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Attributing Causes to Disability

  • Wilma J. NusselderEmail author
  • Caspar C. Looman
  • Herman Van Oyen
  • Renata Tiene De Carvalho Yokota
Chapter
  • 23 Downloads
Part of the International Handbooks of Population book series (IHOP, volume 9)

Abstract

Diseases play a major role in the disablement process, especially at older ages. This chapter focuses on the attribution method, which uses cross-sectional data to partition the disability prevalence into additive contribution of causes, taking into account multimorbidity and that disability can occur in the absence of diseases. We present a detailed description of the attribution method, including the definition of the additive hazard models for binary and multinomial disability outcomes. The method is applied to cross-sectional data from Brazil to illustrate the interpretation of the cumulative hazard rates of disability and how the method accounts for multimorbidity and independence. A summary of previous studies that have applied the method are also provided. Finally, the limitations and strengths of this approach compared to alternative methods using cross-sectional data are outlined.

Keywords

Attribution Disability Chronic diseases Additive hazard model Binary Multinomial 

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Wilma J. Nusselder
    • 1
    Email author
  • Caspar C. Looman
    • 1
  • Herman Van Oyen
    • 2
    • 3
  • Renata Tiene De Carvalho Yokota
    • 2
    • 4
  1. 1.Department of Public HealthErasmus University Medical CentreRotterdamThe Netherlands
  2. 2.Department of Epidemiology and Public HealthSciensanoBrusselsBelgium
  3. 3.Department of Public Health and Primary CareGhent UniversityGhentBelgium
  4. 4.Department of Sociology, Interface DemographyVrije Universiteit BrusselBrusselsBelgium

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