Cohort differences in disease and disability in the young-old: findings from the MRC Cognitive Function and Ageing Study (MRC-CFAS)
2007

Cohort Differences in Health of the Young-Old

Sample size: 1376 publication 10 minutes Evidence: moderate

Author Information

Author(s): Carol Jagger, Ruth J Matthews, Fiona E Matthews, Nicola A Spiers, Judith Nickson, Eugene S Paykel, Felicia A Huppert, Carol Brayne

Primary Institution: University of Leicester

Hypothesis

What are the trends in health and disability among the young-old UK population over time?

Conclusion

The study indicates that the newer cohorts of the young-old report higher levels of chronic conditions, particularly arthritis and chronic airways obstruction.

Supporting Evidence

  • Survival rates were similar between the two cohorts.
  • 14.2% of the new cohort reported 3 or more chronic conditions compared to 10.1% in the old cohort.
  • There was a significant increase in the reporting of arthritis and chronic airways obstruction.

Takeaway

Older people today are reporting more health problems than those from earlier years, especially with conditions like arthritis.

Methodology

The study compared two cohorts of men and women aged 65-69 years from 1991/2 and 1996/7 on self-reported diseases, health ratings, and disability using logistic regression and Cox Proportional Hazards models.

Potential Biases

Self-reporting may introduce bias, especially among those with cognitive impairments.

Limitations

The study relied on self-reported data, which may be influenced by increased awareness and reporting of health issues in newer cohorts.

Participant Demographics

Participants were aged 65-69 years, with a balanced gender distribution and varying educational backgrounds.

Statistical Information

P-Value

0.006

Confidence Interval

95% CI: 1.04 to 1.78

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2458-7-156

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