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Neighbourhood deprivation and incident mobility disability in older adults
Author(s)Iain A Lang, David J Llewellyn, Kenneth M Langa
Journal titleAge and Ageing, vol 37, no 4, July 2008
Pagespp 403-410
Sourcehttp://www.ageing.oupjournals.org
KeywordsPhysical disabilities ; Mobility ; Economic status [elderly] ; Poverty ; Neighbourhoods, communities etc ; Correlation ; Longitudinal surveys ; England.
AnnotationLiving in a deprived neighbourhood is known to have adverse effects on individual health and is associated with self-reported difficulties for older people. This study uses data for 4148 participants aged 60+ from the English Longitudinal Study of Ageing (ELSA); neighbourhood deprivation was measured using the Index of Multiple Deprivation (IMD), 2004. Neighbourhood deprivation had a statistically significant effect on physical function, following adjustment for individual socio-economic factors, health behaviours and health status. Compared to those living in the least deprived 20% of neighbourhoods, those in the most deprived neighbourhoods had a high risk ratio (RR) of incident self-reported mobility difficulties of 1.75 and RR of incident-impaired gait speed of 1.63. In adjusted models, 4% of older people in neighbourhoods in the least deprived 20% had incident mobility difficulties over a 2-year period, whereas 13.6% of older people had incident mobility difficulties in neighbourhoods in the most deprived 20%. Older people living in deprived neighbourhoods are significantly more likely to experience incident mobility difficulties than those in less-deprived neighbourhoods. The mechanisms underlying this relationship are unclear and research to identify mechanisms and appropriate interventions is needed. (RH).
Accession NumberCPA-080808025 A
ClassmarkBN: C4: F:W: W6: RH: 49: 3J: 82

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