Health differentials in the older population of England: An empirical comparison of the materialist, lifestyle and psychosocial hypotheses
2011

Health Inequalities in Older Adults in England

Sample size: 8248 publication 10 minutes Evidence: high

Author Information

Author(s): George B Ploubidis, Bianca L De Stavola, Emily Grundy

Primary Institution: London School of Hygiene and Tropical Medicine

Hypothesis

The study aims to investigate the extent of health inequalities in the older population of England and to empirically estimate the relative contribution of materialist, lifestyle/behavioural, and psychosocial pathways.

Conclusion

Population interventions to reduce health differentials should focus on material circumstances and promoting healthy lifestyles.

Supporting Evidence

  • The materialist and lifestyle paths had the most prominent mediating role in the association between socio-economic position and health.
  • The psychosocial pathway was less influential and mainly affected depression and well-being.
  • Health inequalities persist in older age despite improvements in overall health.

Takeaway

This study looks at how money and lifestyle choices affect the health of older people in England, showing that having more resources and making healthier choices can lead to better health.

Methodology

The study used data from two waves of the English Longitudinal Study of Ageing (ELSA) and employed structural equation modeling to analyze the relationships between socioeconomic position, health-related lifestyle, and health outcomes.

Potential Biases

Response bias may have influenced results, particularly for self-reported measures of depression and well-being.

Limitations

The study's limitations include the secondary nature of the analysis, potential confounding variables, and reliance on self-reported data for most health measures.

Participant Demographics

{"gender":{"male":3949,"female":4831},"age":"50 and over","ethnicity":{"white":8574,"not white":202}}

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1186/1471-2458-11-390

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