Desigualdad social y niveles de discapacidad entre los mayores españoles

  1. Zueras, Pilar 1
  2. D. Cámara, Antonio 2
  3. Blanes, Amand 1
  4. Trias-Llimós, Sergi 3
  1. 1 Centre d'Estudis Demogràfics, Universitat Autònoma de Barcelona
  2. 2 Universidad de Jaén
    info

    Universidad de Jaén

    Jaén, España

    ROR https://ror.org/0122p5f64

  3. 3 Population Research Centre, University of Groningen
Zugehörigkeit anzeigen +
Zeitschrift:
Encrucijadas: Revista Crítica de Ciencias Sociales

ISSN: 2174-6753

Datum der Publikation: 2015

Titel der Ausgabe: Salud, diversidad funcional y dependencia

Nummer: 10

Art: Artikel

DIALNET GOOGLE SCHOLAR lock_openDialnet editor

Andere Publikationen in: Encrucijadas: Revista Crítica de Ciencias Sociales

Zusammenfassung

This paper examines socioeconomic determinants of disability for the Spanish population aged 65 to 89 years, born between 1910 and 1944. To do this, we use microdata from four waves of the National Health Survey of Spain (ENSE): 1997, 2001, 2006 and 2011/12. A continuous indicator of disability based on activities of daily life is constructed which is analyzed by age, birth cohort, educational attainment (socioeconomic status), height (net nutritional status), and incidence of cardiovascular chronic conditions. Results reveal gender differences and a socioeconomic gradient of disability throughout the aging process. The gender gap in favor of men is greater with lower socioeconomic status and disappears within high socioeconomic status. Socioeconomic differences, approximated by level of education, are greater among women under 80 and among men aged 85 to 89 years. A positive association between cardiovascular chronic conditions and disability exists for both men and women and becomes insignificant among the more elderly.

Bibliographische Referenzen

  • Barker, D.; J.G. Eriksson; T. Forsen y C. Osmond. 2002. "Fetal origins of adult disease: Strength of effects and biological basis", International Journal of Epidemiology, 31: 1235-1239.
  • Bhattacharya, J.; K. Choundhry y D. Lakdawalla. 2006. "Chronic disease and trends in service disability in working age populations", pp. 113-142 en Workshop on disability in America: A New Look, editado por M.J. Field, A.M. Jette y L. Martin. Washington DC: National Academy Press.
  • Cámara, A.D.; P. Zueras; A. Blanes y S. Trias-Llimós. 2015. "Componentes generacionales y socioeconómicos de la discapacidad entre los mayores españoles". Revista Española de Investigaciones Sociológicas, 151: 23-44.
  • Cambois, E.; A. Clavel; I. Romieu y J.M. Robine. 2008. "Trends in disability-free life expectancy at age 65 in France: consistent and diverging patterns according to the underlying disability measure", European Journal of Ageing, 5(4): 287-298.
  • Collin, C.; Wade, D. T.; Davies, S. y V. Horne. 1988. "The Barthel ADL Index: a reliability study", Disability & Rehabilitation, 10(2): 61-63.
  • Crimmins, E.M. y A. Hagedorn. 2010. "The Socioeconomic Gradient in Healthy Life Expectancy", Annual Review of Gerontology and Geriatrics, 30(1): 305-321.
  • Cutler, D. M. y A. Lleras-Muney. 2010. "Understanding differences in health behaviors by education", Journal of health economics, 29(1): 1-28.
  • De Ruijter, W.; R.G. Westendorp; W. J. Assendelft; W. P. den Elzen; A. J. de Craen; S. le Cessie y J. Gussekloo. 2009. "Use of Framingham risk score and new biomarkers to predict cardiovascular mortality in older people: population based observational cohort study", BMJ, 338: a3083.
  • Fernández-Carro, C. 2013. "Ageing in place in Europe. A multidimensional approach to independent living in later life". Tesis doctoral. Departamento de Geografía. Universidad Autónoma de Barcelona.
  • Freedman, V.A.; E. Crimmins; R.F. Schoeni; B.C. Spillman; H. Aykan; E. Kramarow; K. Land; J. Lubitz; K. Manton; L.G. Martin; D. Shinberg y T. Waidmann. 2004. "Resolving inconsistencies in trends in old-age disability: report from a technical working group", Demography, 41(3): 417-441.
  • Freedman, V.A.; R.F. Schoeni; L.G. Martin y J.C. Cornman. 2007. "Chronic conditions and the decline in late-life disability", Demography, 44: 459-477.
  • Grundy, E. y K. Glaser. 2000. "Socio-demographic differences in the onset of progression of disability in early old age: a longitudinal study", Age and Ageing, 29: 149-157.
  • Guralnik, J.M., S. Butterworth, M.E. Wadsworth y D. Kuh. 2006. "Childhood socioeconomic status predicts physical functioning a half century later", The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 61(7): 694-701.
  • Harkonmäki, K.; K. Korkeila; J. Vahtera; M. Kivimäki; S. Suominen; L. Sillanmäki, y M. Koskenvuo. 2007. "Childhood adversities as a predictor of disability retirement", Journal of epidemiology and community health, 61(6): 479-484.
  • Heikkinen, E. 2011. "A life course approach: research orientations and futures challenges", European Review of Aging and Physical Activity, 8(1): 7-12.
  • House, J. S. 2001. "Understanding social factors and inequalities in health: 20th century progress and 21st century prospects", Journal of health and social behavior, 43(June): 125-142.
  • Hwang, W.; W. Weller, H. Ireys y G. Anderson. 2001. "Out-Of-Pocket medical spending for care of chronic conditions", Health Affairs, 20: 267-278.
  • INE. 2012. "Defunciones según la Causa de Muerte en España en el año 2010", Notas de prensa, 20 de marzo, (enlace).
  • Jagger, C.; C. Gillies; E. Cambois; H. Van Oyen; W. Nusselder; J.M. Robine y Ehleis Team. 2010. "The Global Activity Limitation Index measured function and disability similarly across European countries". Journal of clinical epidemiology, 63(8): 892-899.
  • Katz, S.; A.B. Ford; R.W. Moskowitz; B.A. Jackson y M.W. Jaffe. 1963. "Studies of illness in the aged: the index of ADL: a standardized measure of biological and psychosocial function", Jama, 185(12): 914-919.
  • Kuh, DL.; C. Power y B. Rodgers. 1991. "Secular trends in social class and sex differences in adult height", International Journal of Epidemiology, 20: 1001-1009.
  • Lawton, M.P. y E.M. Brody. 1969. "Assessment of older people: self-maintaining and instrumental activities of daily living", Gerontologist, 9: 179-186.
  • Manton, K. 1982. "Changing concepts of morbidity and mortality in the elderly population", Milbank Memorial Fund Quarterly, 60(2): 183-244.
  • Manton, K.G.; L. Corder y E. Stallard. 1997. "Chronic disability trends in elderly United States populations: 1982–1994", Proceedings of the national Academy of Sciences, 94(6): 2593-2598.
  • Martin, L.G.; V.A.Freedman; R.S. Schoeni y P.M. Andreski. 2010. "Recent trends in disability and related chronic conditions among people aged fifty to sixty-four", Health Affairs, 29: 725-731.
  • Martínez-Carrión, J.M. 2012. "La talla de los europeos, 1700-2000: ciclos, crecimiento y desigualdad", Investigaciones de Historia Económica, 8: 176–187.
  • McMunn, A.; J. Nazroo y E. Breeze. 2009. "Inequalities in health at older ages: a longitudinal investigation of the onset of illness and survival effects in England", Age and Ageing, 38: 181-187.
  • Minicuci, N.; M. Noale; S.M. Pluijm; M.V. Zunzunegui; T. Blumstein, D.J. Deeg y CLESA Working Group. 2004. "Disability-free life expectancy: a cross-national comparison of six longitudinal studies on aging. The CLESA Project", European Journal of Ageing, 1(1): 37-44.
  • Naessens, JM.; R.J. Stroebel; D.M. Finnie; N.D. Shah; A.E. Wagie; W.J. Litchy; P.J. Killinger; T.J. O'Byrne; D.L. Wood y R.E. Nesse. 2011. "Effect of multiple chronic conditions among working-age adults", American Journal of Managed Care, 17: 118- 122.
  • Oksuzyan, O.; K. Juel; J. Vaupel y K. Christensen. 2008. "Men: good health and high mortality. Sex diferences in health and aging", Aging Clinical and Experimental Research, 20: 91-102.
  • Otero, A.; M.V. Zunzunegui; A. Rodríguez-Laso; M.D. Aguilar y P. Lázaro. 2004. “Volumen y tendencias de las dependencia asociada al envejecimiento de la población española", Revista Española de Salud Pública, 78: 201-213.
  • Pampel, F.C.; P. Krueger y J.T. Denney. 2010. "Socioeconomic disparities in health behaviors", Annual review of sociology, 36: 349-370.
  • Pinsky, J.L.; L.G. Branch; A.M. Jette; S.G. Haynes; M. Feinleib; J.C. Cornoni-Huntley y K.R. Bailey. 1985. "Framingham Disability Study: relationship of disability to cardiovascular risk factors among persons free of diagnosed cardiovascular disease", American journal of epidemiology, 122(4): 644-656.
  • Puga, D. 2002. Dependencia y necesidades asistenciales de los mayores en España, una previsión a 2010. Madrid: Fundación Pfizer.
  • Robine, J.M.; I. Romieu y E. Cambois. 1999. "Health expectancy indicators", Bulletin of the World Health Organization, 77 (2): 181-185.
  • Robine, J. M.; C. Jagger y Euro-REVES Group. 2003. "Creating a coherent set of indicators to monitor health across Europe The Euro-REVES 2 project", The European Journal of Public Health, 13(s1): 6-14.
  • Robine, J.M. y J.P. Michel. 2004. "Looking forward to a general theory on population aging", Journal of Gerontology, 59(6): 590-597.
  • Smith, J.P. 2004. "Unraveling the SES: health connection", Population and Development Review, 30: 108-132.
  • Spijker, J.; A.D. Cámara y A. Blanes. 2012. "The health transition and biological living standards: adult height and mortality in 20th-century Spain", Economics and Human Biology, 10(3): 276–288
  • Stouthard, M.; M. Essink-Bot; G. Bonsel; J. Barendregt y P. Kramers. 1997. Disability weights for diseases in the Netherlands. Rotterdam: Department of Public Health, Erasmus University.
  • Valderrama-Gama E.; J. Damián; A. Ruigómez y J.M. Martín-Moreno. 2002. "Chronic disease, functional status, and self-ascribed causes of disabilities among noninstitutionalized older people in Spain", Journal of Gerontology: Medical Sciences, 57(11): M716-M721.
  • Vaupel, J. 2010. "Biodemography of Human Ageing", Nature, 464: 536-542.
  • Verbrugge, L.M. y A.M. Jette. 1994. "The disablement process", Social science & medicine, 38(1): 1-14.
  • Verbrugge, L.M. 1998. "A global disability indicator", Journal of Aging Studies, 11(4): 337-362.
  • Viciana-Fernández, F.; J.A. Hernández; V.D. Canto y A.I. Ávila. 2003. Longevidad y calidad de vida en Andalucía. Sevilla: Instituto de Estadística de Andalucía.
  • Villar, F.V.; J.B. Banegas; J.D.M.D. Campos y F.R. Artalejo. 2007. Las enfermedades cardiovasculares y sus factores de riesgo en España: hechos y cifras. Madrid: Sociedad Española de Arteriosclerosis (SEA).
  • WHO. Noncommunicable diseases, (enlace).
  • WHO. 2011. Global status report on noncommunicable diseases 2010. Ginebra: WHO.
  • Zueras, P. y M. Ajenjo. 2010. "Modelos de convivencia de las personas mayores en Cataluña. Impacto del deterioro de la salud en la independencia residencial", Revista Española de Geriatría y Gerontología, 45(5): 259-266.
  • Zueras, P. 2014. "Salud, espacios y modos de vida en la vejez". Tesis doctoral. Departamento de Geografía. Universidad Autónoma de Barcelona.
  • Zunzunegui, M. V. 2011. "Evolución de la discapacidad y la dependencia. Una mirada internacional", Gaceta Sanitaria, 25(2): 12-20.
Fuente de los datos: Dialnet