The enduring effect of education-socioeconomic differences in disability trajectories from age 85 years in the Newcastle 85+ Study

Archives of Gerontology and Geriatrics
Andrew KingstonCarol Jagger

Abstract

Little is known about disability progression in very old age despite this being vital for care planning. We investigate whether distinct trajectories of disability are evident from age 85 to 90 and their association with socio-economic status (SES). The Newcastle 85+ Study recruited people born in 1921 through participating general practices in Newcastle and North Tyneside. Participants underwent a health assessment (HA) at baseline, 18, 36 and 60 months and a GP record review (GPRR) at baseline, 36 and 60 months. Disability was measured via difficulty in 17 Activities of Daily Living. Trajectory identification was assessed by gender stratified, mortality adjusted, group-based trajectory modelling (GBTM) and the impact of life-course SES (level of education; occupational class; deprivation) on trajectory membership evaluated (adjusting for confounding variables). 851 participants agreed to HA and GPRR, 840 (98.7%) with complete disability data. Four distinct trajectories were evident for both sexes. A disability-free trajectory between age 85 and 90 was identified in men only (9% of the sample). The most disabled trajectories had severe disability at age 85 progressing to profound disability by age 90. After adjusting for confo...Continue Reading

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Citations

Feb 4, 2016·Journal of the American Medical Directors Association·Paul A GardinerAnnette J Dobson
Nov 29, 2016·Journal of the American Geriatrics Society·Jonas W WastessonKaare Christensen
Nov 2, 2018·Journal of the American Geriatrics Society·Nuno MendonçaCarol Jagger
Nov 5, 2016·The Journal of Clinical Endocrinology and Metabolism·Simon H S PearceCarol Jagger
Aug 5, 2020·Journal of Aging and Health·Merja RantakokkoRoss Wilkie
Mar 23, 2017·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·Lei YangKarri Silventoinen
Dec 7, 2017·Ciência & saúde coletiva·Mônica Faria FelicíssimoWaleska Teixeira Caiaffa
Jun 8, 2017·American Journal of Public Health·Carol Jagger
Jun 6, 2018·European Journal of Ageing·Terese Sara Høj JørgensenCharlotte Juul Nilsson
Nov 18, 2018·Journal of Aging and Health·Terese Sara Høj JørgensenCharlotte Juul Nilsson
Jan 1, 2019·Genus·Marie-Pier Bergeron-BoucherRune Lindahl-Jacobsen
Aug 14, 2020·Archives of Gerontology and Geriatrics·Sara ZuccarinoMauro Colombo
Jul 3, 2021·Nutrients·Nathalie YaghiCatherine Feart
Mar 25, 2019·Journal of the American Medical Directors Association·Terese Sara Høj JørgensenGeorge O Agogo

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