Association between chronic diseases and disability in elderly subjects with low and high income: the Leiden 85-plus Study

Annetje Bootsma-van der Wiel; Anton J M de Craen; Eric Van Exel; Peter W Macfarlane; Jacobijn Gussekloo; Rudi G J Westendorp

doi:https://doi.org/10.1093/eurpub/cki015

Association between chronic diseases and disability in elderly subjects with low and high income: the Leiden 85-plus Study

Annetje Bootsma-van der Wiel, Anton J M de Craen, Eric Van Exel, Peter W Macfarlane, Jacobijn Gussekloo, Rudi G J Westendorp

Research output: Contribution to journal › Article › Academic › peer-review

24 Citations (Scopus)

Abstract

BACKGROUND: Disability in activities of daily living (ADL) might be more prevalent among elderly with low income due to higher prevalence of chronic diseases and impairments, as well as stronger associations of these factors with ADL-disability.

METHODS: In the Leiden 85-plus Study, we defined disability as being unable to perform one or more basic ADL activities. Presence of chronic diseases was obtained from medical records, impairments were assessed with performance-tests.

RESULTS: Elderly with low income had higher prevalence of ADL-disability (23% versus 12%; odds ratio 2.0; 95% confidence interval 1.3-3.2), higher prevalence of impairments and equal prevalence of chronic diseases, except for dementia and co-morbidity. Associations of these factors with ADL-disability were not stronger.

CONCLUSIONS: We conclude that ADL-disability is more prevalent in elderly with low income. Neither prevalence of chronic diseases nor the association with disability could explain this.

Original language	English
Pages (from-to)	494-7
Number of pages	4
Journal	European journal of public health
Volume	15
Issue number	5
DOIs	https://doi.org/10.1093/eurpub/cki015
Publication status	Published - Oct 2005
Externally published	Yes

Keywords

Activities of Daily Living
Aged, 80 and over
Chronic Disease/epidemiology
Disabled Persons
Female
Health Status
Humans
Male
Netherlands
Population Surveillance
Social Class

Access to Document

https://doi.org/10.1093/eurpub/cki015

Cite this

@article{f13ad0869ddc44d0bfe741d33b092b0e,

title = "Association between chronic diseases and disability in elderly subjects with low and high income: the Leiden 85-plus Study",

abstract = "BACKGROUND: Disability in activities of daily living (ADL) might be more prevalent among elderly with low income due to higher prevalence of chronic diseases and impairments, as well as stronger associations of these factors with ADL-disability.METHODS: In the Leiden 85-plus Study, we defined disability as being unable to perform one or more basic ADL activities. Presence of chronic diseases was obtained from medical records, impairments were assessed with performance-tests.RESULTS: Elderly with low income had higher prevalence of ADL-disability (23% versus 12%; odds ratio 2.0; 95% confidence interval 1.3-3.2), higher prevalence of impairments and equal prevalence of chronic diseases, except for dementia and co-morbidity. Associations of these factors with ADL-disability were not stronger.CONCLUSIONS: We conclude that ADL-disability is more prevalent in elderly with low income. Neither prevalence of chronic diseases nor the association with disability could explain this.",

keywords = "Activities of Daily Living, Aged, 80 and over, Chronic Disease/epidemiology, Disabled Persons, Female, Health Status, Humans, Male, Netherlands, Population Surveillance, Social Class",

author = "{Bootsma-van der Wiel}, Annetje and {de Craen}, {Anton J M} and {Van Exel}, Eric and Macfarlane, {Peter W} and Jacobijn Gussekloo and Westendorp, {Rudi G J}",

year = "2005",

month = oct,

doi = "https://doi.org/10.1093/eurpub/cki015",

language = "English",

volume = "15",

pages = "494--7",

journal = "European journal of public health",

issn = "1101-1262",

publisher = "Oxford University Press",

number = "5",

}

TY - JOUR

T1 - Association between chronic diseases and disability in elderly subjects with low and high income

T2 - the Leiden 85-plus Study

AU - Bootsma-van der Wiel, Annetje

AU - de Craen, Anton J M

AU - Van Exel, Eric

AU - Macfarlane, Peter W

AU - Gussekloo, Jacobijn

AU - Westendorp, Rudi G J

PY - 2005/10

Y1 - 2005/10

N2 - BACKGROUND: Disability in activities of daily living (ADL) might be more prevalent among elderly with low income due to higher prevalence of chronic diseases and impairments, as well as stronger associations of these factors with ADL-disability.METHODS: In the Leiden 85-plus Study, we defined disability as being unable to perform one or more basic ADL activities. Presence of chronic diseases was obtained from medical records, impairments were assessed with performance-tests.RESULTS: Elderly with low income had higher prevalence of ADL-disability (23% versus 12%; odds ratio 2.0; 95% confidence interval 1.3-3.2), higher prevalence of impairments and equal prevalence of chronic diseases, except for dementia and co-morbidity. Associations of these factors with ADL-disability were not stronger.CONCLUSIONS: We conclude that ADL-disability is more prevalent in elderly with low income. Neither prevalence of chronic diseases nor the association with disability could explain this.

AB - BACKGROUND: Disability in activities of daily living (ADL) might be more prevalent among elderly with low income due to higher prevalence of chronic diseases and impairments, as well as stronger associations of these factors with ADL-disability.METHODS: In the Leiden 85-plus Study, we defined disability as being unable to perform one or more basic ADL activities. Presence of chronic diseases was obtained from medical records, impairments were assessed with performance-tests.RESULTS: Elderly with low income had higher prevalence of ADL-disability (23% versus 12%; odds ratio 2.0; 95% confidence interval 1.3-3.2), higher prevalence of impairments and equal prevalence of chronic diseases, except for dementia and co-morbidity. Associations of these factors with ADL-disability were not stronger.CONCLUSIONS: We conclude that ADL-disability is more prevalent in elderly with low income. Neither prevalence of chronic diseases nor the association with disability could explain this.

KW - Activities of Daily Living

KW - Aged, 80 and over

KW - Chronic Disease/epidemiology

KW - Disabled Persons

KW - Female

KW - Health Status

KW - Humans

KW - Male

KW - Netherlands

KW - Population Surveillance

KW - Social Class

U2 - https://doi.org/10.1093/eurpub/cki015

DO - https://doi.org/10.1093/eurpub/cki015

M3 - Article

C2 - 16014663

SN - 1101-1262

VL - 15

SP - 494

EP - 497

JO - European journal of public health

JF - European journal of public health

IS - 5

ER -