Journal article
Neighbourhood deprivation and incident mobility disability in older adults
Age and ageing, Vol.37(4), pp.403-410
07/01/2008
DOI: 10.1093/ageing/afn092
PMCID: PMC2574954
PMID: 18487260
Abstract
Objective: to assess whether incident mobility disability and neighbourhood deprivation in older people are associated independent of the effects of individual socio-economic status, health behaviours and health status.
Methods: prospective cohort study with a 2-year follow-up.
Setting: the English Longitudinal Study of Ageing (ELSA), a national probability sample of non-institutionalised older people.
Participants: 4,148 participants aged 60 years and over.
Measurements: exposure was a census-based index of neighbourhood deprivation [the Index of Multiple Deprivation (IMD)]; outcomes were measured and self-reported incident mobility difficulties.
Results: neighbourhood deprivation had a statistically significant effect on physical function following adjustment for individual socio-economic factors, health behaviours and health status. Compared to those living in the least deprived 20% of neighbourhoods, those in the most deprived neighbourhoods had a risk ratio (RR) of incident self-reported mobility difficulties of 1.75 (95% CI 1.14-2.70) and RR of incident-impaired gait speed of 1.63 (95% CI 1.01-2.62). In adjusted models, 4.0 per 100 (95% CI 3.0-5.4) older adults in neighbourhoods in the least deprived 20% had incident mobility difficulties over a 2-year period, whereas 13.6 per 100 (95% CI 10.5-17.4) older adults had incident mobility difficulties in neighbourhoods in the most deprived 20%.
Conclusions: older people living in deprived neighbourhoods are significantly more likely to experience incident mobility difficulties than those in less-deprived neighbourhoods. The mechanisms underlying this relationship are unclear and research to identify mechanisms and appropriate interventions is needed.
Details
- Title: Subtitle
- Neighbourhood deprivation and incident mobility disability in older adults
- Creators
- Iain A. Lang - Phillips Exeter AcademyDavid J. Llewellyn - University of CambridgeKenneth M. Langa - University of MichiganRobert B. Wallace - University of IowaDavid Melzer - Phillips Exeter Academy
- Resource Type
- Journal article
- Publication Details
- Age and ageing, Vol.37(4), pp.403-410
- DOI
- 10.1093/ageing/afn092
- PMID
- 18487260
- PMCID
- PMC2574954
- NLM abbreviation
- Age Ageing
- ISSN
- 0002-0729
- eISSN
- 1468-2834
- Publisher
- Oxford Univ Press
- Number of pages
- 8
- Grant note
- K08 AG019180-05; R01 AG027010; R01 AG027010-02; K08 AG019180; R01 AG27010 / NIA NIH HHS; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Aging (NIA) R01AG027010 / NATIONAL INSTITUTE ON AGING; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Aging (NIA)
- Language
- English
- Date published
- 07/01/2008
- Academic Unit
- Epidemiology; Injury Prevention Research Center; Internal Medicine
- Record Identifier
- 9984364421302771
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