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Wealth and Disability in Later Life: The English Longitudinal Study of Ageing (ELSA)

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  • Juliana Lustosa Torres
  • Maria Fernanda Lima-Costa
  • Michael Marmot
  • Cesar de Oliveira

Abstract

We examined wealth inequalities in disability, taking into account the effect of both depression and social support among older English adults using data from 5,506 community-dwelling people aged 50 years and over from the English Longitudinal Study of Ageing (ELSA). Disability was measured as self-reported limitations in the Basic Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL). Depressive symptomatology was measured using the 8-item Center for Epidemiological Studies-Depression (CES-D) scale. Social support was assessed by marital status and frequency of contact with friends, relatives or children. Multinomial logistic regression models were used to assess the role of social support and depressive symptoms on disability by total household wealth, which is a measure of accumulated assets over the course of life. Our findings showed that the poorest men with disability were more likely to live without a partner and have no weekly contact with children, family or friends compared to the wealthiest. Among women with disability, the poorest were more likely to report loneliness and have no partner while the wealthiest and the intermediate groups were more likely to be living with a partner. There was a strong inverse dose-response association between wealth and depressive symptoms among all participants with disability. This study shows a clear wealth gradient in disability among older English adults, especially for those with elevated depressive symptoms.

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  • Juliana Lustosa Torres & Maria Fernanda Lima-Costa & Michael Marmot & Cesar de Oliveira, 2016. "Wealth and Disability in Later Life: The English Longitudinal Study of Ageing (ELSA)," PLOS ONE, Public Library of Science, vol. 11(11), pages 1-12, November.
    • Handle: RePEc:plo:pone00:0166825
    DOI: 10.1371/journal.pone.0166825
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    References listed on IDEAS

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    1. Carlos F. Mendes de Leon & Kumar B. Rajan, 2014. "Psychosocial Influences in Onset and Progression of Late Life Disability," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 69(2), pages 287-302.
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    5. Manzoli, Lamberto & Villari, Paolo & M Pirone, Giovanni & Boccia, Antonio, 2007. "Marital status and mortality in the elderly: A systematic review and meta-analysis," Social Science & Medicine, Elsevier, vol. 64(1), pages 77-94, January.
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    1. Marcel Raab & Anette Fasang & Moritz Hess, 2018. "Pathways to death: The co-occurrence of physical and mental health in the last years of life," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 38(53), pages 1619-1634.
    2. Howard Litwin & Michal Levinsky, 2022. "Does personality shape the personal social networks of older Europeans?," European Journal of Ageing, Springer, vol. 19(3), pages 717-727, September.
    3. Raab, Marcel & Fasang, Anette Eva & Hess, Moritz, 2018. "Pathways to death: The co-occurrence of physical and mental health in the last years of life," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 38, pages 1619-1634.

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