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Morbidity and quality of life and the moderating effects of level of education in the elderly

Author

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  • Kempen, Gertrudis I. J. M.
  • Brilman, Els I.
  • Ranchor, Adelita V.
  • Ormel, Johan

Abstract

The moderating effect of level of education (as an indicator of socioeconomic status) on the associations between chronic medical morbidity and six domains of health-related quality of life (physical function, role function, social function, health perceptions, bodily pain and mental health) is studied in a large community-dwelling elderly sample (N=5279). The results showed that health-related quality of life is substantially affected by chronic medical morbidity, and that level of education has weak, but significant unique contributions to physical function, social function, health perceptions, and mental health. We did not find substantial evidence for the differential vulnerability hypothesis. At best, low education might amplify the negative effects of the number of chronic medical conditions on mental health only, but this result was not confirmed in four specific disease groups.

Suggested Citation

  • Kempen, Gertrudis I. J. M. & Brilman, Els I. & Ranchor, Adelita V. & Ormel, Johan, 1999. "Morbidity and quality of life and the moderating effects of level of education in the elderly," Social Science & Medicine, Elsevier, vol. 49(1), pages 143-149, July.
    • Handle: RePEc:eee:socmed:v:49:y:1999:i:1:p:143-149
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    Cited by:

    1. Sanni Yaya & Ghose Bishwajit & Michael Ekholuenetale & Vaibhav Shah, 2017. "Awareness and utilization of community clinic services among women in rural areas in Bangladesh: A cross-sectional study," PLOS ONE, Public Library of Science, vol. 12(10), pages 1-10, October.
    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.
    3. Smith, William C. & Anderson, Emily & Salinas, Daniel & Horvatek, Renata & Baker, David P., 2015. "A meta-analysis of education effects on chronic disease: The causal dynamics of the Population Education Transition Curve," Social Science & Medicine, Elsevier, vol. 127(C), pages 29-40.

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