1 / 12

JM Feron Journal Club 30.6.2006

Association between chronic diseases and disability in elderly subjects with low and high income: the Leiden 85-plus Study Bootsma et al European J of Public Health 2005. JM Feron Journal Club 30.6.2006. Known association between low income and :. Higher prevalence of chronic diseases

odette
Download Presentation

JM Feron Journal Club 30.6.2006

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. Association between chronic diseases and disability in elderly subjects with low and high income: the Leiden 85-plus StudyBootsma et al European J of Public Health 2005 JM Feron Journal Club 30.6.2006

  2. Known association between low income and : • Higher prevalence of chronic diseases • More disabilities • Shorter life expectancy • Diseases presented at later and more severe stage • Less access to therapeutic interventions

  3. But what about the oldest old ?

  4. 3 hypotheses: in elderly with low income • Higher prevalence of disabilities in ADL • Higher prevalence of chronic diseases • Stronger association between chronic diseases and disabilities

  5. Method • Income: net amount for each source of income; categorisation in 2 strata around the median • Disability: Groningen Activity Restriction Scale • Chronic diseases: semi structured interviews with carers + medical files + data on medications + ECG

  6. Data analysismostly by odds ratios with 95% CI M+E+ X M-E- OR = ----------------------- M+E- X M-E+

  7. Results • Two-fold increased risk of disabilities in low income group OR 2,2 (95% CI 1,4-3,5) First hypothese confirmed

  8. Results 2. Prevalence of various chronic diseases equal in both groups, exept for dementia and multi morbidity Second hypothese false

  9. Results 3. In both strata of income, stroke, Parkinson’s disease and dementia strongly associated with disability Third hypothese false

  10. Results : dementia • Higher prevalence in low income group (14% versus 6%) • And stronger association between dementia and disability in high income group (OR 22.7 versus 6.4)  High income people better hide their incompetence and thus are diagnosed later.

  11. Results: myocardial infarct Prevalence of undiagnosed myocardial infarct higher in low income group 16% versus 10 % (P = 0.05)

  12. Discussion:in elderly with low income • Higher prevalence of disabilities in ADL Yes • Higher prevalence of chronic diseases No, but… • Stronger association between chronic diseases and disabilities No So what ?

More Related