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Published in: BMC Public Health 1/2006

Open Access 01-12-2006 | Research article

Explanations of socioeconomic differences in changes in physical function in older adults: results from the Longitudinal Aging Study Amsterdam

Authors: Annemarie Koster, Hans Bosma, Marjolein I Broese van Groenou, Gertrudis IJM Kempen, Brenda WJH Penninx, Jacques ThM van Eijk, Dorly JH Deeg

Published in: BMC Public Health | Issue 1/2006

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Abstract

Background

This study examines the association between socioeconomic status and changes in physical function in younger- (aged 55–70 years) and older-old (aged 70–85 years) adults and seeks to determine the relative contribution of diseases, behavioral, and psychosocial factors in explaining this association.

Methods

Data were from 2,366 men and women, aged 55–85 years, participating in the Longitudinal Aging Study Amsterdam (LASA). Two indicators of socioeconomic status were used: education and income. Physical function was measured by self-reported physical ability over nine years of follow-up.

Results

In older adults, low socioeconomic status was related to a poorer level of physical function during nine years of follow-up. In subjects who were between 55 and 70 years old, there was an additional significant socioeconomic-differential decline in physical function, while socioeconomic differentials did not further widen in subjects 70 years and older. Behavioral factors, mainly BMI and physical activity, largely explained the socioeconomic differences in physical function in the youngest age group, while psychosocial factors reduced socioeconomic status differences most in the oldest age group.

Conclusion

The findings indicate age-specificity of both the pattern of socioeconomic status differences in function in older persons and the mechanisms underlying these associations.
Appendix
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Literature
1.
go back to reference Amaducci L, Maggi S, Langlois J, Minicuci N, Baldereschi M, Di Carlo A, Grigoletto F: Education and the risk of physical disability and mortality among men and women aged 65 to 84: the Italian Longitudinal Study on Aging. J Gerontol A Biol Sci Med Sci. 1998, 53 (6): M484-90.CrossRefPubMed Amaducci L, Maggi S, Langlois J, Minicuci N, Baldereschi M, Di Carlo A, Grigoletto F: Education and the risk of physical disability and mortality among men and women aged 65 to 84: the Italian Longitudinal Study on Aging. J Gerontol A Biol Sci Med Sci. 1998, 53 (6): M484-90.CrossRefPubMed
2.
go back to reference Grundy E, Glaser K: Socio-demographic differences in the onset and progression of disability in early old age: a longitudinal study. Age Ageing. 2000, 29 (2): 149-157. 10.1093/ageing/29.2.149.CrossRefPubMed Grundy E, Glaser K: Socio-demographic differences in the onset and progression of disability in early old age: a longitudinal study. Age Ageing. 2000, 29 (2): 149-157. 10.1093/ageing/29.2.149.CrossRefPubMed
3.
go back to reference Broese van Groenou MI, Deeg DJ, Penninx BW: Income differentials in functional disability in old age: relative risks of onset, recovery, decline, attrition and mortality. Aging Clin Exp Res. 2003, 15 (2): 174-183.CrossRefPubMed Broese van Groenou MI, Deeg DJ, Penninx BW: Income differentials in functional disability in old age: relative risks of onset, recovery, decline, attrition and mortality. Aging Clin Exp Res. 2003, 15 (2): 174-183.CrossRefPubMed
4.
go back to reference Melzer D, Izmirlian G, Leveille SG, Guralnik JM: Educational differences in the prevalence of mobility disability in old age: the dynamics of incidence, mortality, and recovery. J Gerontol B Psychol Sci Soc Sci. 2001, 56 (5): S294-301.CrossRefPubMed Melzer D, Izmirlian G, Leveille SG, Guralnik JM: Educational differences in the prevalence of mobility disability in old age: the dynamics of incidence, mortality, and recovery. J Gerontol B Psychol Sci Soc Sci. 2001, 56 (5): S294-301.CrossRefPubMed
5.
go back to reference Koster A, Penninx BW, Bosma H, Kempen GI, Harris TB, Newman AB, Rooks RN, Rubin SM, Simonsick EM, van Eijk JT, Kritchevsky SB: Is there a biomedical explanation for socioeconomic differences in incident mobility limitation?. J Gerontol A Biol Sci Med Sci. 2005, 60 (8): 1022-1027.CrossRefPubMed Koster A, Penninx BW, Bosma H, Kempen GI, Harris TB, Newman AB, Rooks RN, Rubin SM, Simonsick EM, van Eijk JT, Kritchevsky SB: Is there a biomedical explanation for socioeconomic differences in incident mobility limitation?. J Gerontol A Biol Sci Med Sci. 2005, 60 (8): 1022-1027.CrossRefPubMed
6.
go back to reference Huisman M, Kunst AE, Mackenbach JP: Socioeconomic inequalities in morbidity among the elderly; a European overview. Soc Sci Med. 2003, 57 (5): 861-873. 10.1016/S0277-9536(02)00454-9.CrossRefPubMed Huisman M, Kunst AE, Mackenbach JP: Socioeconomic inequalities in morbidity among the elderly; a European overview. Soc Sci Med. 2003, 57 (5): 861-873. 10.1016/S0277-9536(02)00454-9.CrossRefPubMed
7.
go back to reference Guralnik JM, Fried LP, Salive ME: Disability as a public health outcome in the aging population. Annu Rev Public Health. 1996, 17: 25-46. 10.1146/annurev.pu.17.050196.000325.CrossRefPubMed Guralnik JM, Fried LP, Salive ME: Disability as a public health outcome in the aging population. Annu Rev Public Health. 1996, 17: 25-46. 10.1146/annurev.pu.17.050196.000325.CrossRefPubMed
8.
go back to reference Kaplan GA, Keil JE: Socioeconomic factors and cardiovascular disease: a review of the literature. Circulation. 1993, 88 (4 Pt 1): 1973-1998.CrossRefPubMed Kaplan GA, Keil JE: Socioeconomic factors and cardiovascular disease: a review of the literature. Circulation. 1993, 88 (4 Pt 1): 1973-1998.CrossRefPubMed
9.
go back to reference Brunner EJ, Marmot MG, Nanchahal K, Shipley MJ, Stansfeld SA, Juneja M, Alberti KG: Social inequality in coronary risk: central obesity and the metabolic syndrome. Evidence from the Whitehall II study. Diabetologia. 1997, 40 (11): 1341-1349. 10.1007/s001250050830.CrossRefPubMed Brunner EJ, Marmot MG, Nanchahal K, Shipley MJ, Stansfeld SA, Juneja M, Alberti KG: Social inequality in coronary risk: central obesity and the metabolic syndrome. Evidence from the Whitehall II study. Diabetologia. 1997, 40 (11): 1341-1349. 10.1007/s001250050830.CrossRefPubMed
10.
go back to reference Everson SA, Maty SC, Lynch JW, Kaplan GA: Epidemiologic evidence for the relation between socioeconomic status and depression, obesity, and diabetes. J Psychosom Res. 2002, 53 (4): 891-895. 10.1016/S0022-3999(02)00303-3.CrossRefPubMed Everson SA, Maty SC, Lynch JW, Kaplan GA: Epidemiologic evidence for the relation between socioeconomic status and depression, obesity, and diabetes. J Psychosom Res. 2002, 53 (4): 891-895. 10.1016/S0022-3999(02)00303-3.CrossRefPubMed
11.
go back to reference Boult C, Kane RL, Louis TA, Boult L, McCaffrey D: Chronic conditions that lead to functional limitation in the elderly. J Gerontol. 1994, 49 (1): M28-M36.CrossRefPubMed Boult C, Kane RL, Louis TA, Boult L, McCaffrey D: Chronic conditions that lead to functional limitation in the elderly. J Gerontol. 1994, 49 (1): M28-M36.CrossRefPubMed
12.
go back to reference Seeman TE, Charpentier PA, Berkman LF, Tinetti ME, Guralnik JM, Albert M, Blazer D, Rowe JW: Predicting changes in physical performance in a high-functioning elderly cohort: MacArthur studies of successful aging. J Gerontol. 1994, 49 (3): M97-108.CrossRefPubMed Seeman TE, Charpentier PA, Berkman LF, Tinetti ME, Guralnik JM, Albert M, Blazer D, Rowe JW: Predicting changes in physical performance in a high-functioning elderly cohort: MacArthur studies of successful aging. J Gerontol. 1994, 49 (3): M97-108.CrossRefPubMed
13.
go back to reference Martikainen P, Stansfeld S, Hemingway H, Marmot M: Determinants of socioeconomic differences in change in physical and mental functioning. Soc Sci Med. 1999, 49 (4): 499-507. 10.1016/S0277-9536(99)00135-5.CrossRefPubMed Martikainen P, Stansfeld S, Hemingway H, Marmot M: Determinants of socioeconomic differences in change in physical and mental functioning. Soc Sci Med. 1999, 49 (4): 499-507. 10.1016/S0277-9536(99)00135-5.CrossRefPubMed
14.
go back to reference Marmot MG, Shipley MJ, Rose G: Inequalities in death--specific explanations of a general pattern?. Lancet. 1984, 1 (8384): 1003-1006. 10.1016/S0140-6736(84)92337-7.CrossRefPubMed Marmot MG, Shipley MJ, Rose G: Inequalities in death--specific explanations of a general pattern?. Lancet. 1984, 1 (8384): 1003-1006. 10.1016/S0140-6736(84)92337-7.CrossRefPubMed
15.
go back to reference Droomers M, Schrijvers CT, Mackenbach JP: Educational level and decreases in leisure time physical activity: predictors from the longitudinal GLOBE study. J Epidemiol Community Health. 2001, 55 (8): 562-568. 10.1136/jech.55.8.562.CrossRefPubMedPubMedCentral Droomers M, Schrijvers CT, Mackenbach JP: Educational level and decreases in leisure time physical activity: predictors from the longitudinal GLOBE study. J Epidemiol Community Health. 2001, 55 (8): 562-568. 10.1136/jech.55.8.562.CrossRefPubMedPubMedCentral
16.
go back to reference Stafford M, Hemingway H, Stansfeld SA, Brunner E, Marmot M: Behavioural and biological correlates of physical functioning in middle aged office workers: the UK whitehall II study. J Epidemiol Community Health. 1998, 52 (6): 353-358.CrossRefPubMedPubMedCentral Stafford M, Hemingway H, Stansfeld SA, Brunner E, Marmot M: Behavioural and biological correlates of physical functioning in middle aged office workers: the UK whitehall II study. J Epidemiol Community Health. 1998, 52 (6): 353-358.CrossRefPubMedPubMedCentral
17.
go back to reference Bosma H, Schrijvers C, Mackenbach JP: Socioeconomic inequalities in mortality and importance of perceived control: cohort study. BMJ. 1999, 319 (7223): 1469-1470.CrossRefPubMedPubMedCentral Bosma H, Schrijvers C, Mackenbach JP: Socioeconomic inequalities in mortality and importance of perceived control: cohort study. BMJ. 1999, 319 (7223): 1469-1470.CrossRefPubMedPubMedCentral
18.
go back to reference Kristenson M, Eriksen HR, Sluiter JK, Starke D, Ursin H: Psychobiological mechanisms of socioeconomic differences in health. Soc Sci Med. 2004, 58 (8): 1511-1522. 10.1016/S0277-9536(03)00353-8.CrossRefPubMed Kristenson M, Eriksen HR, Sluiter JK, Starke D, Ursin H: Psychobiological mechanisms of socioeconomic differences in health. Soc Sci Med. 2004, 58 (8): 1511-1522. 10.1016/S0277-9536(03)00353-8.CrossRefPubMed
19.
go back to reference Taylor SE, Seeman TE: Psychosocial resources and the SES-health relationship. Ann N Y Acad Sci. 1999, 896: 210-225. 10.1111/j.1749-6632.1999.tb08117.x.CrossRefPubMed Taylor SE, Seeman TE: Psychosocial resources and the SES-health relationship. Ann N Y Acad Sci. 1999, 896: 210-225. 10.1111/j.1749-6632.1999.tb08117.x.CrossRefPubMed
20.
go back to reference Siegrist J, Marmot M: Health inequalities and the psychosocial environment-two scientific challenges. Soc Sci Med. 2004, 58 (8): 1463-1473. 10.1016/S0277-9536(03)00349-6.CrossRefPubMed Siegrist J, Marmot M: Health inequalities and the psychosocial environment-two scientific challenges. Soc Sci Med. 2004, 58 (8): 1463-1473. 10.1016/S0277-9536(03)00349-6.CrossRefPubMed
21.
go back to reference Kempen GI, van Heuvelen MJ, van Sonderen E, van den Brink RH, Kooijman AC, Ormel J: The relationship of functional limitations to disability and the moderating effects of psychological attributes in community-dwelling older persons. Soc Sci Med. 1999, 48 (9): 1161-1172. 10.1016/S0277-9536(98)00427-4.CrossRefPubMed Kempen GI, van Heuvelen MJ, van Sonderen E, van den Brink RH, Kooijman AC, Ormel J: The relationship of functional limitations to disability and the moderating effects of psychological attributes in community-dwelling older persons. Soc Sci Med. 1999, 48 (9): 1161-1172. 10.1016/S0277-9536(98)00427-4.CrossRefPubMed
22.
go back to reference Bosma H, Van Jaarsveld CH, Tuinstra J, Sanderman R, Ranchor AV, Van Eijk JT, Kempen GI: Low control beliefs, classical coronary risk factors, and socio-economic differences in heart disease in older persons. Soc Sci Med. 2005, 60 (4): 737-745. 10.1016/j.socscimed.2004.06.018.CrossRefPubMed Bosma H, Van Jaarsveld CH, Tuinstra J, Sanderman R, Ranchor AV, Van Eijk JT, Kempen GI: Low control beliefs, classical coronary risk factors, and socio-economic differences in heart disease in older persons. Soc Sci Med. 2005, 60 (4): 737-745. 10.1016/j.socscimed.2004.06.018.CrossRefPubMed
23.
go back to reference Mustard CA, Derksen S, Berthelot JM, Wolfson M, Roos LL: Age-specific education and income gradients in morbidity and mortality in a Canadian province. Soc Sci Med. 1997, 45 (3): 383-397. 10.1016/S0277-9536(96)00354-1.CrossRefPubMed Mustard CA, Derksen S, Berthelot JM, Wolfson M, Roos LL: Age-specific education and income gradients in morbidity and mortality in a Canadian province. Soc Sci Med. 1997, 45 (3): 383-397. 10.1016/S0277-9536(96)00354-1.CrossRefPubMed
24.
go back to reference Mishra GD, Ball K, Dobson AJ, Byles JE: Do socioeconomic gradients in women's health widen over time and with age?. Soc Sci Med. 2004, 58 (9): 1585-1595. 10.1016/S0277-9536(03)00368-X.CrossRefPubMed Mishra GD, Ball K, Dobson AJ, Byles JE: Do socioeconomic gradients in women's health widen over time and with age?. Soc Sci Med. 2004, 58 (9): 1585-1595. 10.1016/S0277-9536(03)00368-X.CrossRefPubMed
25.
go back to reference House JS, Kessler RC, Herzog AR: Age, socioeconomic status, and health. Milbank Q. 1990, 68 (3): 383-411. 10.2307/3350111.CrossRefPubMed House JS, Kessler RC, Herzog AR: Age, socioeconomic status, and health. Milbank Q. 1990, 68 (3): 383-411. 10.2307/3350111.CrossRefPubMed
26.
go back to reference House JS, Lantz PM, Herd P: Continuity and change in the social stratification of aging and health over the life course: evidence from a nationally representative longitudinal study from 1986 to 2001/2002 (Americans' Changing Lives Study). J Gerontol B Psychol Sci Soc Sci. 2005, 60 Spec No 2: 15-26.CrossRefPubMed House JS, Lantz PM, Herd P: Continuity and change in the social stratification of aging and health over the life course: evidence from a nationally representative longitudinal study from 1986 to 2001/2002 (Americans' Changing Lives Study). J Gerontol B Psychol Sci Soc Sci. 2005, 60 Spec No 2: 15-26.CrossRefPubMed
27.
go back to reference Berkman CS, Gurland BJ: The relationship among income, other socioeconomic indicators, and functional level in older persons. J Aging Health. 1998, 10 (1): 81-98.CrossRefPubMed Berkman CS, Gurland BJ: The relationship among income, other socioeconomic indicators, and functional level in older persons. J Aging Health. 1998, 10 (1): 81-98.CrossRefPubMed
28.
go back to reference Hemingway H, Nicholson A, Stafford M, Roberts R, Marmot M: The impact of socioeconomic status on health functioning as assessed by the SF-36 questionnaire: the Whitehall II Study. Am J Public Health. 1997, 87 (9): 1484-1490.CrossRefPubMedPubMedCentral Hemingway H, Nicholson A, Stafford M, Roberts R, Marmot M: The impact of socioeconomic status on health functioning as assessed by the SF-36 questionnaire: the Whitehall II Study. Am J Public Health. 1997, 87 (9): 1484-1490.CrossRefPubMedPubMedCentral
29.
go back to reference Koster A, Bosma H, van Lenthe FJ, Kempen GI, Mackenbach JP, van Eijk JT: The role of psychosocial factors in explaining socio-economic differences in mobility decline in a chronically ill population: results from the GLOBE study. Soc Sci Med. 2005, 61 (1): 123-132. 10.1016/j.socscimed.2004.11.045.CrossRefPubMed Koster A, Bosma H, van Lenthe FJ, Kempen GI, Mackenbach JP, van Eijk JT: The role of psychosocial factors in explaining socio-economic differences in mobility decline in a chronically ill population: results from the GLOBE study. Soc Sci Med. 2005, 61 (1): 123-132. 10.1016/j.socscimed.2004.11.045.CrossRefPubMed
30.
go back to reference Deeg DJH, Knipscheer CPM, Van Tilburg W: Autonomy and well-being in the aging population. Concepts and design of the Longitudinal Aging Study Amsterdam. 1993, Bunnik , Netherlands Institute of Gerontology Deeg DJH, Knipscheer CPM, Van Tilburg W: Autonomy and well-being in the aging population. Concepts and design of the Longitudinal Aging Study Amsterdam. 1993, Bunnik , Netherlands Institute of Gerontology
31.
go back to reference Knipscheer CPM, de Jong-Gierveld J, Van Tilburg TG, Dykstra PA: Living arrangements and social networks of older adults. 1995, Amsterdam , VU University Press Knipscheer CPM, de Jong-Gierveld J, Van Tilburg TG, Dykstra PA: Living arrangements and social networks of older adults. 1995, Amsterdam , VU University Press
32.
go back to reference Grundy E, Holt G: The socioeconomic status of older adults: how should we measure it in studies of health inequalities?. J Epidemiol Community Health. 2001, 55 (12): 895-904. 10.1136/jech.55.12.895.CrossRefPubMedPubMedCentral Grundy E, Holt G: The socioeconomic status of older adults: how should we measure it in studies of health inequalities?. J Epidemiol Community Health. 2001, 55 (12): 895-904. 10.1136/jech.55.12.895.CrossRefPubMedPubMedCentral
33.
go back to reference van Sonsbeek JLA: Methodological and substantial aspects of the OECD indicator of chronic functional limitations. Maandbericht Gezondheid (CBS). 1988, 88: 4-17. van Sonsbeek JLA: Methodological and substantial aspects of the OECD indicator of chronic functional limitations. Maandbericht Gezondheid (CBS). 1988, 88: 4-17.
34.
go back to reference Kriegsman DM, Penninx BW, van Eijk JT, Boeke AJ, Deeg DJ: Self-reports and general practitioner information on the presence of chronic diseases in community dwelling elderly. A study on the accuracy of patients' self-reports and on determinants of inaccuracy. J Clin Epidemiol. 1996, 49 (12): 1407-1417. 10.1016/S0895-4356(96)00274-0.CrossRefPubMed Kriegsman DM, Penninx BW, van Eijk JT, Boeke AJ, Deeg DJ: Self-reports and general practitioner information on the presence of chronic diseases in community dwelling elderly. A study on the accuracy of patients' self-reports and on determinants of inaccuracy. J Clin Epidemiol. 1996, 49 (12): 1407-1417. 10.1016/S0895-4356(96)00274-0.CrossRefPubMed
35.
go back to reference van Tilburg T: Losing and gaining in old age: changes in personal network size and social support in a four-year longitudinal study. J Gerontol B Psychol Sci Soc Sci. 1998, 53 (6): S313-23.CrossRefPubMed van Tilburg T: Losing and gaining in old age: changes in personal network size and social support in a four-year longitudinal study. J Gerontol B Psychol Sci Soc Sci. 1998, 53 (6): S313-23.CrossRefPubMed
36.
go back to reference Pearlin LI, Schooler C: The structure of coping. J Health Soc Behav. 1978, 19 (1): 2-21. 10.2307/2136319.CrossRefPubMed Pearlin LI, Schooler C: The structure of coping. J Health Soc Behav. 1978, 19 (1): 2-21. 10.2307/2136319.CrossRefPubMed
37.
go back to reference Sherer M, Maddux JE, Mercadente B, Prentice-Dunn S, Jacobs B, Rogers RW: The self-efficacy scale: Construction and validation. Psychol Rep. 1982, 51: 663-671.CrossRef Sherer M, Maddux JE, Mercadente B, Prentice-Dunn S, Jacobs B, Rogers RW: The self-efficacy scale: Construction and validation. Psychol Rep. 1982, 51: 663-671.CrossRef
38.
go back to reference Bosscher RJ, Smit JH: Confirmatory factor analysis of the General Self-Efficacy Scale. Behav Res Ther. 1998, 36 (3): 339-343. 10.1016/S0005-7967(98)00025-4.CrossRefPubMed Bosscher RJ, Smit JH: Confirmatory factor analysis of the General Self-Efficacy Scale. Behav Res Ther. 1998, 36 (3): 339-343. 10.1016/S0005-7967(98)00025-4.CrossRefPubMed
39.
go back to reference Herd P: Do Functional Health Inequalities Decrease in Old Age?: Educational Status and Functional Decline Among the 1931-1941 Birth Cohort. Res Aging. 2006, 28 (3): 375-392. 10.1177/0164027505285845.CrossRef Herd P: Do Functional Health Inequalities Decrease in Old Age?: Educational Status and Functional Decline Among the 1931-1941 Birth Cohort. Res Aging. 2006, 28 (3): 375-392. 10.1177/0164027505285845.CrossRef
40.
go back to reference Verbrugge LM, Jette AM: The disablement process. Soc Sci Med. 1994, 38 (1): 1-14. 10.1016/0277-9536(94)90294-1.CrossRefPubMed Verbrugge LM, Jette AM: The disablement process. Soc Sci Med. 1994, 38 (1): 1-14. 10.1016/0277-9536(94)90294-1.CrossRefPubMed
41.
go back to reference Mulder M, Ranchor AV, Sanderman R, Bouma J, van den Heuvel WJ: The stability of lifestyle behaviour. Int J Epidemiol. 1998, 27 (2): 199-207. 10.1093/ije/27.2.199.CrossRefPubMed Mulder M, Ranchor AV, Sanderman R, Bouma J, van den Heuvel WJ: The stability of lifestyle behaviour. Int J Epidemiol. 1998, 27 (2): 199-207. 10.1093/ije/27.2.199.CrossRefPubMed
42.
go back to reference Broese van Groenou M, Van Tilburg T: Changes in the support networks of older adults in the Netherlands. J Cross Cult Gerontol. 1997, 12 (1): 23-44. 10.1023/A:1006580708223.CrossRefPubMed Broese van Groenou M, Van Tilburg T: Changes in the support networks of older adults in the Netherlands. J Cross Cult Gerontol. 1997, 12 (1): 23-44. 10.1023/A:1006580708223.CrossRefPubMed
Metadata
Title
Explanations of socioeconomic differences in changes in physical function in older adults: results from the Longitudinal Aging Study Amsterdam
Authors
Annemarie Koster
Hans Bosma
Marjolein I Broese van Groenou
Gertrudis IJM Kempen
Brenda WJH Penninx
Jacques ThM van Eijk
Dorly JH Deeg
Publication date
01-12-2006
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2006
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-6-244

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