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Associations with Changes in Level of Functional Ability. Results from a Follow-up Survey at Two and a Half Years of People Aged 85 Years and Over at Baseline Interview

Published online by Cambridge University Press:  14 November 2008

Ann Bowling ,
Morag Farquhar  and
Emily Grundy
Ann Bowling
Affiliation:
Health Needs Assessment Unit, Department of General Practice and Primary Care, St. Bartholomew's Hospital Medical College, Charterhouse Square, London EC1M 6BQ, U.K.
Morag Farquhar
Affiliation:
Health Needs Assessment Unit, Department of General Practice and Primary Care, St. Bartholomew's Hospital Medical College, Charterhouse Square, London EC1M 6BQ, U.K.
Emily Grundy
Affiliation:
Age Concern Institute of Gerontology, King's College, Cornwall House Annex, Waterloo Road, London SE1 8TX, U.K.
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Abstract

This paper describes association with changes in functional ability among very elderly people who were interviewed first in 1987 when they were aged 85+, and followed-up in 1990. It focuses, in particular, on those with severe difficulties with ADL. It was notable that while those with chronic problems with disability used more health and social services, few received services specific to rehabilitation and social support (e.g. physiotherapy, occupational therapy and social work), and substantial numbers in this group (30–45%) did not receive any chiropody services; although the provision of instrumental aid with tasks of daily living was relatively high from home help services, and, in particular, from relatives.

Keywords

Health statusfunctional abilitylongitudinalageinglife satisfactionservice utilisation
Type
Research Article
Information
Ageing & Society , Volume 14 , Issue 1 , March 1994 , pp. 53 - 73
Copyright
Copyright Cambridge University Press 1994

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References

NOTES

1 National Health Service and Community Care Act, Her Majesty's Stationery Office, London, 1990.Google Scholar

2 Bond, J. and Carstairs, V., Services for the elderly: a survey of the characteristics and needs of a population of 5,000 old people. Scottish Health Service Studies, No. 42 Scottish Home and Health Department, Edinburgh, 1982.Google Scholar

3 US Department of Health and Human Service, Health Statistics of older persons. United States, 1986. DHHS Publication No. (PHS) 87-1409. US DHHS, Hyattsville, Md., 1987.Google Scholar

4 Martin, J., Meltzer, H., and Elliot, D., The Prevalence of disability among adults. OPCS Surveys of Disability in Great Britain, Report No. 1. Her Majesty's Stationery Office, London, 1988.Google Scholar

5 World Health Organisation, International Classification of Imparments, Disabilities and Handicaps. World Health Organisation, Geneva, 1980.Google Scholar

6 Blaxter, M., The Meaning of Disability. A Sociological Study of Impairment. Heinemann, London, 1976.Google Scholar

7 Office of Population Censuses and Surveys, General Household Survey, 1987. Her Majesty' Stationery Office, London, 1989.Google Scholar

8 Blake, R., Disabled order persons: a demographic analysis. Journal of Rehabilitation, 47 (1981), 19–27.Google Scholar

9 Dejong, G., and Lifchez, R., Physical disability and public policy. Scientific American 248 (1983), 40–49.CrossRefGoogle ScholarPubMed

10 Bury, M. and Holme, A., Life after Ninety. Routledge, London, 1991.Google Scholar

11 Bowling, A., Hoeckle, T. and Leaver, J., The need for health and social services among people aged 85+ living at home in City and Hackney. City and Hackney Health Authority, Department of Public Health, London, 1988.Google Scholar

12 Farquhar, M., and Bowling, A., The need for health and social services among people aged 65+ living at home in City and Hackney. City and Hackney Health Authority, Department of Public Health, London, 1989.Google Scholar

13 Bowling, A. and Burkey, Y., The need for health and social services among people aged 85+ living at home in Braintree, Essex. City and Hackney Health Authority, Department of Public Health, London, 1989.Google Scholar

14 Victor, C. R., Old age in Modern Society. Croom Helm, London, 1987.Google Scholar

15 Hunt, A., The Elderly at Home: A Study of People aged 65 and Over Living in the Community in England in 1976. Office of Population Censuses and Surveys, London, 1978.Google Scholar

16 Johnson, M., Dependency and interdependency. In: Bond, J. and Coleman, P. (eds) Ageing and Society. An Introduction to Social Gerontology. Sage Publications Ltd, London, 1990.Google Scholar

17 Wallace, R., Epidemiological overview of the health of elderly people. Department of Health, NHS Management Executive, London, 1991.Google Scholar

18 Cornoni-Huntley, J. C., Foley, D.J., White, L. R., Suzman, R., et al. , Epidemiology of disability in the oldest old. In: Suzman, R., Willis, D. P. and Manton, K. G. (eds), The Oldest Old. Oxford University Press, Oxford, 1992.Google Scholar

19 Blazer, D. G., The epidemiology of mental illness in later life. In Busse, E. W. and Blazer, D. G. (eds), Handbook of Geriatric Psychiatry. Van Nostrand Reinhold, New York, 1980.Google Scholar

20 Kathol, R. G. and Petty, F., Relationship of depression to medical illness: a critical review. Journal of Affective Disorders, 3 (1981), 111–121.CrossRefGoogle ScholarPubMed

21 Murphy, E., Social origins of depression in old age. British Journal of Psychiatry 141 (1982), 135–142.CrossRefGoogle ScholarPubMed

22 Osberg, J. S., McGinnis, G. E., DeJong, G. and Seward, M. L., Life satisfaction and quality of life among disabled elderly adults. Journal of Gerontology 42 (1987), 228–230.CrossRefGoogle ScholarPubMed

23 Wells, K. B., Golding, J. M. and Burnam, M. A., Psychiatric disorder and limitations in physical functioning in a sample of the Los Angeles general population. American Journal of Psychiatry, 145 (1988), 712–717.Google Scholar

24 Wells, K. B., Stewart, A., Hays, R., Burnam, M. A. et al. , The functioning and well-being of depressed patients. Results from the Medical Outcomes Study. Journal of the American Medical Association, 262 (1989), 914–919.CrossRefGoogle ScholarPubMed

25 Essex, M. J. and Klein, M. H., The importance of the self concept and coping responses in explaining physical health status and depression among older women. Journal of Aging and Health 1 (1989), 327–348.CrossRefGoogle Scholar

26 Anderson, R. and Bury, M. (eds), Living with Chronic Illness. The Experience of Patients and Their Families. Unwin Hyman, London, 1988.Google Scholar

27 Bowling, A. and Farquhar, M., Associations with social networks, social support, health status and psychiatric morbidity in three samples of elderly people. Social Psychiatry and Psychiatric Epidemiology, 26 (1991), 115–126.CrossRefGoogle ScholarPubMed

28 Bowling, A. and Browne, P., Social networks, health and emotional well-being among the oldest old in London. Journal of Gerontology, 46 (1991), S20–32.CrossRefGoogle Scholar

29 Kushman, J. and Lane, S., A multi-variate analysis of factors affecting perceived life satisfaction and psychological well-being among the elderly. Social Science Quarterly, 61 (1980), 264–277.Google Scholar

30 Larson, R., Thirty years of research on subjective well-being of older Americans. Journal of Gerontology, 33 (1978), 109–125.CrossRefGoogle ScholarPubMed

31 Palmore, E. and Luikart, C. (1972), Health and social factors related to life satisfaction. Journal of Health and Social Behaviour, 13 (1972), 68–80.CrossRefGoogle ScholarPubMed

32 Spreitzer, E. and Synder, E. E., Correlates of life satisfaction in the aged. Journal of Gerontology, 29 (1979), 454–458.CrossRefGoogle Scholar

33 Bowling, A., Social support and social networks: their relationship to the successful and unsuccessful survival of elderly people in the community. An analysis of concepts and a review of the evidence. Family Practice, 8 (1991), 68–83.CrossRefGoogle Scholar

34 Usui, W. M., Keil, T. K. and Durig, K. R., Socioeconomic comparisons and life satisfaction of elderly adults. Journal of Gerontology, 40 (1985), 110–114.CrossRefGoogle ScholarPubMed

35 Cornoni-Huntley, J. C., Foley, D.J., White, L. R., Suzman, R., et al. , Epidemiology of disability in the oldest old: methodologic issues and preliminary findings. Milbank Memorial Fund Quarterly. Health and Society, 63 (1985), 350–376.CrossRefGoogle ScholarPubMed

36 Grundy, E., Socio-demographic change. In: The Health of Elderly People. An Epidemiological Overview. Companion papers to vol. 1. Health Care Division with Central Health Monitoring Unit, Epidemiological Overview Series. Her Majesty's Stationery Office, London, 1992.Google Scholar

37 Cartwright, A. and Anderson, R., General Practice Revisited. A Second Study of Doctors and Their Patients. Tavistock Publication, London, 1981.Google Scholar

38 Todd, J. and Butcher, R.Electoral Registration in 1981. Office of Population Censuses and Surveys, London, 1987.Google Scholar

39 Bowling, A., Hart, D. and Silman, A., Accuracy of electoral registers and family practitioner committee lists for population studies of the very elderly. Journal of Epidemiology and Community Health, 43 (1990), 391–394.CrossRefGoogle Scholar

40 Cartwright, A., Health Surveys. King's Fund, London, 1983.Google Scholar

41 Black, M., Health and social support in older adults in the community. Canadian Journal of Aging, 4 (1985), 213–227.CrossRefGoogle Scholar

42 Bowling, A., Measuring Health. A Review of Quality of Life Measurement Scales. Open University Press, Milton Keynes, 1991.Google Scholar

43 Townsend, P., Poverty in the United Kingdom. Penguin, Harmondsworth, 1979.Google Scholar

44 Hirsch, B.J., Natural support systems and coping with major life changes. American Journal of Community Psychology, 8 (1980), 159–172.CrossRefGoogle Scholar

45 Stokes, J. P., Predicting satisfaction with social support from social network structure. American Journal of Community Psychology, 11 (1983), 141–152.CrossRefGoogle Scholar

46 Goldberg, D. P., Manual of the General Health Questionnaire. NFER-Nelson, Windsor, 1978.Google Scholar

47 Goldberg, D. P. and Williams, P. A., User's Guide to the General Health Questionnaire. NFER-Nelson, Windsor, 1988.Google Scholar

48 Neugarten, B. L., Havighurst, R.J. and Tobin, S. S., Measurement of life satisfaction. Journal of Gerontology, 16 (1961), 134–143.CrossRefGoogle ScholarPubMed

49 Andrews, F. M. and Withey, S. B., Social Indicators of Well-Being – Americans' Perceptions of Life Quality. Plenum Press, New York, 1976.CrossRefGoogle Scholar

50 Nie, N. H., Statistical Package for the Social Sciences (Xth version). McGraw Hill Book Company, New York, 1983.Google Scholar

51 Grundy, E., Bowling, A. and Farquhar, M., Differentials in survival among very old people: a note on exploratory analyses of survival among Hackney residents aged 85 and over in 1987. Draft working paper. Age Concern Institute of Gerontology, King's College, University of London, London, 1992.Google Scholar

52 Hart, D., Bowling, A., Ellis, M. and Silman, A., Locomotor disability in the very elderly. The value of a programme for screening and provision of aids for daily living. British Medical Journal, 301 (1990), 216–220.CrossRefGoogle ScholarPubMed

53 Helewa, A., Goldsmith, C. H., Lee, P., Bombardier, C. et al. , Effects of occupational therapy home service on patients with rheumatoid arthritis. The Lancet, 33 (1991), 1453–1456.CrossRefGoogle Scholar

54 Bowling, A. and Cartwright, A., Life after a Death. A Study of the Elderly Widowed. Tavistock Press, London, 1982.Google Scholar

55 Department of Health., The New GP Contract. HMSO, London, 1990.Google Scholar