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Are Functional and Activity Limitations Becoming More Prevalent among 55 to 69-Year-Olds in the United States?

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  • HwaJung Choi
  • Robert F Schoeni
  • Linda G Martin

Abstract

Objectives: This study examines changes in functional and activity limitations 1998–2012 for individuals 55–69. Methods: Logistic models are used to estimate trends in limitations in vision, hearing, physical and cognitive functioning, IADLs, and ADLs. Additional models assess the extent to which trends are associated with and differ by education, smoking, and BMI. Results: Changes in prevalence of limitations in vision, hearing, cognitive functioning, and ADLs are not statistically significant. Limitations in physical functioning declined by 0.37% per year. IADL limitations increased by 1.33% per year, but most of the increase occurred between 2008 and 2010/2012, and are associated with economic hardship during the Great Recession. Increases in education are especially beneficially associated with trends in limitations, but reductions in smoking also appear to be advantageous for some outcomes. Increases in BMI are associated with trends in physical functioning, IADL, and ADL limitation. Discussion: For Americans 55–69, functional and activity limitations were largely unchanged 1998–2012. Our results suggest that if educational attainment had not increased, most functional and activity limitations potentially could have worsened substantially. Future change in educational attainment is not expected to be so positive. Continued monitoring of trends in activity limitations might well include greater focus on the explanatory roles of environmental factors, including economic circumstances.

Suggested Citation

  • HwaJung Choi & Robert F Schoeni & Linda G Martin, 2016. "Are Functional and Activity Limitations Becoming More Prevalent among 55 to 69-Year-Olds in the United States?," PLOS ONE, Public Library of Science, vol. 11(10), pages 1-14, October.
  • Handle: RePEc:plo:pone00:0164565
    DOI: 10.1371/journal.pone.0164565
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    1. John Bound & Arline T. Geronimus & Javier M. Rodriguez & Timothy A. Waidmann, "undated". "Measuring Recent Apparent Declines in Longevity: The Role of Increasing Educational Attainment," Mathematica Policy Research Reports 0c715b1386df45edb4d21d33c, Mathematica Policy Research.
    2. Verbrugge, Lois M. & Jette, Alan M., 1994. "The disablement process," Social Science & Medicine, Elsevier, vol. 38(1), pages 1-14, January.
    3. Schoeni, R.F. & Martin, L.G. & Andreski, P.M. & Freedman, V.A., 2005. "Persistent and growing socioeconomic disparities in disability among the elderly: 1982-2002," American Journal of Public Health, American Public Health Association, vol. 95(11), pages 2065-2070.
    4. Eileen M. Crimmins & Jung Ki Kim & Kenneth M. Langa & David R. Weir, 2011. "Assessment of Cognition Using Surveys and Neuropsychological Assessment: The Health and Retirement Study and the Aging, Demographics, and Memory Study," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 66(suppl_1), pages 162-171.
    5. Linda Martin & Robert Schoeni & Patricia Andreski, 2010. "Trends in health of older adults in the United States: Past, present, future," Demography, Springer;Population Association of America (PAA), vol. 47(1), pages 17-40, March.
    6. Anne Case & Angua Deaton, 2015. "Rising morbidity and mortality in midlife among white non-Hispanic Americans in the 21st century," Working Papers 15078.full.pdf, Princeton University, Woodrow Wilson School of Public and International Affairs, Research Program in Development Studies..
    7. Edward C. Norton & Morgen M. Miller & Lawrence C. Kleinman, 2013. "Computing adjusted risk ratios and risk differences in Stata," Stata Journal, StataCorp LP, vol. 13(3), pages 492-509, September.
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    Cited by:

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    2. J. Jona Schellekens, 2019. "Explaining Disability Trends in the United States, 1963–2015," Population and Development Review, The Population Council, Inc., vol. 45(4), pages 819-834, December.
    3. Cho, Tsai-Chin & Park, Bona & Choi, HwaJung, 2023. "Measuring spatial availability of children for older adults with disability," Social Science & Medicine, Elsevier, vol. 335(C).

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