Marseille March 2017 WP2 Archana Singh-Manoux AURORE FAYOSSE.

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Presentation transcript:

marseille March 2017 WP2 Archana Singh-Manoux AURORE FAYOSSE

How do socioeconomic factors affect health at older ages Objectives (WP2) Examine evidence for social inequalities in Cardiovascular disease Diabetes Cancer Chronic lung disease Musculoskeletal disorders Depression Neurologic disorders Multi-morbidity Conclusions Research focus did not take dynamic lifecourse view Little research on multimorbidity

Project 1

Socioeconomic factors: cognitive function, cognitive decline & dementia CONTEXT Socioeconomic DEMENTIA factors (Education) Buffer hypothesis Active process (slower cognitive decline, less neudegeneration, etc.) Jennifer Rusmaully Aline Dugravot Jean-Paul Moatti Michael G Marmot Alexis Elbaz Mika Kivimaki Séverine Sabia Archana Singh-Manoux

Cognitive function, cognitive decline & dementia Role of socioeconomic factors Height Education Occupation cognitive performance cognitive decline dementia

Socioeconomic Factors & Cognitive performance

Socioeconomic Factors & Cognitive DECLINE (15 years)

Socioeconomic factors & dementia

Socioeconomic factors & dementia

Socioeconomic factors & dementia

Cognitive decline in those with dementia

Conclusions: SES & dementia Brain training? PUBLIC HEALTH POLCY HERE

Project 2

Socioeconomic factors & Multi-morbidity CONTEXT Multimorbidity is the occurrence of multiple diseases in the same person; comorbidity Over 60% of older adults are multimorbid Social inequalities in multimorbidity; some evidence that inequalities weaker at older ages BUT most of the evidence is cross-sectional… RESEARCH QUESTION How do socioeconomic factors affect transitions from one chronic disese to multimorbidity to death? Education or SES?

Multi-morbidity Our definitions Cardiometabolic multimorbidity 2/7 common chronic diseases

Association of occupation with chronic diseases and multimorbidity

Association of chronic diseases & multimorbidity with mortality

Socioeconomic factors & transitions: multimorbidity SES 1st Chronic disease Multimorbidity Death Disability

Socioeconomic factors & transitions: multimorbidity

Socioeconomic factors & transitions: cardiometabolic multimorbidity

NEXT STEPS Assess role of common risk factors: health behaviours Assess whether multimorbidity transitions vary as a function of 1st chronic disease Look at these associations in a larger dataset…