Education Inequalities in Health Among Older European Men and Women: The Role of Active Aging

J Aging Health. 2019 Jan;31(1):185-208. doi: 10.1177/0898264317726390. Epub 2017 Aug 19.

Abstract

Objective: We assessed whether education inequalities in health among older people can be partially explained by different levels of active aging among educational groups.

Method: We applied logistic regression and the Karlson, Holm, & Breen (KHB) decomposition method using the 2010 and 2012 waves of the Survey of Health, Ageing and Retirement in Europe on individuals aged 50+ years ( N = 27,579). Active aging included social participation, paid work, and provision of grandchild care. Health was measured by good self-perceived health, low number of depressive symptoms, and absence of limitations because of health in activities people usually do.

Results: We found a positive educational gradient for each of the three health measures. Up to a third of the health gaps between high and low educated were associated with differences in engagement in active aging activities.

Discussion: Policies devoted at stimulating an active participation in society among older people should be particularly focused on lower educated groups.

Keywords: Europe; active aging activities; education inequalities; health measures.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Cross-Sectional Studies
  • Educational Status*
  • Europe / epidemiology
  • Female
  • Health Status*
  • Healthy Aging / psychology*
  • Humans
  • Male
  • Middle Aged
  • Self Concept
  • Sex Factors
  • Social Participation / psychology*
  • Socioeconomic Factors*
  • Work Engagement*