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Area deprivation, social class, and quality of life among people aged 75 years and over in Britain : Socioeconomic Position and Health
Journal article   Open access   Peer reviewed

Area deprivation, social class, and quality of life among people aged 75 years and over in Britain : Socioeconomic Position and Health

E Breeze, D. A Jones, P Wilkinson, C. J Bulpitt, C Grundy, A. M Latif, A. E Fletcher and Ana V DIEZ ROUX
International journal of epidemiology, v 34(2), pp 276-283
Apr 2005
DOI: https://doi.org/10.1093/ije/dyh328
PMID: 15659477
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://doi.org/10.1093/ije/dyh328View
Published, Version of Record (VoR) Open

Abstract

Analysis. Health state Biological and medical sciences General aspects Medical sciences Public health. Hygiene Public health. Hygiene-occupational medicine Epidemiology
Background There is a shortage of research studies that assess how selected characteristics of neighbourhood and personal social circumstances contribute towards health-related quality of life (QoL) among older people. Methods Analysis of baseline data for 5581 people aged >75 years and over from the Trial of Assessment and Management of Older People in the Community. The scores for four dimensions from the UK version of the Sickness Impact Profile and for the Philadelphia Geriatric Morale Scale were analysed in relation to individual social class and the Carstairs score of socioeconomic deprivation for the enumeration district of residence. Results In age and sex adjusted analyses, the proportion of participants of social class IV/V living in the most deprived areas who were in the quintile with worst QoL scores was more than double that among those from social class I/II living in the least deprived areas. Individual social class and area deprivation score contributed roughly equally to this doubling for home management, self-care and social interaction, whereas social class appeared a stronger determinant for mobility. Adjustment for living circumstances, health symptoms, and health behaviours substantially reduced the excess risk associated with social class and area deprivation. Being in a rural area was associated with lower risk of poor morale. Conclusion Poor socioeconomic characteristics of both the area and the individual are associated with worse functioning (QoL) of older people in the community. This is not fully explained by health status. Policy should consider community-level interventions as well as those directed at individuals.

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being
#10 Reduced Inequalities

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Domestic collaboration
Web of Science research areas
Public, Environmental & Occupational Health
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