Factors across life associated with remaining free from functional limitations despite lifelong exposure to socioeconomic adversity

Almar A. L. Kok, Mai Stafford, Theodore D. Cosco, Martijn Huisman, Dorly Deeg, Diana Kuh, Rachel Cooper

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Background: There are substantial socioeconomic inequalities in functional limitations in old age. Resilience may offer new insights into these inequalities by identifying constellations of factors that protect some individuals from developing functional limitations despite socioeconomic adversity. Methods: Data from 1973 participants in the Medical Research Council National Survey of Health and Development (Great Britain), followed from birth until age 60-64, were used. Functional limitations were defined as reporting difficulty with at least 1 of 16 activities at age 60-64. Lifetime socioeconomic adversity was based on socioeconomic trajectories, categorised into three adversity levels. Analysis of covariance and regression models were used to compare psychosocial factors and health-related behaviours between a Resilient' group (high adversity but no functional limitations) and five groups with other combinations of adversity and limitations. Results: Prevalence of functional limitations in high, intermediate and low adversity groups was 44%, 30% and 23% in men, and 61%, 55% and 49% in women, respectively. Compared with the other high adversity group, the resilient group had a lower prevalence of childhood illness (12% vs 19%) and obesity throughout ages 43-64 (70% vs 55%). Partially adjusted models also showed higher adolescent self-management, lower neuroticism, higher prevalence of volunteer work and physical activity (age 60-64) and lower prevalence of smoking (age 43) in the resilient. Marital status and contact frequency were not associated with resilience. Conclusion: Results suggest protection against childhood illness, health-behavioural factors and self-regulation as targets for interventions across life that may particularly benefit those with long-term exposure to socioeconomic adversity.
LanguageEnglish
JournalJournal of Epidemiology and Community Health
DOIs
Publication statusPublished - 2019

Cite this

@article{bbeb04e9da034012bf61dd7f48414fda,
title = "Factors across life associated with remaining free from functional limitations despite lifelong exposure to socioeconomic adversity",
abstract = "Background: There are substantial socioeconomic inequalities in functional limitations in old age. Resilience may offer new insights into these inequalities by identifying constellations of factors that protect some individuals from developing functional limitations despite socioeconomic adversity. Methods: Data from 1973 participants in the Medical Research Council National Survey of Health and Development (Great Britain), followed from birth until age 60-64, were used. Functional limitations were defined as reporting difficulty with at least 1 of 16 activities at age 60-64. Lifetime socioeconomic adversity was based on socioeconomic trajectories, categorised into three adversity levels. Analysis of covariance and regression models were used to compare psychosocial factors and health-related behaviours between a Resilient' group (high adversity but no functional limitations) and five groups with other combinations of adversity and limitations. Results: Prevalence of functional limitations in high, intermediate and low adversity groups was 44{\%}, 30{\%} and 23{\%} in men, and 61{\%}, 55{\%} and 49{\%} in women, respectively. Compared with the other high adversity group, the resilient group had a lower prevalence of childhood illness (12{\%} vs 19{\%}) and obesity throughout ages 43-64 (70{\%} vs 55{\%}). Partially adjusted models also showed higher adolescent self-management, lower neuroticism, higher prevalence of volunteer work and physical activity (age 60-64) and lower prevalence of smoking (age 43) in the resilient. Marital status and contact frequency were not associated with resilience. Conclusion: Results suggest protection against childhood illness, health-behavioural factors and self-regulation as targets for interventions across life that may particularly benefit those with long-term exposure to socioeconomic adversity.",
author = "Kok, {Almar A. L.} and Mai Stafford and Cosco, {Theodore D.} and Martijn Huisman and Dorly Deeg and Diana Kuh and Rachel Cooper",
year = "2019",
doi = "10.1136/jech-2018-211736",
language = "English",
journal = "Journal of Epidemiology and Community Health",
issn = "0143-005X",
publisher = "BMJ Publishing Group",

}

Factors across life associated with remaining free from functional limitations despite lifelong exposure to socioeconomic adversity. / Kok, Almar A. L.; Stafford, Mai; Cosco, Theodore D.; Huisman, Martijn; Deeg, Dorly; Kuh, Diana; Cooper, Rachel.

In: Journal of Epidemiology and Community Health, 2019.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Factors across life associated with remaining free from functional limitations despite lifelong exposure to socioeconomic adversity

AU - Kok, Almar A. L.

AU - Stafford, Mai

AU - Cosco, Theodore D.

AU - Huisman, Martijn

AU - Deeg, Dorly

AU - Kuh, Diana

AU - Cooper, Rachel

PY - 2019

Y1 - 2019

N2 - Background: There are substantial socioeconomic inequalities in functional limitations in old age. Resilience may offer new insights into these inequalities by identifying constellations of factors that protect some individuals from developing functional limitations despite socioeconomic adversity. Methods: Data from 1973 participants in the Medical Research Council National Survey of Health and Development (Great Britain), followed from birth until age 60-64, were used. Functional limitations were defined as reporting difficulty with at least 1 of 16 activities at age 60-64. Lifetime socioeconomic adversity was based on socioeconomic trajectories, categorised into three adversity levels. Analysis of covariance and regression models were used to compare psychosocial factors and health-related behaviours between a Resilient' group (high adversity but no functional limitations) and five groups with other combinations of adversity and limitations. Results: Prevalence of functional limitations in high, intermediate and low adversity groups was 44%, 30% and 23% in men, and 61%, 55% and 49% in women, respectively. Compared with the other high adversity group, the resilient group had a lower prevalence of childhood illness (12% vs 19%) and obesity throughout ages 43-64 (70% vs 55%). Partially adjusted models also showed higher adolescent self-management, lower neuroticism, higher prevalence of volunteer work and physical activity (age 60-64) and lower prevalence of smoking (age 43) in the resilient. Marital status and contact frequency were not associated with resilience. Conclusion: Results suggest protection against childhood illness, health-behavioural factors and self-regulation as targets for interventions across life that may particularly benefit those with long-term exposure to socioeconomic adversity.

AB - Background: There are substantial socioeconomic inequalities in functional limitations in old age. Resilience may offer new insights into these inequalities by identifying constellations of factors that protect some individuals from developing functional limitations despite socioeconomic adversity. Methods: Data from 1973 participants in the Medical Research Council National Survey of Health and Development (Great Britain), followed from birth until age 60-64, were used. Functional limitations were defined as reporting difficulty with at least 1 of 16 activities at age 60-64. Lifetime socioeconomic adversity was based on socioeconomic trajectories, categorised into three adversity levels. Analysis of covariance and regression models were used to compare psychosocial factors and health-related behaviours between a Resilient' group (high adversity but no functional limitations) and five groups with other combinations of adversity and limitations. Results: Prevalence of functional limitations in high, intermediate and low adversity groups was 44%, 30% and 23% in men, and 61%, 55% and 49% in women, respectively. Compared with the other high adversity group, the resilient group had a lower prevalence of childhood illness (12% vs 19%) and obesity throughout ages 43-64 (70% vs 55%). Partially adjusted models also showed higher adolescent self-management, lower neuroticism, higher prevalence of volunteer work and physical activity (age 60-64) and lower prevalence of smoking (age 43) in the resilient. Marital status and contact frequency were not associated with resilience. Conclusion: Results suggest protection against childhood illness, health-behavioural factors and self-regulation as targets for interventions across life that may particularly benefit those with long-term exposure to socioeconomic adversity.

UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85063165565&origin=inward

UR - https://www.ncbi.nlm.nih.gov/pubmed/30890590

U2 - 10.1136/jech-2018-211736

DO - 10.1136/jech-2018-211736

M3 - Article

JO - Journal of Epidemiology and Community Health

T2 - Journal of Epidemiology and Community Health

JF - Journal of Epidemiology and Community Health

SN - 0143-005X

ER -