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Living in the 21st century: older people in England: the 2006 English longitudinal study of ageing (wave 3)
- Authors:
- BANKS James, et al
- Publisher:
- Institute for Fiscal Studies
- Publication year:
- 2008
- Pagination:
- 303p.
- Place of publication:
- London
The third wave of the English Longitudinal Study of Ageing (ELSA) means that we now have a four-year follow-up period on a sample of the English population aged 50 and over at the first wave. In addition, there are earlier data coming from the original Health Survey for England (HSE) from which the ELSA sample of participants was drawn. The report from the first wave of ELSA showed how marked is the variability in older people's social and economic circumstances, physical and mental functioning, and health. The myth of older age as uniformly characterised by decline and dependency is contradicted by the evidence of vigorous and active nonagenarians. The report after the second wave of ELSA showed, in considerable detail, how most of the salient domains of people's lives varied according to their wealth. The authors used wealth as a socio-economic measure. The analyses in that report made use of a key feature of ELSA - its accurate assessment of wealth including pension wealth. Mortality, ill health, social isolation and loneliness all differed, in a graded way, with people's wealth: less wealth was associated with being sicker, less functional and more isolated. This third wave now allows two interrelated activities making use of ELSA's special strengths - exploring how the various areas of people's lives interact and using longitudinal data to sort out the order in which things happen.
Stagnation in mortality decline among elders in the Netherlands
- Authors:
- JANSSEN Fanny, et al
- Journal article citation:
- Gerontologist, 43(5), October 2003, pp.722-734.
- Publisher:
- Oxford University Press
This study assesses whether the stagnation of old-age (80+) mortality decline observed in The Netherlands in the 1980s continued in the 1990s and determines which factors contributed to this stagnation. Emphasis is on the role of smoking. Poisson regression analysis with linear splines was applied to total and cause-specific mortality data by age, year of death (1950-1999), and sex. An age-period-cohort analysis was carried out to determine whether the trends followed period or cohort patterns. ICD revisions were bridged by use of a concordance table. A sudden reversal in old-age mortality decline occurred around 1980, leading to a stagnation of the decline and even increases in mortality thereafter. Smoking-related cancers, chronic obstructive pulmonary disease, and diseases specifically related to old age contributed to this stagnation. Trends in smoking-related cancers and chronic obstructive pulmonary disease showed a cohort pattern-especially for men. When these smoking-related diseases were excluded, the trends in old-age mortality in The Netherlands showed an increasing stagnation for both sexes. Smoking behaviour can only partly explain the stagnation of mortality. Other factors such as increased frailty and changes in medical and social services for elderly people probably played a more decisive role in the recent stagnation.
Race equality
- Author:
- BUTT Jabeer
- Journal article citation:
- Research Matters, October 2001, pp.48-50.
- Publisher:
- Community Care
Reports on research which uses the 1991 to 1996 General Household Surveys to explore the health status of ethnic minority older people. The article looks at the findings on self-reported health status and how they compare with previous studies before looking at the explanations for the situation.
People aged 65 and over: results of a study carried out on behalf of the Department of Health as part of the 2001 general household survey
- Authors:
- TRAYNOR Joe, WALKER Alison, GREAT BRITAIN. Office for National Statistics
- Publisher:
- Stationery Office
- Publication year:
- 2003
- Pagination:
- 104p., tables.
- Place of publication:
- London
In 2001, 37 per cent of people aged 65 and over lived alone, according to detailed results from the 2001 General Household Survey (GHS) about people aged 65 and over . Five per cent of elderly people lived in sheltered accommodation with a resident warden and three per cent without a resident warden (elderly people in communal establishments were excluded from the survey). In all, 60 per cent of elderly people said they had a longstanding illness; 41per cent said this limited their activities in some way, while 19 per cent said it did not. Among people aged 65 and over, 14 per cent were unable to walk down the road on their own and 10 per cent were unable to manage stairs and steps. One in twenty elderly people said they were unable to cook a main meal by themselves. Among elderly people who received help with mobility, 58 per cent received help from a spouse or partner, 20 per cent from other household members, eight per cent from a relative who was not living in the household and four per cent from NHS or personal social services. Over half of elderly respondents (52 per cent) reported seeing a doctor or GP at their surgery in the last three months.
A multidimensional model of the quality of life in older age
- Authors:
- BOWLING A., et al
- Journal article citation:
- Aging and Mental Health, 6(4), November 2002, pp.355-371.
- Publisher:
- Taylor and Francis
The broad aim of the research presented here was to define the constituents and indicators of quality of life (QoL) in older age, in order to offer a more multidimensional and useful model of quality of life, based on the perspectives of older people themselves. This paper focuses on the extent to which self-evaluations of global QoL are influenced by health, psychological and social variables, and social circumstances. It reports the results of a national survey of the quality of life in people aged 65 and over, living at home in Britain. The main independent predictors of self-rated global quality of life were: social comparisons and expectations, personality and psychological characteristics (optimism-pessimism), health and functional status and personal and neighbourhood social capital. These variables explained the highest proportion of the variance between groups in their quality of life ratings.
Sleep disturbances among nursing home residents
- Authors:
- FETVEIT Arne, BJORVATN Bjorn
- Journal article citation:
- International Journal of Geriatric Psychiatry, 17(7), July 2002, pp.604-609.
- Publisher:
- Wiley
This study assesses the prevalence and characteristics of sleep disturbances among an entire nursing home population, consisting of 29, mainly demented, long-term patients. Sleep disturbances were common among the residents in this nursing home. Sleep onset latency was prolonged, and the patients experienced frequent wake bouts after sleep onset. The diminished ability of sustained sleep may have been influenced by the prolonged time in bed.
Health and long term care use trajectory for older disabled women
- Author:
- MEHDIZADEH Shala A.
- Journal article citation:
- Gerontologist, 42(3), June 2002, pp.304-313.
- Publisher:
- Oxford University Press
Examines health and long-term care use trajectories of a sample of chronically disabled older women in the USA eligible for both Medicare and Medicaid by exploring their use data in order to understand and anticipate the increasing demand on the health and long-term care delivery systems as aging female baby boomers reach age 65 and older. A long-term care career was established for patients beginning with receiving long-term care in the community, followed by a transition stage in which care was received in the community and in a nursing home, and finally by a stage at which they entered and remained in a nursing home. As patients proceeded along their long-term care career and their health and disability status worsened, there appeared a clear shift in the kind of care needed from hospital and home care to nursing home care. There was also a shift in the major payer, from Medicare to Medicaid. As the baby boomers age, a much larger number of women will be disabled and need health and long-term care services.
Health survey for England 2005: health of older people: volume 1: general health and function
- Editors:
- CRAIG Rachel, MINDELL Jennifer, (eds.)
- Publisher:
- National Health Service. Information Centre for Health and Social Care
- Publication year:
- 2007
- Pagination:
- 144p.
- Place of publication:
- Leeds
The Health Survey for England is conducted annually and collects information about a representative sample of the general population. It is vital to our understanding of the health situation and behaviours of the public in England and helps to ensure that policies are informed by these data. The survey combines information gathered through interviewing the sampled respondents, including a wealth of socio-demographic variables, with objective measures of health, such as blood pressure measurements, and analyses of blood samples. Thus we can study the inter-relationship of the characteristics and circumstances of adults and their children, with their health situation. The 2005 survey focuses on the health of older people, looking at far ranging topics including chronic disease, social capital and mental health.
Health survey for England 2005: health of older people: volume 2: chronic diseases
- Editors:
- CRAIG Rachel, MINDELL Jennifer, (eds.)
- Publisher:
- National Health Service. Information Centre for Health and Social Care
- Publication year:
- 2007
- Pagination:
- 117p.
- Place of publication:
- Leeds
The Health Survey for England is conducted annually and collects information about a representative sample of the general population. It is vital to our understanding of the health situation and behaviours of the public in England and helps to ensure that policies are informed by these data. The survey combines information gathered through interviewing the sampled respondents, including a wealth of socio-demographic variables, with objective measures of health, such as blood pressure measurements, and analyses of blood samples. Thus we can study the inter-relationship of the characteristics and circumstances of adults and their children, with their health situation. The 2005 survey focuses on the health of older people, looking at far ranging topics including chronic disease, social capital and mental health.
Health survey for England 2005: health of older people: volume 5: methodology and documentation
- Editors:
- CRAIG Rachel, MINDELL Jennifer, (eds.)
- Publisher:
- National Health Service. Information Centre for Health and Social Care
- Publication year:
- 2007
- Pagination:
- 236p.
- Place of publication:
- Leeds
The Health Survey for England is conducted annually and collects information about a representative sample of the general population. It is vital to our understanding of the health situation and behaviours of the public in England and helps to ensure that policies are informed by these data. The survey combines information gathered through interviewing the sampled respondents, including a wealth of socio-demographic variables, with objective measures of health, such as blood pressure measurements, and analyses of blood samples. Thus we can study the inter-relationship of the characteristics and circumstances of adults and their children, with their health situation. The 2005 survey focuses on the health of older people, looking at far ranging topics including chronic disease, social capital and mental health. Volume 5 is on methodology and documentation.