Ethnic inequalities in limiting health and self-reported health in later life revisited
Tóm tắt
It is well established that there are ethnic inequalities in health in the UK; however, such inequalities in later life remain a relatively under-researched area. This paper explores ethnic inequalities in health among older people in the UK, controlling for social and economic disadvantages.
This paper analyses the first wave (2009–2011) of Understanding Society to examine differentials in the health of older persons aged 60 years and over. 2 health outcomes are explored: the extent to which one's health limits the ability to undertake typical activities and self-rated health. Logistic regression models are used to control for a range of other factors, including income and deprivation.
After controlling for social and economic disadvantage, black and minority ethnic (BME) elders are still more likely than white British elders to report limiting health and poor self-rated health. The ‘health disadvantage’ appears most marked among BME elders of South Asian origin, with Pakistani elders exhibiting the poorest health outcomes. Length of time resident in the UK does not have a direct impact on health in models for both genders, but is marginally significant for women.
Older people from ethnic minorities report poorer health outcomes even after controlling for social and economic disadvantages. This result reflects the complexity of health inequalities among different ethnic groups in the UK, and the need to develop health policies which take into account differences in social and economic resources between different ethnic groups.
Từ khóa
Tài liệu tham khảo
Department of Health (DH). Tackling health inequalities: 10 years on—a review of developments in tackling health inequalities in England over the last 10 years. London: Department of Health, 2009.
Randhawa G . Tackling health inequalities for minority ethnic groups: challenges and opportunities. A Race Equality Foundation Briefing Paper. Race Equality Foundation, 2007. http://www.better-health.org.uk/sites/default/files/briefings/downloads/health-brief6.pdf (accessed May 2015).
Becker E , Boreham R , Chaudhury M , et al . Health survey for England 2004. The Information Centre, 2006. http://www.google.co.uk/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&ved=0CCEQFjAAahUKEwiH5sDh57IAhUHThQKHdykAzA&url=http%3A%2F%2Fwww.hscic.gov.uk%2Fcatalogue%2FPUB01170%2Fhea-surv-ethn-min-eng-2004-rep-v1.pdf&usg=AFQjCNFt4gVlCUbPDreWkDirNwC0NX6xjw&sig2=iSBGgLfPxzCDVZqx1vSMQg (accessed Sep 2015).
Bécares L . Which ethnic groups have the poorest health? Ethnic health inequalities M 1991 to 2011. Centre on Dynamics of Ethnicity (CoDE) Briefing. Manchester: Manchester University, 2013.
Department for Work and Pensions (DWP). Labour market status by ethnic group. https://www.gov.uk/government/statistics/labour-market-status-by-ethnic-group-june-2014 (accessed May 2015).
Poverty site. http://www.poverty.org.uk/ (accessed May 2015).
Aspinall PJ , Jacobson B . Ethnic disparities in health and health care: a focused review of the evidence and selected examples of good practice. London: London Health Observatory, 2004.
Evandrou, 2000, Ethnic inequalities in health in later life, Health Stat Q, 8, 20
Vlachantoni A , Feng Z , Evandrou M , et al . Ethnic elders and pension protection in the UK. Ageing Soc. Forthcoming 2016.
Evandrou, 2000, Social inequalities in later life: the socio-economic position of older people from ethnic minority groups in Britain, Popul Trends, 101, 11
Office for National Statistics (ONS). Focus on ethnicity and identity. London: Office for National Statistics, 2005.
Office for National Statistics (ONS). 2011 Census: key statistics for England and Wales, March 2011. Statistical bulletin. London: Office for National Statistics, 2012.
Lievesley N . The future ageing of the ethnic minority population of England and Wales. London: Runnymede and the Centre for Policy on Ageing, 2010.
Department for Work and Pensions (DWP). The pensioners’ income series, United Kingdom, 2012/13. London: Department for Work and Pensions, 2014.
Boreham R , Boldysevaite D , Killpack C . UKHLS wave 1 technical report. National Centre for Social Research. Essex: Institute for Social and Economic Research, 2012.
Understanding Society. UK household longitudinal study: wave 1, 2009–2010 user manual. Essex: University of Essex, 2011.
Wilkinson R , Marmot M , ed. The social determinants of health: the solid facts. 2nd edn. Geneva: World Health Organization Europe, 2003.
Department of Health (DH). Saving lives: our healthier nation. London: The Stationery Office, 1999.