Socioeconomic position and incident mobility impairment in the Cardiovascular Health Study

Cheryl K. Nordstrom · Ana Victoria Diez Roux · Richard Schulz · Mary N. Haan · Sharon Jackson · Jennifer L. Balfour

30 citations0/0 files storedBMC Geriatrics

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Health disparities and outcomes Aging, Health, and Disability Frailty in Older Adults

Abstract

BACKGROUND: We investigated if personal socioeconomic position (SEP) factors and neighborhood characteristics were associated with incident mobility impairment in the elderly. METHODS: We used data from the Cardiovascular Health Study, a longitudinal, population-based examination of coronary heart disease and stroke among persons aged 65 and older in the United States. RESULTS: Among 3,684 persons without baseline mobility impairment, lower baseline SEP was associated with increased risk of incident mobility disability during the 10-year follow-up period, although the strengths of these associations varied by socioeconomic indicator and race/sex group. CONCLUSION: Among independent-living elderly, SEP affected development of mobility impairment into later life. Particular effort should be made to prevent or delay its onset among the elderly with low income, education, and/or who live in economically disadvantaged neighborhoods.

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References

2001Multilevel analyses of neighbourhood socioeconomic context and health outcomes: a critical review: Table 1 1993The Increasing Disparity in Mortality between Socioeconomic Groups in the United States, 1960 and 1986 1997Socioeconomic inequalities in morbidity and mortality in western Europe 1994The Social Stratification of Aging and Health 1997Socioeconomic inequalities in morbidity and mortality in western Europe 2002Neighborhood Environment and Loss of Physical Function in Older Adults: Evidence from the Alameda County Study 1993Recruitment of adults 65 years and older as participants in the cardiovascular health study 1998Community-Level Socioeconomic Status Effects on Adult Health

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