1 / 14

Assessing neighbourhood effects on the health of older people using ELSA

Assessing neighbourhood effects on the health of older people using ELSA. Iain Lang Epidemiology & Public Health Group, Peninsula Medical School. Two of ELSA’s strongest components: health/functioning and micro-economics

kareem-buckley
Download Presentation

Assessing neighbourhood effects on the health of older people using ELSA

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Assessing neighbourhood effects on the health of older people using ELSA Iain Lang Epidemiology & Public Health Group, Peninsula Medical School

  2. Two of ELSA’s strongest components: health/functioning and micro-economics • Neighbourhood context is associated with poor health in later life – is this simply a “compositional effect”? • Linkage of ELSA data to quintiles of the Index of Multiple Deprivation (IMD 2004) available from NatCen on request

  3. Outcomes assessed Mobility: change in gaitspeed from Wave to Wave 2; incident self-reported walking problems Cognition: standardized cognitive function score Obesity and waist circumference Frailty: frailty index score

  4. Potential confounders(differ by analysis) • Age, sex, rural-urban, population density, duration of residence, level of education, number of comorbidities, smoking status, BMI, level of physical activity, visual problems, hearing loss, eyesight, depressive symptoms, alcohol consumption,

  5. Standardized cognition score by level of neighbourhood deprivation, unadjusted

  6. Standardized cognition score by level of neighbourhood deprivation, fully adjusted, ages 70+

  7. Rate of incident mobility problems after 2-year follow-up by level of neighbourhood deprivation, unadjusted, ages 70+

  8. Self-reported Measured Odds ratios of having incident mobility problems after 2 years, by level of neighbourhood deprivation (adjusted)

  9. Odds ratios of obesity and high waist circumference by level of neighborhood education deprivation

  10. Frailty index score by IMD and SES

  11. What’s going on here? Do differences by level of neighbourhood deprivation represent uncontrolled confounding by individual- or household-level differences?

  12. What’s going on here? Do differences by level of neighbourhood deprivation represent uncontrolled confounding by individual- or household-level differences? What are the mechanisms by which neighbourhood deprivation influences individual health and well-being in older people?

  13. What’s going on here? Do differences by level of neighbourhood deprivation represent uncontrolled confounding by individual- or household-level differences? What are the mechanisms by which neighbourhood deprivation influences individual health and well-being in older people? What are the effects of subjective perceptions about neighbourhoods?

  14. I.A.Lang, D.J.Llewellyn, R.B.Wallace, K.M.Langa, D.Melzer. 2008. Neighborhood deprivation and incident mobility disability among older adults. Age and Ageing, 37(4):403-10. I.A.Lang, D.J.Llewellyn, K.M.Langa, F.A.Huppert, R.B.Wallace, D.Melzer. 2008. Neighborhood deprivation, individual socioeconomic status, and cognitive function in older people: analyses from the English Longitudinal Study of Ageing. Journal of the American Geriatrics Society, 56(2):191-8. I.A.Lang, D.J.Llewellyn, D.Melzer. Low levels of neighborhood educational attainment are associated with obesity in adults. Under review. I.A.Lang, R.E.Hubbard, M.K. Andrew, D.J.Llewellyn, D.Melzer, K.Rockwood. Neighborhood Deprivation, Individual Socioeconomic Status, and Frailty in Older Adults. Under review. iain.lang@pms.ac.uk

More Related