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Stolz, E; Oberndorfer, M; Freidl, W.
Education-related inequalities in disability during the last years of life: a full population register-based study.
J Epidemiol Community Health. 2024; Doi: 10.1136/jech-2024-222669 [OPEN ACCESS]
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Führende Autor*innen der Med Uni Graz
Stolz Erwin
Co-Autor*innen der Med Uni Graz
Freidl Wolfgang
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Abstract:
BACKGROUND: Little is known about education-related inequalities in late-life disability. Here, we use individual-level register data on the receipt of the Austrian long-term care allowance (ALTCA) to assess education-related inequalities in the duration of late-life disability. METHODS: In this retrospective mortality follow-back study, we analyse receipt of ALTCA, a universal cash benefit based on physician-assessed disability in activities of daily living, during the last 5 years of life among all decedents aged 65 years and over from 2020 in Austria (n=76 772). RESULTS: The higher the level of education, the shorter the period for which ALTCA was received. Over the last 5 years of life, those with the primary/lower secondary education received ALTCA for 47% or 10 months (men), respectively, 38% or 12 months (women) longer than those with tertiary education. Education-related inequalities decreased with time to death and age at death. CONCLUSION: We found education-related inequalities in the duration of late-life disability, that is, higher education was associated with a prolonged ability to live independently during the last years of life. Inequalities in disability decreased with time to death and age at death, pointing to a gradual levelling due to mortality-related declines as well as selective mortality.

Find related publications in this database (Keywords)
EDUCATION
DEATH
DISABLED PERSONS
Health inequalities
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