Association of quality of life in old age in Britain with socioeconomic position: baseline data from a randomised controlled trial

Journal of Epidemiology and Community Health
Elizabeth BreezeAstrid E Fletcher

Abstract

To identify socioeconomic differentials in quality of life among older people and their explanatory factors. Baseline data from a cluster randomised controlled trial of the assessment and management of older people in primary care. Outcome measures were being in the worst quintile of scores for, respectively, the Philadelphia geriatric morale scale and four dimensions of functioning from the sickness impact profile (home management, mobility, self care, and social interaction). 23 general practices in Britain. People aged 75 years and over on GP registers at the time of recruitment, excluding those in nursing homes or terminally ill. Of 9547 people eligible, 90% provided full information on quality of life and 6298 also did a brief assessment. The excess risk of poor quality of life for independent people renting rather than owning their home ranged from 27% for morale (95% CI 9% to 48%) to 62% for self care (95% CI 35% to 94%). Self reported health problems plus smoking and alcohol consumption accounted for half or more of the excess, depending on the outcome. Having a low socioeconomic position in middle age as well as in old age exacerbated the risks of poor outcomes. Among people living with someone other than spouse the ex...Continue Reading

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Citations

Dec 15, 2007·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·Benjamin ChapmanJeffrey M Lyness
Apr 30, 2015·International Archives of Occupational and Environmental Health·Clermont E DionneAlexis Descatha
Jan 15, 2016·Psychiatry Investigation·Sang Won JeonDavid C Steffens
Mar 11, 2011·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Nikola SpriggUNKNOWN TAIST Investigators
Oct 7, 2008·International Journal of Geriatric Psychiatry·Barry J Gurland, Roni V Gurland
Oct 4, 2011·Journal of Korean Academy of Nursing·Heeyoung SoKyungok Ju
Mar 27, 2015·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Mark StrongPenny Breeze
Jan 22, 2005·International Journal of Epidemiology·E BreezeA E Fletcher

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