Journal
AGEING & SOCIETY
Volume 37, Issue 10, Pages 2152-2182Publisher
CAMBRIDGE UNIV PRESS
DOI: 10.1017/S0144686X16000842
Keywords
disability trends; Global Activity Limitation Indicator (GALI); activities of daily living; instrumental activities of daily living; mobility difficulties
Categories
Funding
- European Commission [QLK6-CT-2001-00360, SHARE-I3: RII-CT-2006-062193, COMPARE: CIT5-CT-2005-028857, SHARELIFE: CIT4-CT-2006-028812, 211909, 227822, 261982]
- German Ministry of Education and Research
- US National Institute on Aging [U01_AG09740-13S2, P01_ AG005842, P01_AG08291, P30_AG12815, R21_AG025169, Y1-AG-4553-01, IAG_ BSR06-11, OGHA_04-064]
- European Union - programme of 'Thalis - Panteion - Investigating Crucial Interdisciplinary Linkages in Ageing Societies' part of the Operational Programme of 'Education and Lifelong Learning' [MIS380266]
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In the context of the prospective increase in the numbers of older adults in Europe and of conflicting findings regarding recent disability trends, the present study uses cross-sectional data from four waves of the Survey of Health, Ageing and Retirement in Europe (SHARE), covering the period 2004-2013, and aims at the assessment of trends in disability by sex and broad age group (50-64 and 65 and over) for the ten countries participating in all waves, based on four different measures: limitations in activities of daily living (ADLs), limitations in instrumental ADLs, mobility difficulties and the Global Activity Limitation Indicator. The analysis uses logistic regression models adjusted for age and, subsequently, also for chronic conditions. The findings indicate improvements both in mild/moderate activity restrictions and in functional limitations for several countries, especially among men and women aged 65 and over. Regarding severe disability (ADLs) there is mostly a lack of any significant trend and only a few declines. In several instances, the observed trends are linked to changes in chronic conditions; significant improvements net of chronic conditions are found mainly in Sweden but also in the Netherlands, Austria, Germany, Italy and France. Overall, the estimated trends often differentiate by country, age group and sex while they depend upon the specificities of the measures used in the analysis.
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