House value as an indicator of cumulative wealth is strongly related to morbidity and mortality risk in older people: a census-based cross-sectional and longitudinal study
House value as an indicator of cumulative wealth is strongly related to morbidity and mortality risk in older people: a census-based cross-sectional and longitudinal study
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DOI：
10.1093/ije/dyp356
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发表时间：
2010-04-01
影响因子：
7.7
通讯作者：
Rosato, Michael
中科院分区：
文献类型：
--
作者：
Connolly, Sheelah;O'Reilly, Dermot;Rosato, Michael
背景 对老年人群健康不平等的研究相对较少。造成这种情况的部分原因可能是难以确定老年人社会经济地位的适当指标。理想情况下，用于研究老年人群健康不平等的社会经济状况指标应纳入某种终生社会经济地位的衡量标准，而房屋价值可以发挥这一作用。本研究探讨了基于住房保有权和房屋价值的累积财富指标是否是老年人健康状况不佳的有力预测因素。方法从 2001 年北爱尔兰人口普查中确定了总共 191 848 名年龄 >= 65 岁且不住在公共场所的人，并进行了为期 5 年的跟踪调查。在控制一系列其他人口和社会经济特征的同时，对按住房保有权/房屋价值分组的自我报告的健康和死亡风险进行了检查。结果住房保有权/房屋价值与其他社会经济状况指标高度相关。与自住业主相比，公共部门的租户自我报告的健康状况更差，死亡率更高，但居住在价值最高和最低的自住业主房产中的人之间也存在显着差异。通过社会支持和物质环境质量指标的调整，住房保有权和价值之间的关系没有改变。限制长期疾病和基线自我报告健康状况的调整缩小了，但并没有消除与居住更昂贵的住房相关的健康收益。 结论 居住房屋价值是积累财富的一个容易且有力的指标，与当前的健康状况高度相关，并可预测老年人群未来的死亡风险。
Background There has been relatively little research into health inequalities in older populations. This may be partly explained by the difficulty in identifying appropriate indicators of socio-economic status for older people. Ideally, indicators of socio-economic status to be used in studies of health inequalities in older populations should incorporate some measure of life-time socio-economic standing, and house value may fill this role. This study examined whether an indicator of accumulated wealth based on a combination of housing tenure and house value was a strong predictor of ill-health in older populations.Methods A total of 191 848 people aged >= 65 years and not living in communal establishments were identified from the 2001 Northern Ireland Census and followed for 5 years. Self-reported health and mortality risk by housing tenure/house value groupings were examined while controlling for a range of other demographic and socio-economic characteristics.Results Housing tenure/house value was highly correlated with other indicators of socio-economic status. Public-sector renters had worse self-reported health and higher mortality rates than owner occupiers but significant gradients were also found between those living in the highest- and lowest-valued owner-occupier properties. The relationship between housing tenure and value was unchanged by adjustment for indicators of social support and quality of the physical environment. Adjustment for limiting long-term illness and self-reported health at baseline narrowed but did not eliminate the health gains associated with living in more expensive housing.Conclusions House value of residence is an accessible and powerful indicator of accumulated wealth that is highly correlated with current health status and predictive of future mortality risk in older populations.