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Socioeconomic inequalities in resilience and vulnerability among older adults: a population-based birth cohort analysis

Published online by Cambridge University Press:  08 November 2017

T. D. Cosco Open the ORCID record for T. D. Cosco [Opens in a new window] ,
R. Cooper ,
D. Kuh  and
M. Stafford
T. D. Cosco*
Affiliation:
MRC Unit for Lifelong Health and Ageing at UCL, London, UK Oxford Institute of Population Ageing, University of Oxford, Oxford, UK
R. Cooper
Affiliation:
MRC Unit for Lifelong Health and Ageing at UCL, London, UK
D. Kuh
Affiliation:
MRC Unit for Lifelong Health and Ageing at UCL, London, UK
M. Stafford
Affiliation:
MRC Unit for Lifelong Health and Ageing at UCL, London, UK
*
Correspondence should be addressed to: Theodore D. Cosco, MRC Unit for Lifelong Health and Ageing at UCL, 33 Bedford Place, London WC1B 5JU, UK. Phone: +44 (0) 20 7670 5700. Email: t.cosco@ucl.ac.uk.
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Abstract

Background:

Aging is associated with declines in physical capability; however, some individuals demonstrate high well-being despite this decline, i.e. they are “resilient.” We examined socioeconomic position (SEP) and resilience and the influence of potentially modifiable behavioral resources, i.e. social support and leisure time physical activity (LTPA), on these relationships.

Methods:

Data came from the Medical Research Council National Survey of Health and Development, a nationally-representative birth cohort study. Resilience–vulnerability at age 60–64 years (n = 1,756) was operationalized as the difference between observed and expected levels of well-being, captured by the Warwick–Edinburgh Mental Well-being Scale (WEMWBS), given the level of performance-based physical capability. SEP was assessed by father's and own social class, parental education, and intergenerational social mobility. PA and structural/functional social support were reported at ages 53 years and 60–64 years. Path analysis was used to examine mediation of SEP and resilience–vulnerability through LTPA and social support.

Results:

Participants in the highest social class had scores on the resilience to vulnerability continuum that were an average of 2.3 units (β = 0.46, 95% CI 0.17, 0.75) higher than those in the lowest social class. Greater LTPA (β = 0.58, 95% CI 0.31, 0.85) and social support (β = 3.27, 95% CI 2.90, 3.63) were associated with greater resilience; LTPA partly mediated participant social class and resilience (23.4% of variance).

Conclusions:

Adult socioeconomic advantage was associated with greater resilience. Initiatives to increase LTPA may contribute to reducing socioeconomic inequalities in this form of resilience in later life.

Keywords

resiliencesocial supportphysical activitysocioeconomic position
Type
Research Article
Information
International Psychogeriatrics , Volume 30 , Issue 5: Issue Theme: Brain Imaging , May 2018 , pp. 695 - 703
Copyright
Copyright © International Psychogeriatric Association 2017 

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