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Socioeconomic status and morbidity in the last years of life.

Y Liao, D L McGee, J S Kaufman, G Cao and R S Cooper

Department of Preventive Medicine and Epidemiology, Loyola University Stritch School of Medicine, Maywood, Ill. 60153, USA. yliao@maya.medctr.luc.edu

OBJECTIVES: This study evaluated the effect of socioeconomic status, as characterized by level of education, on morbidity and disability in the last years of life. METHODS: The analysis used data from the National Health Interview Survey (1986-1990), with mortality follow-up through December 1991. RESULTS: Among 10,932 decedents 50 years or older at baseline interview, educational attainment was inversely associated with long-term limitation of activity, number of chronic conditions, number of bed days, and days of short hospital stay during the year preceding the interview. CONCLUSIONS: Decedents with higher socioeconomic status experienced lower morbidity and disability and better quality of life even in their last years of life.

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