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Social Determinants of Health

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Subject:
From:
Dennis Raphael <[log in to unmask]>
Reply To:
Social Determinants of Health <[log in to unmask]>
Date:
Fri, 16 Feb 2007 07:48:14 -0500
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from: HEALTH-EQUITY-NETWORK

Dear All

Info on new paper in Ageing and Society which may be of interest to some of
you

Best wishes
David McDaid
LSE Health and Social Care

Socio-economic position and quality of life among older people in 10
European countries: results of the SHARE study
OLAF VON DEM KNESEBECK a1c1, MORTEN WAHRENDORF a2, MARTIN HYDE a3 and
JOHANNES SIEGRIST a2
a1 Department of Medical Sociology, University Medical Centre
Hamburg-Eppendorf, Germany.
a2 Department of Medical Sociology, University of Duesseldorf, Germany.
a3 University College London, United Kingdom.
Ageing and Society (2007), 27: 269-284 Cambridge University Press
doi:10.1017/S0144686X06005484
Abstract
This study examines associations between quality of life and multiple
indicators of socio-economic position among people aged 50 or more years in
10 European countries, and analyses whether the relative importance of the
socio-economic measures vary by age. The data are from the Survey of
Health, Ageing and Retirement in Europe (SHARE) in 2004. 15,080 cases were
analysed. Quality of life was measured by a short version of the CASP-19
questionnaire, which represents quality of life as comprising four
conceptual domains of individual needs that are particularly relevant in
later life: control (C), autonomy (A), self-realisation (S) and pleasure
(P). The short version has 12 items (three for each domain). Five
indicators of socio-economic position were used: income, education, home
ownership, net worth, and car ownership. A multiple logistic regression
showed that quality of life was associated with socio-economic position,
but that the associations varied by country. Relatively small
socio-economic differences in quality of life were observed for
Switzerland, but comparatively large differences in Germany. Education,
income, net worth, and car ownership consistently related to quality of
life, but the association of home ownership was less consistent. There was
no indication that the socio-economic differences in quality of life
diminished after retirement (i.e. from 65+ years). Conventional measures of
socio-economic position (education and income), as well as alternative
indicators (car ownership and household net worth), usefully identified the
differential risks of poor quality of life among older people before and
after the conventional retirement age.

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