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      Socioeconomic Inequalities in Health in Older Adults in Brazil and England

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          Abstract

          Objectives. We examined socioeconomic inequalities in health among older adults in England and Brazil.

          Methods. We analyzed nationally representative samples of residents aged 50 years and older in 2008 data from the Brazilian National Household Survey (n = 75 527) and the English Longitudinal Study of Ageing (n = 9589). We estimated prevalence ratios for self-rated health, functional limitations, and reported chronic diseases, by education level and household income tertiles.

          Results. Brazilians reported worse health than did English respondents. Country-specific differences were higher among the poorest, but also affected the wealthiest persons. We observed a strong inverse gradient of similar magnitude across education and household income levels for most health indicators in each country. Prevalence ratios (lowest vs highest education level) of poor self-rated health were 3.24 in Brazil and 3.50 in England; having 2 or more functional limitations, 1.81 in Brazil and 1.96 in England; and having 1 or more diseases, 1.14 in Brazil and 1.36 in England.

          Conclusions. Socioeconomic inequalities in health affect both populations, despite a less pronounced absolute difference in household income and education in Brazil than in England.

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          Author and article information

          Journal
          American Journal of Public Health
          Am J Public Health
          American Public Health Association
          0090-0036
          1541-0048
          August 2012
          August 2012
          : 102
          : 8
          : 1535-1541
          Affiliations
          [1 ]M. Fernanda Lima-Costa is with the Instituto René Rachou, Fundação Oswaldo Cruz and the Department of Social and Preventive Medicine, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil. Cesar De Oliveira and Michael Marmot are with the Department of Epidemiology and Public Health, University College London, UK. James Macinko is with the Department of Nutrition, Food Studies, and Public Health, New York University, New York, NY.
          Article
          10.2105/AJPH.2012.300765
          3464850
          22698020
          752dcb47-4276-4a78-8298-1f8a0e54929a
          © 2012
          History

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