Do functional health inequalities decrease in old age? Educational status and functional decline among the 1931-1941 birth cohort
Do functional health inequalities decrease in old age? Educational status and functional decline among the 1931-1941 birth cohort
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DOI：
10.1177/0164027505285845
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发表时间：
2006-05-01
影响因子：
2.6
通讯作者：
Herd, P
中科院分区：
文献类型：
--
作者：
Herd, P
尽管教育程度和健康之间的关系已经确立，但对于这种关系在整个人生过程中如何变化存在分歧。一些研究表明，教育健康差距在中年时扩大，然后在老年时开始缩小，而另一些研究表明，健康差距在老年时继续扩大。作者利用1992-2002年的健康和退休研究，对这场古老的辩论进行了新的阐释。由于老年健康不平等程度下降的结果通常被认为是死亡率选择和队列效应的产物，因此这项研究的主要目的是解决这些说法。作者发现，队列效应和死亡率选择不能完全解释老年功能健康教育差距缩小的原因。需要进一步的工作来探索老年健康差距缩小的原因。
Although the relationship between educational attainment and health is well established, there is disagreement about how this relationship changes across the life course. Some studies have shown that educational health disparities widen in middle age and then start to abate in old age, whereas others have shown that health disparities continue to widen in old age. The author used the 1992-2002 Health and Retirement Study to shed new light on this old debate. Because findings of declining health inequalities in old age are often dismissed as a product of mortality selection and cohort effects, this study primarily aimed to address these claims. The author found that cohort effects and mortality selection do not fully explain shrinking educational disparities in functional health in old age. Further work is needed to explore explanations for diminishing health disparities health in old age.