Educational inequalities in multimorbidity at older ages: a multi-generational population-based study.
Background Social inequalities in multimorbidity may occur due to familial and/or individual factors and may differ between men and women. Using population-based multi-generational data, this study aimed to (1) assess the roles of parental and individual education in the risk of multimorbidity and (...
| Publicado en: | European Journal of Public Health Vol. 34; no. 4; pp. 704 - 710 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Aug2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=178839067&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 178839067 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11011262 BHW jtl: European Journal of Public Health issn: 11011262 maglogo: N pubinfo: dt: Aug2024 vid: 34 iid: 4 pid: 622 pub: Oxford University Press / USA artinfo: ui: 178839067 178839067 178839067 10.1093/eurpub/ckae096 178839067 ppf: 704 ppct: 6 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Educational inequalities in multimorbidity at older ages: a multi-generational population-based study. aug: au: Wagner, Cornelia Jackisch, Josephine Ortega, Natalia Chiolero, Arnaud Cullati, Stéphane Carmeli, Cristian affil: Population Health Laboratory (#PopHealthLab), University of Fribourg , Fribourg, Switzerland sug: subj: Comorbidity Risk Factors Educational Status Risk Assessment Human Europe Funding Source Europe Male Female Middle Age Aged Aged, 80 and Over Descriptive Statistics Confidence Intervals Sex Factors Intergenerational Relations Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male Female ab: Background Social inequalities in multimorbidity may occur due to familial and/or individual factors and may differ between men and women. Using population-based multi-generational data, this study aimed to (1) assess the roles of parental and individual education in the risk of multimorbidity and (2) examine the potential effect modification by sex. Methods Data were analysed from 62 060 adults aged 50+ who participated in the Survey of Health, Ageing and Retirement in Europe, comprising 14 European countries. Intergenerational educational trajectories (exposure) were High–High (reference), Low–High, High–Low and Low–Low, corresponding to parental–individual educational attainments. Multimorbidity (outcome) was ascertained between 2013 and 2020 as self-reported occurrence of ≥2 diagnosed chronic conditions. Inequalities were quantified as multimorbidity-free years lost (MFYL) between the ages of 50 and 90 and estimated via differences in the area under the standardized cumulative risk curves. Effect modification by sex was assessed via stratification. Results Low individual education was associated with higher multimorbidity risk regardless of parental education. Compared to the High–High trajectory, Low–High was associated with −0.2 MFYL (95% confidence intervals: −0.5 to 0.1), High–Low with 3.0 (2.4–3.5), and Low–Low with 2.6 (2.3–2.9) MFYL. This pattern was observed for both sexes, with a greater magnitude for women. This effect modification was not observed when only diseases diagnosed independently of healthcare-seeking behaviours were examined. Conclusions Individual education was the main contributor to intergenerational inequalities in multimorbidity risk among older European adults. These findings support the importance of achieving a high education to mitigate multimorbidity risk. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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