. Deeg
Berit Schei
Publication date: 01-03-2009
Publisher: Springer-Verlag
Published in: European Journal of Ageing / Issue 1/2009
Print ISSN: 1613-9372
Electronic ISSN: 1613-9380
DOI: https://doi.org/10.1007/s10433-008-0104-6

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