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Disability pathways preceding death in England by socio-economic status

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  • Cecilia Potente
  • Christiaan Monden

Abstract

The role of socio-economic status (SES) in the last years of life is an under-researched aspect of health inequalities. This study examines disability patterns preceding death using data from the English Longitudinal Study of Ageing. We use repeated measures latent class analysis to identify the most common pathways preceding death in terms of walking ability and limitations in activities of daily living. Three pathways emerge: one characterized by consistently low disability; a second by a constant high level of functional limitations; and a third by medium impairment. We examine how different SES indicators predict belonging to each disability pathway. Conditional on income, higher wealth is associated with a lower likelihood of belonging to the high disability pathway. Contrary to our expectations, we find no educational gradient in the pathways preceding death. Health inequalities in the last years of life seem to exist especially between individuals with different levels of wealth.

Suggested Citation

  • Cecilia Potente & Christiaan Monden, 2018. "Disability pathways preceding death in England by socio-economic status," Population Studies, Taylor & Francis Journals, vol. 72(2), pages 175-190, May.
    • Handle: RePEc:taf:rpstxx:v:72:y:2018:i:2:p:175-190
    DOI: 10.1080/00324728.2018.1458993
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    Cited by:

    1. Mathias Voigt & Antonio Abellán & Julio Pérez & Diego Ramiro, 2020. "The effects of socioeconomic conditions on old-age mortality within shared disability pathways," PLOS ONE, Public Library of Science, vol. 15(9), pages 1-17, September.
    2. Yunyun Jiang & Haitao Zheng & Tianhao Zhao, 2019. "Socioeconomic Status and Morbidity Rate Inequality in China: Based on NHSS and CHARLS Data," IJERPH, MDPI, vol. 16(2), pages 1-19, January.

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