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IJE Advance Access originally published online on August 22, 2006
International Journal of Epidemiology 2006 35(5):1261-1263; doi:10.1093/ije/dyl153
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Published by Oxford University Press on behalf of the International Epidemiological Association © The Author 2006; all rights reserved.

Commentary

Commentary: Dissecting disability trends—concepts, measures, and explanations

Vicki A Freedman1,* and Linda G Martin2

1 Department of Health Systems and Policy, School of Public Health, University of Medicine and Dentistry of New Jersey, New Brunswick, NJ 08903, USA
2 Institute of Medicine, The National Academies, Washington DC 20001, USA

* Corresponding author. E-mail: vfreedman@umdnj.edu

The first 10% of the full text of this article appears below.

A fundamental question at the intersection of the epidemiology and demography of aging is whether mortality declines in late life are accompanied by a compression or expansion of morbidity and disability. The answer has both theoretical implications and practical consequences for many nations now facing population aging.

Sulander and colleagues1 find that the proportion of older people in Finland with difficulty in basic activities of daily living (BADLs; bathing, dressing, or eating) decreased between the early 1990s and early 2000s. Difficulty with only mobility (not with BADLs) increased for women and was flat for men. And educational gaps in BADLs persisted over the period. These findings join studies . . . [Full Text of this Article]


   Linking clear concepts to measures of disability
 

   Ensuring validity of survey comparisons
 

   Linking disparities to causal mechanisms
 

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