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Changes in socioeconomic differences in hospital days with age: cumulative disadvantage, age-as-leveler, or both?

Hu, Yaoyue, Leinonen, Taina, Myrskylä, Mikko and Martikainen, Pekka (2018) Changes in socioeconomic differences in hospital days with age: cumulative disadvantage, age-as-leveler, or both? Journals of Gerontology - Series B Psychological Sciences and Social Sciences. ISSN 1079-5014

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Identification Number: 10.1093/geronb/gbx161

Abstract

Objectives Length of hospital stay is inversely associated with socioeconomic status (SES). It is less clear whether socioeconomic disparities in numbers of hospital days diverge or converge with age. Method Longitudinal linked Finnish registry data (1988–2007) from 137,653 men and women aged 50–79 years at the end of 1987 were used. Trajectories of annual total hospital days by education, household income, and occupational class were estimated using negative binomial models. Results Men and women with higher education, household income, and occupational class had fewer hospital days in 1988 than those with lower SES. Hospital days increased between 1988 and 2007. For some age groups, higher SES was associated with a faster annual rate of increase, resulting in narrowing rate ratios of hospital days between SES groups (relative differences); the rate ratios remained stable for other groups. Absolute SES differences in numbers of hospital days appeared to diverge with age among those aged 50–69 years at baseline, but converge among those aged 70–79 years at baseline. Discussion The hypotheses that socioeconomic disparities in health diverge or converge with age may not be mutually exclusive; we demonstrated convergence/maintenance in relative differences for all age gr

Item Type: Article
Official URL: https://academic.oup.com/psychsocgerontology
Additional Information: © 2018 The Authors
Divisions: Social Policy
Subjects: H Social Sciences > HN Social history and conditions. Social problems. Social reform
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Sets: Departments > Social Policy
Date Deposited: 07 Mar 2018 15:24
Last Modified: 21 Jul 2019 23:01
Projects: (COSTPOST) [#336475]
Funders: European Research Council
URI: http://eprints.lse.ac.uk/id/eprint/87044

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