Cohort differences in disease and disability in the young-old: findings from the MRC Cognitive Function and Ageing Study (MRC-CFAS)
<p>Abstract</p> <p>Background</p> <p>Projections of health and social care need are highly sensitive to assumptions about cohort trends in health and disability. We use a repeated population-based cross-sectional study from the Cambridgeshire centre of the UK Medical Re...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2007-07-01
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| Series: | BMC Public Health |
| Online Access: | http://www.biomedcentral.com/1471-2458/7/156 |
| _version_ | 1818136068175691776 |
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| author | Paykel Eugene S Nickson Judith Spiers Nicola A Matthews Fiona E Matthews Ruth J Jagger Carol Huppert Felicia A Brayne Carol |
| author_facet | Paykel Eugene S Nickson Judith Spiers Nicola A Matthews Fiona E Matthews Ruth J Jagger Carol Huppert Felicia A Brayne Carol |
| author_sort | Paykel Eugene S |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Projections of health and social care need are highly sensitive to assumptions about cohort trends in health and disability. We use a repeated population-based cross-sectional study from the Cambridgeshire centre of the UK Medical Research Council Cognitive Function and Ageing Study to investigate trends in the health of the young-old UK population</p> <p>Methods</p> <p>Non-overlapping cohorts of men and women aged 65–69 years in 1991/2 (n = 689) and 1996/7 (n = 687) were compared on: self-reported diseases and conditions; self-rated health; mobility limitation; disability by logistic regression and four-year survival by Cox Proportional Hazards Regression models, with adjustments for differences in socio-economic and lifestyle factors.</p> <p>Results</p> <p>Survival was similar between cohorts (HR: 0.91, 95% CI: 0.62 to 1.32). There was a significant increase in the number of conditions reported between cohorts, with more participants reporting 3 or more conditions in the new cohort (14.2% vs. 10.1%). When individual conditions were considered, there was a 10% increase in the reporting of arthritis and a significant increase in the reporting of chronic airways obstruction (OR: 1.36, 95% CI: 1.04 to 1.78).</p> <p>Conclusion</p> <p>This study provides evidence of rising levels of ill-health, as measured by the prevalence of self-reported chronic conditions, in the newer cohorts of the young-old. Though changes in diagnosis or reporting of disease cannot, as yet, be excluded, to better understand whether our findings reflect real increases in ill-health, investment should be made into improved population-based databases, linking self-report and objective measures of health and function, and including those in long-term care.</p> |
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| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-11T09:34:31Z |
| publishDate | 2007-07-01 |
| publisher | BMC |
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| series | BMC Public Health |
| spelling | doaj.art-d3592ac351bf4c4eabbfc4351ef43cab2022-12-22T01:12:56ZengBMCBMC Public Health1471-24582007-07-017115610.1186/1471-2458-7-156Cohort differences in disease and disability in the young-old: findings from the MRC Cognitive Function and Ageing Study (MRC-CFAS)Paykel Eugene SNickson JudithSpiers Nicola AMatthews Fiona EMatthews Ruth JJagger CarolHuppert Felicia ABrayne Carol<p>Abstract</p> <p>Background</p> <p>Projections of health and social care need are highly sensitive to assumptions about cohort trends in health and disability. We use a repeated population-based cross-sectional study from the Cambridgeshire centre of the UK Medical Research Council Cognitive Function and Ageing Study to investigate trends in the health of the young-old UK population</p> <p>Methods</p> <p>Non-overlapping cohorts of men and women aged 65–69 years in 1991/2 (n = 689) and 1996/7 (n = 687) were compared on: self-reported diseases and conditions; self-rated health; mobility limitation; disability by logistic regression and four-year survival by Cox Proportional Hazards Regression models, with adjustments for differences in socio-economic and lifestyle factors.</p> <p>Results</p> <p>Survival was similar between cohorts (HR: 0.91, 95% CI: 0.62 to 1.32). There was a significant increase in the number of conditions reported between cohorts, with more participants reporting 3 or more conditions in the new cohort (14.2% vs. 10.1%). When individual conditions were considered, there was a 10% increase in the reporting of arthritis and a significant increase in the reporting of chronic airways obstruction (OR: 1.36, 95% CI: 1.04 to 1.78).</p> <p>Conclusion</p> <p>This study provides evidence of rising levels of ill-health, as measured by the prevalence of self-reported chronic conditions, in the newer cohorts of the young-old. Though changes in diagnosis or reporting of disease cannot, as yet, be excluded, to better understand whether our findings reflect real increases in ill-health, investment should be made into improved population-based databases, linking self-report and objective measures of health and function, and including those in long-term care.</p>http://www.biomedcentral.com/1471-2458/7/156 |
| spellingShingle | Paykel Eugene S Nickson Judith Spiers Nicola A Matthews Fiona E Matthews Ruth J Jagger Carol Huppert Felicia A Brayne Carol Cohort differences in disease and disability in the young-old: findings from the MRC Cognitive Function and Ageing Study (MRC-CFAS) BMC Public Health |
| title | Cohort differences in disease and disability in the young-old: findings from the MRC Cognitive Function and Ageing Study (MRC-CFAS) |
| title_full | Cohort differences in disease and disability in the young-old: findings from the MRC Cognitive Function and Ageing Study (MRC-CFAS) |
| title_fullStr | Cohort differences in disease and disability in the young-old: findings from the MRC Cognitive Function and Ageing Study (MRC-CFAS) |
| title_full_unstemmed | Cohort differences in disease and disability in the young-old: findings from the MRC Cognitive Function and Ageing Study (MRC-CFAS) |
| title_short | Cohort differences in disease and disability in the young-old: findings from the MRC Cognitive Function and Ageing Study (MRC-CFAS) |
| title_sort | cohort differences in disease and disability in the young old findings from the mrc cognitive function and ageing study mrc cfas |
| url | http://www.biomedcentral.com/1471-2458/7/156 |
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