Socioeconomic position and incident mobility impairment in the Cardiovascular Health Study.
BACKGROUND
We investigated if personal socioeconomic position (SEP) factors and neighborhood characteristics were associated with incident mobility impairment in the elderly.


METHODS
We used data from the Cardiovascular Health Study, a longitudinal, population-based examination of coronary heart disease and stroke among persons aged 65 and older in the United States.


RESULTS
Among 3,684 persons without baseline mobility impairment, lower baseline SEP was associated with increased risk of incident mobility disability during the 10-year follow-up period, although the strengths of these associations varied by socioeconomic indicator and race/sex group.


CONCLUSIONS
Among independent-living elderly, SEP affected development of mobility impairment into later life. Particular effort should be made to prevent or delay its onset among the elderly with low income, education, and/or who live in economically disadvantaged neighborhoods.
Nordstrom
Cheryl K
CK
Wayne State University, Center for Health Research, Detroit, MI, USA. cnordstrom@wayne.edu
Diez Roux
Ana V
AV
Schulz
Richard
R
Haan
Mary N
MN
Jackson
Sharon A
SA
Balfour
Jennifer L
JL
D000368:Aged; D000369:Aged, 80 and over; D003327:Coronary Disease / Q000453:epidemiology; D006233:Persons with Disabilities / Q000706:statistics & numerical data*; D004493:Education; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D008137:Longitudinal Studies; D008297:Male; D051346:Mobility Limitation; D012111:Residence Characteristics; D012923:Social Class; D020521:Stroke / Q000453:epidemiology; D014481:United States / Q000453:epidemiology