Demography

, Volume 39, Issue 1, pp 119–137 | Cite as

Changing chronic disease rates and longterm declines in functional limitation among older men

Article

Abstract

Functional limitation (difficulty walking, difficulty bending, paralysis, blindness in at least one eye, or deafness in at least one ear) in the United States fell at an average annual rate of 0.6% among men aged 50 to 74 from the early twentieth century to the early 1990s. Twenty-four percent of this decline is attributable to reductions in the debilitating effects of chronic conditions, 37% is attributable to reduced rates of chronic diseases, and the remainder is unexplained. The findings have implications for theories of the impact of declining mortality rates on the health of elderly people.

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References

  1. Barker, D.J.P. 1992. Fetal and Infant Origins of Adult Disease. London: British Medical Journal Publishing Group.Google Scholar
  2. — 1994. Mothers, Babies, and Disease in Later Life. London: British Medical Journal Publishing Group.Google Scholar
  3. Chirikos, T.N. 1986. “Accounting for the Historical Rise in Work-Disability Prevalence.” Milbank Quarterly 64:271–301.CrossRefGoogle Scholar
  4. Colvez, A. and M. Blanchet. 1981. “Disability Trends in the United States Population 1966–76: Analysis of Reported Causes.” American Journal of Public Health 71:464–71.CrossRefGoogle Scholar
  5. Costa, D.L. 1998. The Evolution of Retirement: An American Economic History, 1880–1990. Chicago: University of Chicago Press.Google Scholar
  6. Costa, D.L. 2000a. “Long-Term Declines in Disability Among Older Men: Medical Care, Public Health, and Occupational Change.” National Bureau of Economic Research (NBER) Working Paper No. 7605, March 2000 (http://www.nber.org).Google Scholar
  7. — 2000b. “Understanding the Decline in Chronic Conditions Among Older Men.” Demography 37:53–72.CrossRefGoogle Scholar
  8. Crimmins, E.M. 1990. “Are Americans Healthier as Well as Longer-Lived?” Journal of Insurance Medicine 22:89–92.Google Scholar
  9. Crimmins, E.M., Y. Saito, and S.L. Reynolds. 1997. “Further Evidence on Trends in the Prevalence and Incidence of Disability Among Older Americans From Two Sources: The LSOA and the NHIS.” Journals of Gerontology, Series B, Psychological Sciences and Social Sciences 52(2):S59–71.Google Scholar
  10. Cutler, D.M. and E. Richardson. 1997. “Measuring the Health of the United States Population.” Pp. 217–71 in Brookings Papers on Economic Activity, Microeconomics. Washington, DC: Brookings Institution.Google Scholar
  11. Cutler, D.M. and L. Sheiner. Forthcoming. “Demographic Change and Medicare Cost: Standard and Non-Standard Effect.” In Demographic Change and Fiscal Policy, edited by A. Auerbach. Cambridge, MA: MIT Press.Google Scholar
  12. Elo, I.T. and S.H. Preston. 1992. “Effects of Early-Life Conditions on Adult Mortality: A Review.” Population Index 58:186–212.CrossRefGoogle Scholar
  13. Fogel, R.W. and D.L. Costa. 1997. “A Theory of Technophysio Evolution, With Some Implications for Forecasting Population, Health Care Costs, and Pension Costs.” Demography 34:49–66.CrossRefGoogle Scholar
  14. Freedman, V.A. and L.G. Martin. 1998. “Understanding Trends in Functional Limitations Among Older Americans.” American Journal of Public Health 88:1457–62.CrossRefGoogle Scholar
  15. —. 1999. “The Role of Education in Explaining and Forecasting Trends in Functional Limitations Among Older Americans.” Demography 36:461–73.CrossRefGoogle Scholar
  16. — 2000. “The Contribution of Chronic Conditions to Aggregate Changes in Old-Age Functioning.” American Journal of Public Health 90:1755–61.CrossRefGoogle Scholar
  17. Fries, J.F. 1980. “Aging, Natural Death, and the Compression of Morbidity.” New England Journal of Medicine 303:130–36.CrossRefGoogle Scholar
  18. — 1989. “The Compression of Morbidity: Near or Far?” Milbank Quarterly 67:208–32.CrossRefGoogle Scholar
  19. Fries, J.F., C.A. Williams, D. Morfeld, G. Singh, and J. Sibley. 1996. “Reduction in Long-Term Disability in Patients With Rheumatoid Arthritis by Disease-Modifying Antirheumatic Drug-Based Treatment Strategies.” Arthritis and Rheumatism 39(4):616–22.CrossRefGoogle Scholar
  20. Gruenberg, E.M. 1977. “The Failures of Success.” Milbank Memorial Fund Quarterly Winter:3–24.Google Scholar
  21. Larsen, C.S., J. Craig, L.E. Sering, M.J. Schoeninger, K.F. Russell, D.L. Hutchinson, and M.A. Williamson. 1995. “Cross Homestead: Life and Death on the Midwestern Frontier.” Pp. 139–59 in Bodies of Evidence: Reconstructing History Through Skeletal Analysis, edited by A.L. Grauer. New York: John Wiley and Sons.Google Scholar
  22. Lee, C. 1997. “Socioeconomic Background, Disease, and Mortality Among Union Army Recruits: Implications for Economic and Demographic History.” Explorations in Economic History 34:27–55.CrossRefGoogle Scholar
  23. Manton, K.G. 1982. “Changing Concepts of Morbidity and Mortality in the Elderly Population.” Milbank Memorial Fund Quarterly 60:183–244.CrossRefGoogle Scholar
  24. Manton, K.G., L. Corder, and E. Stallard. 1997a. “Changes in the Age Dependence of Mortality and Disability: Cohort and Other Determinants.” Demography 34:135–57.CrossRefGoogle Scholar
  25. — 1997b. “Chronic Disability Trends in Elderly United States Populations: 1982–1994.” Proceedings of the National Academy of Sciences 94:2593–98.CrossRefGoogle Scholar
  26. Poterba, J.M. and L.H. Summers. 1987. “Public Policy Implications of Declining Old-Age Mortality.” Pp. 19–51 in Work, Health, and Income Among the Elderly, edited by G. Burtless. Washington, DC: Brookings Institution.Google Scholar
  27. Riley, J.C. 1989. Sickness, Recovery, and Death: A History and Forecast of Ill Health. Houndsmill, England: Macmillan.Google Scholar
  28. Verbrugge, L.M. 1984. “Longer Life but Worsening Health? Trends in Health and Mortality of Middle Aged and Older Persons.” Milbank Quarterly 62:475–519.Google Scholar
  29. Waidmann, T., J. Bound, and M. Schoenbaum. 1995. “The Illusion of Failure: Trends in the Self-Reported Health of the U.S. Elderly.” Milbank Quarterly 73:253–87.CrossRefGoogle Scholar

Copyright information

© Population Association of America 2002

Authors and Affiliations

  1. 1.Department of Economics, E52-274CMassachusetts Institute of TechnologyCambridge

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