Ageing unequallyCitation formats

Standard

Ageing unequally. / Tomkow, Louise.

Tackling Causes and Consequences of Health Inequalities: A Practical Guide. ed. / James Matheson; John Patterson; Laura Neilson. Boca Raton : CRC Press, 2020.

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

Harvard

Tomkow, L 2020, Ageing unequally. in J Matheson, J Patterson & L Neilson (eds), Tackling Causes and Consequences of Health Inequalities: A Practical Guide. CRC Press, Boca Raton. https://doi.org/10.1201/9781351013918

APA

Tomkow, L. (2020). Ageing unequally. In J. Matheson, J. Patterson, & L. Neilson (Eds.), Tackling Causes and Consequences of Health Inequalities: A Practical Guide CRC Press. https://doi.org/10.1201/9781351013918

Vancouver

Tomkow L. Ageing unequally. In Matheson J, Patterson J, Neilson L, editors, Tackling Causes and Consequences of Health Inequalities: A Practical Guide. Boca Raton: CRC Press. 2020 https://doi.org/10.1201/9781351013918

Author

Tomkow, Louise. / Ageing unequally. Tackling Causes and Consequences of Health Inequalities: A Practical Guide. editor / James Matheson ; John Patterson ; Laura Neilson. Boca Raton : CRC Press, 2020.

Bibtex

@inbook{980f561b55d84723af3d30da4185dd49,
title = "Ageing unequally",
abstract = "In the UK the population is ageing and inequalities in both health and wealth are growing. Those living in the most affluent areas live disability-free for 15 years longer than their poorest counterparts, thus health disparities are expressed most profoundly in later life . Numerous studies demonstrate the association between social disadvantage and ill health. The contemporary political climate of economic austerity impacts health both through the rationalisation of health resources and cuts to public services, which worsen the socioeconomic determinants of health . These structural inequalities are modifiable at a policy level. However governmental and media discourse frequently overlooks both these political dynamics, and the benefits of living longer, and instead construct the older population as a threat to the economic sustainability of health services . Health inequalities in later life can be understood to reflect social advantage and disadvantage accumulated over the life course. Consequently, when looking to address health inequalities in older populations, practitioners often justifiably feel overwhelmed. This chapter considers the issue of unequal ageing and aims to challenge this by suggesting strategies health care professionals might employ when looking to close the gap in health inequalities. First an overview of unequal ageing is provided; here attention is drawn to the domains across which social disadvantage operates. Next, the dominant geriatric concept of frailty is described. It is demonstrated that the burden of frailty is distributed unevenly amongst the population, with poorer groups becoming frailer at younger ages and experiencing a faster decline once frail. Finally, practical suggestions are made for practitioners looking to address unequal ageing within an often-restrictive political climate. Rather than proffering a one-size-fits-all approach, this chapter argues for a focus on patient-centred care for older people, which actively considers the cumulative and intersecting disadvantages experienced over the life course. Importantly, it is suggested that in order to close the gap in health in later life, health care professionals must be advocates beyond the clinic. ",
author = "Louise Tomkow",
year = "2020",
month = jan,
day = "14",
doi = "10.1201/9781351013918",
language = "English",
editor = "Matheson, {James } and Patterson, {John } and Neilson, {Laura }",
booktitle = "Tackling Causes and Consequences of Health Inequalities",
publisher = "CRC Press",
address = "United States",

}

RIS

TY - CHAP

T1 - Ageing unequally

AU - Tomkow, Louise

PY - 2020/1/14

Y1 - 2020/1/14

N2 - In the UK the population is ageing and inequalities in both health and wealth are growing. Those living in the most affluent areas live disability-free for 15 years longer than their poorest counterparts, thus health disparities are expressed most profoundly in later life . Numerous studies demonstrate the association between social disadvantage and ill health. The contemporary political climate of economic austerity impacts health both through the rationalisation of health resources and cuts to public services, which worsen the socioeconomic determinants of health . These structural inequalities are modifiable at a policy level. However governmental and media discourse frequently overlooks both these political dynamics, and the benefits of living longer, and instead construct the older population as a threat to the economic sustainability of health services . Health inequalities in later life can be understood to reflect social advantage and disadvantage accumulated over the life course. Consequently, when looking to address health inequalities in older populations, practitioners often justifiably feel overwhelmed. This chapter considers the issue of unequal ageing and aims to challenge this by suggesting strategies health care professionals might employ when looking to close the gap in health inequalities. First an overview of unequal ageing is provided; here attention is drawn to the domains across which social disadvantage operates. Next, the dominant geriatric concept of frailty is described. It is demonstrated that the burden of frailty is distributed unevenly amongst the population, with poorer groups becoming frailer at younger ages and experiencing a faster decline once frail. Finally, practical suggestions are made for practitioners looking to address unequal ageing within an often-restrictive political climate. Rather than proffering a one-size-fits-all approach, this chapter argues for a focus on patient-centred care for older people, which actively considers the cumulative and intersecting disadvantages experienced over the life course. Importantly, it is suggested that in order to close the gap in health in later life, health care professionals must be advocates beyond the clinic.

AB - In the UK the population is ageing and inequalities in both health and wealth are growing. Those living in the most affluent areas live disability-free for 15 years longer than their poorest counterparts, thus health disparities are expressed most profoundly in later life . Numerous studies demonstrate the association between social disadvantage and ill health. The contemporary political climate of economic austerity impacts health both through the rationalisation of health resources and cuts to public services, which worsen the socioeconomic determinants of health . These structural inequalities are modifiable at a policy level. However governmental and media discourse frequently overlooks both these political dynamics, and the benefits of living longer, and instead construct the older population as a threat to the economic sustainability of health services . Health inequalities in later life can be understood to reflect social advantage and disadvantage accumulated over the life course. Consequently, when looking to address health inequalities in older populations, practitioners often justifiably feel overwhelmed. This chapter considers the issue of unequal ageing and aims to challenge this by suggesting strategies health care professionals might employ when looking to close the gap in health inequalities. First an overview of unequal ageing is provided; here attention is drawn to the domains across which social disadvantage operates. Next, the dominant geriatric concept of frailty is described. It is demonstrated that the burden of frailty is distributed unevenly amongst the population, with poorer groups becoming frailer at younger ages and experiencing a faster decline once frail. Finally, practical suggestions are made for practitioners looking to address unequal ageing within an often-restrictive political climate. Rather than proffering a one-size-fits-all approach, this chapter argues for a focus on patient-centred care for older people, which actively considers the cumulative and intersecting disadvantages experienced over the life course. Importantly, it is suggested that in order to close the gap in health in later life, health care professionals must be advocates beyond the clinic.

U2 - 10.1201/9781351013918

DO - 10.1201/9781351013918

M3 - Chapter

BT - Tackling Causes and Consequences of Health Inequalities

A2 - Matheson, James

A2 - Patterson, John

A2 - Neilson, Laura

PB - CRC Press

CY - Boca Raton

ER -