Understanding health inequalities in multimorbidity and functional limitation of the ageing population in England



Singer, Leo
(2019) Understanding health inequalities in multimorbidity and functional limitation of the ageing population in England. PhD thesis, University of Liverpool.

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Abstract

The thesis explored the social and life course factors behind the prevalence and risk of multimorbidity and functional limitation as well as their unequal distribution in the ageing population of England. Multimorbidity is the co-occurrence of two or more diseases within a person. Functional limitations are restrictions in performing fundamental physical and mental actions used in daily life. The thesis identified previously unmeasured inequality in the population with multimorbidity and functional limitation. People aged 50-54 years with the least household wealth had the same prevalence of complex multimorbidity as those 20 years older in the most affluent category and the prevalence of functional limitations comparable to those 30 years older in the top wealth group. Further analysis included a range of material, psychosocial and behavioural determinants into the analysis. Household wealth, sense of control over personal life, physical activity and loneliness were associated with the risk of multimorbidity and functional limitation. Finally, the thesis developed a pathway model of how childhood circumstances – social class, adverse experiences and health – affect the risk of multimorbidity and functional limitation in old age. The material, psychosocial and behavioural pathways acted as magnifiers of inequalities from the early life period.

Item Type: Thesis (PhD)
Divisions: Fac of Science & Engineering > School of Environmental Sciences
Depositing User: Symplectic Admin
Date Deposited: 04 Mar 2020 14:53
Last Modified: 22 Apr 2020 14:22
DOI: 10.17638/03076937
Supervisors:
  • Green, Mark
  • Rowe, Francisco
  • Ben-Shlomo, Yoav
  • Morrissey, Karyn
  • Kulu, Hill
URI: http://livrepository.liverpool.ac.uk/id/eprint/3076937