Social inequalities in grip strength, physical function, and falls among community dwelling older men and women: findings from the Hertfordshire Cohort Study

J Aging Health. 2009 Sep;21(6):913-39. doi: 10.1177/0898264309340793. Epub 2009 Jul 13.

Abstract

Objectives. To explore social inequalities in grip strength, SF-36 physical functioning (PF), and falls among older people. Methods. We analyzed data from 3,225 men and women (age 59-73 years) who participated in the Hertfordshire Cohort Study, United Kingdom. Car availability and home ownership were used as markers of material deprivation. Results. A total of 6.4% of men (17.7% women) had no car and 19.3% of men (23.1% women) did not own their home. Having fewer cars was associated with lower grip and poorer PF among men and women (p < .001), and increased falls among men (p < .001). Not owning one's home was associated with lower grip in men and women (p < .001) and poorer PF in men (p < .001). Lower social class was associated with falls among women only (p = .01). Discussion. There are social inequalities in grip strength, PF, and falls among older people. Interventions should consider the contribution of social inequalities to the problem.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Accidental Falls*
  • Aged
  • Cohort Studies
  • Disability Evaluation*
  • Female
  • Geriatric Assessment / methods*
  • Hand Strength*
  • Health Status
  • Health Status Disparities*
  • Humans
  • Male
  • Middle Aged
  • Motor Activity*
  • Muscle Strength Dynamometer
  • Muscle Strength*
  • Residence Characteristics*
  • Socioeconomic Factors*
  • Surveys and Questionnaires
  • United Kingdom