Economic Hardship and Educational Differentials in Disability in 26 European Countries

J Aging Health. 2016 Oct;28(7):1214-38. doi: 10.1177/0898264316656503.

Abstract

Objective: The objective of this article is to study to what extent European variations in differentials in disability by education level are associated to variation in poverty.

Method: Using the European Statistics on Income and Living Conditions (EU-SILC) for 26 countries, we measure the prevalence of activity limitation (AL) and the rate of economic hardship (EH) by level of education. We measure the increased AL prevalence (disadvantage) of the low-educated relative to the middle-educated and the reduced AL prevalence (advantage) of the high-educated groups, controlling or not for EH.

Results: The rate of EH and the extent of the AL-advantage/disadvantage vary substantially across Europe. EH contributes to the AL-advantage/disadvantage but to different extent depending on its level across educational groups.

Discussion: Associations between poverty, education, and disability are complex. In general, large EH goes along with increased disability differentials. Actions to reduce poverty are needed in Europe to reduce the levels and differentials in disability.

Keywords: Europe; SES differentials; disability; economic hardship; inequality.

MeSH terms

  • Cross-Cultural Comparison
  • Databases, Factual
  • Disabled Persons / education
  • Disabled Persons / statistics & numerical data*
  • Educational Status*
  • Europe / epidemiology
  • European Union / statistics & numerical data
  • Health Status Disparities*
  • Humans
  • Income / statistics & numerical data
  • Insurance, Disability / economics*
  • Insurance, Disability / trends
  • Life Expectancy / trends*
  • Logistic Models
  • Population Dynamics / trends*
  • Poverty / statistics & numerical data*
  • Social Class
  • Social Conditions / economics*
  • Social Conditions / statistics & numerical data