IDEAS home Printed from https://ideas.repec.org/a/aph/ajpbhl/1997873378-383_2.html
   My bibliography  Save this article

Disability in activities of daily living: Patterns of change and a hierarchy of disability

Author

Listed:
  • Dunlop, D.D.
  • Hughes, S.L.
  • Manheim, L.M.

Abstract

Objectives. This paper examines longitudinal data over 6 years to evaluate incidence rates of disability and the pattern of dependency in activities of daily living. Methods. The Longitudinal Study of Aging (n = 5151) was used to evaluate incidence of disability in activities of daily living; biennial interview data from 1984 through 1990 were used. The median age to disability onset for individual activities was estimated from survival analysis. A prevalent ordering of incident disability was identified from patterns of disability onset within individuals. Results. The progression of incident disability among the elderly supported by longitudinal data, based on both the ordering of median ages to disability onset and patterns of incident disability, was as follows: walking, bathing, transferring, dressing, toileting, feeding. Gender differences were found in disability incidence rates. Conclusions. This study provides a mathematical picture of physical functioning as people age. These findings, based on longitudinal data, indicate a different hierarchical structure of disability than found in previous reports using cross-sectional data. Furthermore, the study documents gender differences in incident impairment, which indicate that although women outlive men, they spend more time in a disabled state.

Suggested Citation

  • Dunlop, D.D. & Hughes, S.L. & Manheim, L.M., 1997. "Disability in activities of daily living: Patterns of change and a hierarchy of disability," American Journal of Public Health, American Public Health Association, vol. 87(3), pages 378-383.
  • Handle: RePEc:aph:ajpbhl:1997:87:3:378-383_2
    as

    Download full text from publisher

    To our knowledge, this item is not available for download. To find whether it is available, there are three options:
    1. Check below whether another version of this item is available online.
    2. Check on the provider's web page whether it is in fact available.
    3. Perform a search for a similarly titled item that would be available.

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Alejandra Marroig, 2023. "Transitions across states with and without difficulties in performing activities of daily living and death: a longitudinal comparison of ten European countries," European Journal of Ageing, Springer, vol. 20(1), pages 1-12, December.
    2. Parker, Susan W., 1999. "Elderly Health and Salaries in the Mexican Labor Market," IDB Publications (Working Papers) 3259, Inter-American Development Bank.
    3. Takuhiro Okabe & Makoto Suzuki & Naoki Iso & Koji Tanaka & Akira Sagari & Hironori Miyata & Gwanghee Han & Michio Maruta & Takayuki Tabira & Masahiro Kawagoe, 2021. "Long-Term Changes in Older Adults’ Independence Levels for Performing Activities of Daily Living in Care Settings: A Nine-Year Follow-Up Study," IJERPH, MDPI, vol. 18(18), pages 1-13, September.
    4. Chen, Cynthia & Lim, Jue Tao & Chia, Ngee Choon & Wang, Lijia & Tysinger, Bryan & Zissimopoulos, Julie & Chong, Ming Zhe & Wang, Zhe & Koh, Gerald Choon Huat & Yuan, Jian-Min & Tan, Kelvin Bryan & Chi, 2019. "The long-term impact of functional disability on hospitalization spending in Singapore," The Journal of the Economics of Ageing, Elsevier, vol. 14(C).
    5. Walsh, Kieran & Gannon, Brenda, 2011. "Perceived neighbourhood context, disability onset and old age," Journal of Behavioral and Experimental Economics (formerly The Journal of Socio-Economics), Elsevier, vol. 40(5), pages 631-636.
    6. Elizabeth G Wloch & Diana Kuh & Rachel Cooper, 2016. "Is the Hierarchy of Loss in Functional Ability Evident in Midlife? Findings from a British Birth Cohort," PLOS ONE, Public Library of Science, vol. 11(5), pages 1-13, May.
    7. Mary Beth Landrum & Kate A. Stewart & David M. Cutler, 2009. "Clinical Pathways to Disability," NBER Chapters, in: Health at Older Ages: The Causes and Consequences of Declining Disability among the Elderly, pages 151-187, National Bureau of Economic Research, Inc.
    8. Demers, Marie, 2004. "The predictability of individual primary care costs and its impact on managed care plans," Health Policy, Elsevier, vol. 68(3), pages 345-352, June.
    9. Manuela Schönmann & Anja Bodenschatz & Matthias Uhl & Gari Walkowitz, 2022. "The Care-Dependent are Less Averse to Care Robots: Comparing Intuitions of the Affected and the Non-Affected," Munich Papers in Political Economy 24, Munich School of Politics and Public Policy and the School of Management at the Technical University of Munich.
    10. Andrew Kingston & Joanna Collerton & Karen Davies & John Bond & Louise Robinson & Carol Jagger, 2012. "Losing the Ability in Activities of Daily Living in the Oldest Old: A Hierarchic Disability Scale from the Newcastle 85+ Study," PLOS ONE, Public Library of Science, vol. 7(2), pages 1-7, February.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:aph:ajpbhl:1997:87:3:378-383_2. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Christopher F Baum (email available below). General contact details of provider: https://www.apha.org .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.