Educational differences in the dynamics of disability incidence, recovery and mortality: Findings from the MRC Cognitive Function and Ageing Study (MRC CFAS)
Educational differences in the dynamics of disability incidence, recovery and mortality: Findings from the MRC Cognitive Function and Ageing Study (MRC CFAS)
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DOI：
10.1093/ije/dyl307
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发表时间：
2007-04-01
影响因子：
7.7
通讯作者：
Brayne, Carol
中科院分区：
文献类型：
--
作者：
Jagger, Carol;Matthews, Ruth;Brayne, Carol
本研究旨在确定65岁及以上人群的发病率、康复和死亡率的残疾转变的教育差异程度，是否可以用疾病负担的差异及其对患病率和无残疾预期寿命（DFLE）的教育差异的相对贡献来解释这些差异。方法1991- 1994年对英格兰和威尔士5个地区的13004名参与者进行分层随机抽样，随访时间分别为2年、6年（仅1个中心）和10年。分析了两个级别的残疾：行动困难和日常生活活动（ADL）残疾。我们拟合逻辑回归模型来模拟教育差异。在残疾患病率、发病率、康复和死亡率转变方面。计算DFLE以评估动态过渡的综合效应。结果：
Background This study aims to establish the extent of educational differences in the disability transitions of incidence, recovery and mortality in people aged 65 years and over, whether these can be explained by differentials in disease burden and their relative contribution to educational differences in prevalence and disabilityfree life expectancy (DFLE).Methods A stratified random sample of 13 004 participants in five areas in England and Wales were interviewed in 1991-94 and followed up at 2, 6 (one centre only) and 10 years. Two levels of disability were analysed: mobility difficulty and activities of daily living (ADL) disability. We fitted logistic regression models to model educational differences. in disability prevalence, incidence, recovery and mortality transitions. DFLE was calculated to assess the combined effect of the dynamic transitions.Results Those with