Declines in late-life disability: The role of early- and mid-life factors
Investigations into the reasons for declines in late-life disability have largely focused on the role of contemporaneous factors. Adopting a life-course perspective as a backdrop, in this paper we ask whether there also has been a role for selected early- and mid-life factors in the decline, and if so whether these factors have been operating through changes in the risks of disability onset or recovery. Drawing on five waves from 1995 to 2004 of the U.S. Health and Retirement Study, we found for the 75 years and older population in the United States that the prevalence of difficulty with activities of daily living (ADL) declined from 30.2% in 1995 to 26.0% in 2004, whereas the trend in difficulty with instrumental activities of daily living (IADL) was flat. Onset of ADL limitations also was reduced during this period while recovery increased. Changes in the educational composition of the older population were linked to declines in the prevalence of ADL limitations, but there were also modest contributions of changes in mother's education, self-rated childhood health, and lifetime occupation. Declines in late-life vision impairments and increases in wealth also contributed substantially to the downward trend, and had chronic conditions not increased, it would have been even larger. Reductions in the onset of ADL limitations were partly driven by changes in educational attainment of respondents and their mothers and, in late-life, better vision and wealth. In contrast, the recovery trend was not accounted for by changes in early- or mid-life factors. We conclude that early- and mid-life factors have contributed along with late-life factors to U.S. late-life disability trends mainly through their influence on the onset of, rather than recovery from, limitations.
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Volume (Year): 66 (2008)
Issue (Month): 7 (April)
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- Blackwell, Debra L. & Hayward, Mark D. & Crimmins, Eileen M., 2001. "Does childhood health affect chronic morbidity in later life?," Social Science & Medicine, Elsevier, vol. 52(8), pages 1269-1284, April.
- Ye Luo & Linda J. Waite, 2005. "The Impact of Childhood and Adult SES on Physical, Mental, and Cognitive Well-Being in Later Life," Journals of Gerontology: Series B, Gerontological Society of America, vol. 60(2), pages S93-S101.
- Alberto Palloni, 2006. "Reproducing inequalities: Luck, wallets, and the enduring effects of childhood health," Demography, Springer;Population Association of America (PAA), vol. 43(4), pages 587-615, November.
- Mark Hayward & Bridget Gorman, 2004. "The long arm of childhood: The influence of early-life social conditions on men’s mortality," Demography, Springer;Population Association of America (PAA), vol. 41(1), pages 87-107, February.
- Peck, Maria Nyström & Lundberg, Olle, 1995. "Short stature as an effect of economic and social conditions in childhood," Social Science & Medicine, Elsevier, vol. 41(5), pages 733-738, September.
- Robert W. Fogel, 1994.
"Economic Growth, Population Theory, and Physiology: The Bearing of Long-Term Processes on the Making of Economic Policy,"
NBER Working Papers
4638, National Bureau of Economic Research, Inc.
- Fogel, Robert W, 1994. "Economic Growth, Population Theory, and Physiology: The Bearing of Long-Term Processes on the Making of Economic Policy," American Economic Review, American Economic Association, vol. 84(3), pages 369-95, June.
- Fogel, Robert W., 1993. "Economic Growth, Population Theory, and Physiology: The Bearing of Long-Term Processes on the Making of Economic Policy," Nobel Prize in Economics documents 1993-1, Nobel Prize Committee.
- Mark Hayward & William Grady & Melissa Hardy & David Sommers, 1989. "Occupational influences on retirement, disability, and death," Demography, Springer;Population Association of America (PAA), vol. 26(3), pages 393-409, August.
- Eileen Crimmins & Mark Hayward, 2004. "Workplace characteristics and work disability onset for men and women," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 49(2), pages 122-131, April.
- Vicki Freedman & Eileen Crimmins & Robert Schoeni & Brenda Spillman & Hakan Aykan & Ellen Kramarow & Kenneth Land & James Lubitz & Kenneth Manton & Linda Martin & Diane Shinberg & Timothy Waidmann, 2004. "Resolving inconsistencies in trends in old-age disability: Report from a technical working group," Demography, Springer;Population Association of America (PAA), vol. 41(3), pages 417-441, August.
- Kington, Raynard & Carlisle, David & McCaffrey, Dan & Myers, Hector & Allen, Walter, 1998. "Racial differences in functional status among elderly U.S. migrants from the south," Social Science & Medicine, Elsevier, vol. 47(6), pages 831-840, September.
- Dora L. Costa, 1998.
"Understanding the Twentieth Century Decline in Chronic Conditions Among Older Men,"
NBER Working Papers
6859, National Bureau of Economic Research, Inc.
- Dora Costa, 2000. "Understanding the twentieth-century decline in chronic conditions among older men," Demography, Springer;Population Association of America (PAA), vol. 37(1), pages 53-72, February.
- Vicki Freedman & Linda Martin, 1999. "The role of education in explaining and forecasting trends in functional limitations among older Americans," Demography, Springer;Population Association of America (PAA), vol. 36(4), pages 461-473, November.
- Blane, D. & Higgs, P. & Hyde, M. & Wiggins, R. D., 2004. "Life course influences on quality of life in early old age," Social Science & Medicine, Elsevier, vol. 58(11), pages 2171-2179, June.
- Douglas A. Wolf & Carlos F. Mendes de Leon & Thomas A. Glass, 2007. "Trends in Rates of Onset of and Recovery From Disability at Older Ages: 1982–1994," Journals of Gerontology: Series B, Gerontological Society of America, vol. 62(1), pages S3-S10.
- Jan Mutchler & Archana Prakash & Jeffrey Burr, 2007. "The demography of disability and the effects of immigrant history: Older Asians in the United States," Demography, Springer;Population Association of America (PAA), vol. 44(2), pages 251-263, May.
- Timothy A. Waidmann & Korbin Liu, 2000. "Disability Trends Among Elderly Persons and Implications for the Future," Journals of Gerontology: Series B, Gerontological Society of America, vol. 55(5), pages S298-S307.
- Robert F. Schoeni & Vicki A. Freedman & Robert B. Wallace, 2001. "Persistent, Consistent, Widespread, and Robust? Another Look at Recent Trends in Old-Age Disability," Journals of Gerontology: Series B, Gerontological Society of America, vol. 56(4), pages S206-S218.
- Vicki Freedman & Robert Schoeni & Linda Martin & Jennifer Cornman, 2007. "Chronic conditions and the decline in late-life disability," Demography, Springer;Population Association of America (PAA), vol. 44(3), pages 459-477, August.
- Gaetan Lafortune & Gaëlle Balestat, 2007. "Trends in Severe Disability Among Elderly People: Assessing the Evidence in 12 OECD Countries and the Future Implications," OECD Health Working Papers 26, OECD Publishing.
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