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Younger but sicker? : Cohort trends in disease accumulation among middle-aged and older adults in Scotland using health-linked data from the Scottish Longitudinal Study
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dc.contributor.author | Ribe, Eloi | |
dc.contributor.author | Cezard, Genevieve Isabelle | |
dc.contributor.author | Marshall, Alan | |
dc.contributor.author | Keenan, Katherine | |
dc.date.accessioned | 2024-04-16T10:30:18Z | |
dc.date.available | 2024-04-16T10:30:18Z | |
dc.date.issued | 2024-04-11 | |
dc.identifier | 301224062 | |
dc.identifier | 1364339f-26ac-4c97-a39d-2629775bd833 | |
dc.identifier | 001200057000001 | |
dc.identifier | 38604658 | |
dc.identifier.citation | Ribe , E , Cezard , G I , Marshall , A & Keenan , K 2024 , ' Younger but sicker? Cohort trends in disease accumulation among middle-aged and older adults in Scotland using health-linked data from the Scottish Longitudinal Study ' , European Journal of Public Health . https://doi.org/10.1093/eurpub/ckae062 | en |
dc.identifier.issn | 1101-1262 | |
dc.identifier.other | ORCID: /0000-0002-9670-1607/work/158123394 | |
dc.identifier.uri | https://hdl.handle.net/10023/29676 | |
dc.description | Funding: This research was supported by the Economic and Social Research Council (ESRC) Centre for Population Change Connecting Generations research programme, grant number ES/W002116/1. This work was supported by the Academy of Medical Sciences, the Wellcome Trust, the Government Department of Business, Energy and Industrial Strategy, the British Heart Foundation Diabetes UK, and the Global Challenges Research Fund [Grant number SBF004\1093 awarded to Katherine Keenan]. The contribution from AM is funded by the National Institute for Health and Care Research (grant number NIHR202639). | en |
dc.description.abstract | Background In the United Kingdom, rising prevalence of multimorbidity—the co-occurrence of two or more chronic conditions- is coinciding with stagnation in life expectancy. We investigate patterns of disease accumulation and how they vary by birth cohort, social and environmental inequalities in Scotland, a country which has long suffered from excess mortality and poorer health outcomes relative to its neighbours. Methods Using a dataset which links census data from 1991, 2001 and 2011 to disease registers and hospitalization data, we follow cohorts of adults aged 30–69 years for 18 years. We model physical and mental disease accumulation using linear mixed-effects models. Results Recent cohorts experience higher levels of chronic disease accumulation compared to their predecessors at the same ages. Moreover, in more recently born cohorts we observe socioeconomic status disparities emerging earlier in the life course, which widen over time and with every successive cohort. Patterns of chronic conditions are also changing, and the most common diseases suffered by later born cohorts are cancer, hypertension, asthma, drug and alcohol problems and depression. Conclusion We recommend policies which target prevention of chronic disease in working age adults, considering how and why certain conditions are becoming more prevalent across time and space. | |
dc.format.extent | 8 | |
dc.format.extent | 1230321 | |
dc.language.iso | eng | |
dc.relation.ispartof | European Journal of Public Health | en |
dc.subject | 3rd-DAS | en |
dc.subject | SDG 3 - Good Health and Well-being | en |
dc.subject | AC | en |
dc.title | Younger but sicker? : Cohort trends in disease accumulation among middle-aged and older adults in Scotland using health-linked data from the Scottish Longitudinal Study | en |
dc.type | Journal article | en |
dc.contributor.sponsor | Academy of Medical Sciences | en |
dc.contributor.institution | University of St Andrews. School of Geography & Sustainable Development | en |
dc.identifier.doi | 10.1093/eurpub/ckae062 | |
dc.description.status | Peer reviewed | en |
dc.identifier.grantnumber | SBF004\1093 | en |
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