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Socioeconomic inequalities in health in older adults in Brazil and England

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  • Lima-Costa, M.F.
  • De Oliveira, C.
  • MacInko, J.
  • Marmot, M.

Abstract

Objectives. We examined socioeconomic inequalities in health among older adults in England and Brazil. Methods. We analyzed nationally representative samples of residents aged 50 years and older in 2008 data from the Brazilian National Household Survey (n = 75 527) and the English Longitudinal Study of Ageing (n = 9589). We estimated prevalence ratios for self-rated health, functional limitations, and reported chronic diseases, by education level and household income tertiles. Results. Brazilians reported worse health than did English respondents. Country-specific differences were higher among the poorest, but also affected the wealthiest persons. We observed a strong inverse gradient of similar magnitude across education and household income levels for most health indicators in each country. Prevalence ratios (lowest vs highest education level) of poor self-rated health were 3.24 in Brazil and 3.50 in England; having 2 or more functional limitations, 1.81 in Brazil and 1.96 in England; and having 1 or more diseases, 1.14 in Brazil and 1.36 in England. Conclusions. Socioeconomic inequalities in health affect both populations, despite a less pronounced absolute difference in household income and education in Brazil than in England.

Suggested Citation

  • Lima-Costa, M.F. & De Oliveira, C. & MacInko, J. & Marmot, M., 2012. "Socioeconomic inequalities in health in older adults in Brazil and England," American Journal of Public Health, American Public Health Association, vol. 102(8), pages 1535-1541.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2012.300765_2
    DOI: 10.2105/AJPH.2012.300765
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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. Razieh Zandieh & Javier Martinez & Johannes Flacke & Martin van Maarseveen, 2017. "The Associations Between Area Deprivation and Objectively Measured Older Adults’ Outdoor Walking Levels," SAGE Open, , vol. 7(4), pages 21582440177, November.
    3. Burgard, Sarah A. & Chen, Patricia V., 2014. "Challenges of health measurement in studies of health disparities," Social Science & Medicine, Elsevier, vol. 106(C), pages 143-150.
    4. M Fernanda Lima-Costa & James Macinko & Juliana Vaz de Mello Mambrini & Sérgio Viana Peixoto & Alexandre Costa Pereira & Eduardo Tarazona-Santos & Antonio Luiz Pinho Ribeiro, 2016. "Genomic African and Native American Ancestry and Chagas Disease: The Bambui (Brazil) Epigen Cohort Study of Aging," PLOS Neglected Tropical Diseases, Public Library of Science, vol. 10(5), pages 1-14, May.
    5. Philipp Hessel & Paul Rodríguez-Lesmes & David Torres, 2020. "Socio-economic inequalities in high blood pressure and additional risk factors for cardiovascular disease among older individuals in Colombia: Results from a nationally representative study," PLOS ONE, Public Library of Science, vol. 15(6), pages 1-12, June.
    6. Tetsuji Yamada & Chia-Ching Chen & Chiyoe Murata & Hiroshi Hirai & Toshiyuki Ojima & Katsunori Kondo & Joseph R. Harris III, 2015. "Access Disparity and Health Inequality of the Elderly: Unmet Needs and Delayed Healthcare," IJERPH, MDPI, vol. 12(2), pages 1-28, February.

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