PTOTSurveyDisability and health journal2019

Late life disability and experienced wellbeing: Are economic resources a buffer?

Vicki A Freedman, Jennifer C Cornman, Deborah Carr and 1 others

PMID 30871953

WHAT IT FOUND

Older adults whose impairments interfered more with regular activities reported lower emotional wellbeing during daily tasks.

Middle income softened this link. Wealth did not buffer it, and higher wealth was tied to lower wellbeing.

Key findings

01Severity of impairment was inversely associated with experienced wellbeing, and the association remained after adjustment.

02Income in the second and third quartiles buffered the negative association between impairment severity and experienced wellbeing.

03Wealth did not buffer the impact of disability on wellbeing, and high wealth was inversely associated with experienced wellbeing in the fully adjusted model.

STILL TO COME

How it was doneWhat they foundWhat it means for PTsWhat it means for OTs

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What it does not show

This is an observational study using data from one time point, so it cannot show that disability, income, or wealth caused changes in wellbeing. Experienced wellbeing was measured from randomly selected activities on two days and averaged across five emotions, so it may not capture a person's full emotional life. The response rate was 71.7%, and the analysis excluded spouses or partners under age 60, so the sample may not represent all older adults. Income was measured as total pre-tax family income, not disposable or discretionary income after basic needs, and wealth was measured as net worth. The buffering analysis tested six interactions and only two were significant, so the income result may be exploratory. The paper did not explore education as a buffering resource, even though more than 12 years of education was inversely associated with experienced wellbeing in the adjusted model. The study did not test whether income support programs, home modifications, or other supports change wellbeing.

Declared interests

No conflicts of interest declaration is included in the supplied text. The article is tagged as research support from the NIH, Extramural.

The easy way to misread this

Do not conclude that increasing income or wealth will improve wellbeing. This was an observational study, only middle-income groups showed a buffering pattern, and wealth did not buffer the negative effect of impairment severity.

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