eprintid: 1542970
rev_number: 30
eprint_status: archive
userid: 608
dir: disk0/01/54/29/70
datestamp: 2017-02-28 11:40:18
lastmod: 2021-11-30 23:25:48
status_changed: 2017-10-12 15:19:29
type: article
metadata_visibility: show
creators_name: Sacker, A
creators_name: Ross, A
creators_name: MacLeod, CA
creators_name: Netuveli, G
creators_name: Windle, G
title: Health and social exclusion in older age: evidence from Understanding Society, the UK household longitudinal study.
ispublished: pub
divisions: UCL
divisions: B02
divisions: D12
divisions: G19
keywords: Elderly, Longitudinal Studies, Mental Health, Self-Rated Health, Social Epidemiology
note: This is an Open Access article distributed in accordance with the
terms of the Creative Commons Attribution (CC BY 4.0) license, which permits
others to distribute, remix, adapt and build upon this work, for commercial use,
provided the original work is properly cited. See: http://creativecommons.org/licenses/
by/4.0/
abstract: BACKGROUND: Social exclusion of the elderly is a key policy focus but evidence on the processes linking health and social exclusion is hampered by the variety of ways that health is used in social exclusion research. We investigated longitudinal associations between health and social exclusion using an analytical framework that did not conflate them. METHODS: Data employed in this study came from 4 waves of Understanding Society, the UK Household Longitudinal Study 2009-2013. The sample comprised all adults who took part in all 4 waves, were 65 years or more in Wave 3, and had complete data on our variables of interest for each analysis. We used linear regression to model the relationship between Wave 2/3 social exclusion and Wave1-2 health transitions (N=4312) and logistic regression to model the relationship between Wave2/3 social exclusion and Wave 4 health states, conditional on Wave 3 health (N=4244). RESULTS: There was a dose-response relationship between poor health in Waves 1 and 2 and later social exclusion. Use of a car, mobile phone and the internet moderated the association between poor health and social exclusion. Given the health status in Wave 3, those who were more socially excluded had poorer outcomes on each of the three domains of health in Wave 4. CONCLUSIONS: Use of the internet and technology protected older adults in poor health from social exclusion. Age-friendly hardware and software design might have public health benefits.
date: 2017-02-22
date_type: published
official_url: http://dx.doi.org/10.1136/jech-2016-208037
oa_status: green
full_text_type: pub
language: eng
primo: open
primo_central: open_green
article_type_text: Journal Article
verified: verified_manual
elements_id: 1210510
doi: 10.1136/jech-2016-208037
pii: jech-2016-208037
language_elements: eng
lyricists_name: Ross, Andrew
lyricists_name: Sacker, Amanda
lyricists_id: AKROS11
lyricists_id: ASACK12
actors_name: Bracey, Alan
actors_id: ABBRA90
actors_role: owner
full_text_status: public
publication: J Epidemiol Community Health
volume: 71
number: 7
pagerange: 681-690
event_location: England
issn: 1470-2738
citation:        Sacker, A;    Ross, A;    MacLeod, CA;    Netuveli, G;    Windle, G;      (2017)    Health and social exclusion in older age: evidence from Understanding Society, the UK household longitudinal study.                   J Epidemiol Community Health , 71  (7)   pp. 681-690.    10.1136/jech-2016-208037 <https://doi.org/10.1136/jech-2016-208037>.       Green open access   
 
document_url: https://discovery.ucl.ac.uk/id/eprint/1542970/1/jech-2016-208037.full.pdf