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Reductions in disability prevalence among the highest income groups of older Brazilians

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  • Parahyba, M.I.
  • Stevens, K.
  • Henley, W.
  • Lang, I.A.
  • Melzer, D.

Abstract

Objectives. We sought to identify the income-disability prevalence relationship among older Brazilians. Methods. Data were from 63985 individuals 60 years and older from the 1998 and 2003 Brazilian National Household Surveys. Generalized additive logistic models with cubic regression splines were used to estimate the disability-income relationships. Results. There was a strong linear relationship between increased income and reduced disability prevalence for most of the income distribution. Benefits were still present above the 90th percentile of income but were more modest. Because incomes among the wealthiest few are disproportionately large, odds ratios of disability nevertheless showed marked improvements, even across the very highest income groups. Conclusions. Among older Brazilians, reduced disability is associated with higher income, and these associations are present even above the 90th percentile of income. In addition to understanding mechanisms of disability reduction among impoverished individuals, work is needed to understand these mechanisms in middle- and high-income groups.

Suggested Citation

  • Parahyba, M.I. & Stevens, K. & Henley, W. & Lang, I.A. & Melzer, D., 2009. "Reductions in disability prevalence among the highest income groups of older Brazilians," American Journal of Public Health, American Public Health Association, vol. 99(1), pages 81-86.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2007.130708_5
    DOI: 10.2105/AJPH.2007.130708
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    Cited by:

    1. Gerda G Fillenbaum & Sergio L Blay & Carl F Pieper & Katherine E King & Sergio B Andreoli & Fábio L Gastal, 2013. "The Association of Health and Income in the Elderly: Experience from a Southern State of Brazil," PLOS ONE, Public Library of Science, vol. 8(9), pages 1-1, September.
    2. Valéria Teresa Saraiva Lino & Nádia Cristina Pinheiro Rodrigues & Mônica Kramer de Noronha Andrade & Inês Nascimento de Carvalho Reis & Lucília Almeida Elias Lopes & Soraya Atie, 2019. "Association between visual problems, insufficient emotional support and urinary incontinence with disability in elderly people living in a poor district in Rio de Janeiro, Brazil: A six-year follow-up," PLOS ONE, Public Library of Science, vol. 14(5), pages 1-12, May.
    3. Ahmad Reza Hosseinpoor & Nicole Bergen & Nenad Kostanjsek & Paul Kowal & Alana Officer & Somnath Chatterji, 2016. "Socio-demographic patterns of disability among older adult populations of low-income and middle-income countries: results from World Health Survey," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(3), pages 337-345, April.

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