Pro-environmental behaviours and attitudes are associated with health, wellbeing and life satisfaction in multiple occupancy households in the UK Household Longitudinal Study

Pro-environmental behaviours (PEBs) and attitudes (PEAs) may influence different domains of health and wellbeing through several mechanisms. The household plays an important role in this relationship; however, there is no previous research on household level PEBs or the PEAs of other household members in relation to health and wellbeing. We used data from 22,427 people in 9344 multiple occupancy households in the UK Household Longitudinal Study. Explanatory variables were household level PEBs, individual PEAs and PEAs of other household members. We used five common physical and mental health and wellbeing outcome measures. Household PEBs were associated with higher life satisfaction. Individual PEAs were associated with lower life satisfaction and worse mental health. PEAs of other household members were associated with higher physical health, mental health and life satisfaction scores for all outcome measures. Findings suggest that ‘greener’ households can produce a ‘win-win’ result for the environment and public health

Costs of healthy living for older adults: the need for dynamic measures of health-related poverty to support evidence-informed policy-making and real-time decision-making

Objectives This study aimed to examine the dynamic properties of the costs of healthy living for older adults and to compare these costs to the timing and levels of Pension Credit for older adults on low incomes. Study design This was a longitudinal descriptive study. Methods We used monthly inflation data and the concept of a ‘Minimum Income for Healthy Living’ (MIHL) to estimate the dynamic changes in MIHL from 2003 to 2022 and compared these costs with Pension Credit levels for older adults on low incomes. Results Progress in closing the gap between the MIHL and Pension Credit has been reversed by recent sharp increases in costs. From April 2021 to April 2022, the MIHL for single older adults rose from £5.57 per week below to £8.29 per week above Pension Credit levels. Conclusions There is a need for dynamic measures of health-related poverty to support evidence-informed policy-making and real-time decision-making to mitigate the health impacts on older adults

Depression Earlier on in Life Predicts Frailty at 50 Years: Evidence from the 1958 British Birth Cohort Study

Frailty and depression in older ages have a bidirectional relationship, sharing some symptoms and characteristics. Most evidence for this has come from cross-sectional studies, or longitudinal studies with limited follow-up periods. We used data from the National Child Development Study (1958 Birth Cohort) to investigate the relationship between depression and early-onset frailty using a life course perspective. The primary outcome was frailty based on a 30-item inventory of physical health conditions, activities of daily living and cognitive function at 50 years. The main exposure was depression (based on a nine-item Malaise score ≥ 4) measured at 23, 33 and 42 years. We investigated this relationship using multiple logistic regression models adjusted for socio-demographic factors, early life circumstances and health behaviours. In fully adjusted models, when modelled separately, depression at each timepoint was associated with around twice the odds of frailty. An accumulated depression score showed increases in the odds of frailty with each unit increase (once: OR 1.92, 95%CI 1.65, 2.23; twice OR 2.33, 95%CI 1.85, 2.94; thrice: OR 2.95, 95%CI 2.11, 4.11). The public health significance of this finding is that it shows the potential to reduce the physical burden of disease later in life by paying attention to mental health at younger ages

Labour force transitions and changes in quality of life at age 50 to 55 years: evidence from a birth cohort study

In the context of an ageing population and longer working lives, the impact of increasing rates of early exit from the labour force on quality of life is a particularly current concern. However, relatively little is known about the impact on quality of life of later life labour force transitions and various forms of early exit from the labour force, compared to remaining in employment. This paper examines life course labour force trajectories and transitions in relation to change in quality of life prior to the State Pension Age. Life course data on early life circumstances, labour force trajectories and labour force transitions from 3,894 women and 3,528 men in the National Child Development Study (1958 British Birth Cohort) were examined in relation to change in quality of life, measured by a short-form version of CASP, between ages 50 and 55 years. Women and men differed in the types of labour force transition associated with positive change in quality of life, with men more frequent beneficiaries. For both men and women, labour force exit due to being sick or disabled was associated with a negative change in quality of life, whereas joining the labour force was associated with a positive change in quality of life. Moving into retirement was associated with a positive change in men’s quality of life, but not women’s. Moving from full-time to part-time employment was associated with a positive change in women’s quality of life, but not men’s. The findings that stand out for their policy relevance are: the threat to the quality of life of both women and men from early labour force exit due to limiting longstanding illness; and, women are less likely to experience beneficial labour force exit in the later years of their working life, but are more likely to benefit from a reduction in working hours

Ethnic variations in incidence of asthma episodes in England & Wales:national study of 502,482 patients in primary care

BACKGROUND: Recent studies have demonstrated marked international variations in the prevalence of asthma, but less is known about ethnic variations in asthma epidemiology within individual countries and in particular the impact of migration on risk of developing asthma. Recent within country comparisons have however revealed that despite originating from areas of the world with a low risk for developing asthma, South Asian and Afro-Caribbean people in the UK are significantly (3× and 2× respectively) more likely to be admitted to hospital for asthma related problems than Whites. METHODS: Using data from the Fourth National Study of Morbidity Statistics in General Practice, a one-percent broadly representative prospective cohort study of consultations in general practice, we investigated ethnic variations in incident asthma consultations (defined as new or first consultations), and compared consultation rates between those born inside and outside the UK (migrant status). Logistic regression models were used to examine the combined effects of ethnicity and migration on asthma incident consultations. RESULTS: Results showed significantly lower new/first asthma consultation rates for Whites than for each of the ethnic minority groups studied (mean age-adjusted consultation rates per 1000 patient-years: Whites 26.4 (95%CI 26.4, 26.4); South Asians 30.4 (95%CI 30.3, 30.5); Afro-Caribbeans 35.1 (95%CI 34.9, 35.3); and Others 27.8 (27.7, 28.0). Within each of these ethnic groups, those born outside of the UK showed consistently lower rates of incident asthma consultations. Modelling the combined effects of ethnic and migrant status revealed that UK-born South Asians and Afro-Caribbeans experienced comparable risks for incident GP consultations for asthma to UK-born Whites. Non-UK born Whites however experienced reduced risks (adjusted OR 0.82, 95%CI 0.69, 0.97) whilst non-UK born South Asians experienced increased risks (adjusted OR 1.33, 95%CI 1.04, 1.70) compared to UK-born Whites. CONCLUSION: These findings strongly suggest that ethnicity and migration have significant and independent effects on asthma incidence. The known poorer asthma outcomes in UK South Asians and Afro-Caribbeans may in part be explained by the offspring of migrants experiencing an increased risk of developing asthma when compared to UK-born Whites. This is the first study to find heterogeneity for incident asthma consultations in Whites by migrant status

General practitioners with a special interest in respiratory medicine:national survey of UK primary care organisations

Non peer reviewedPublisher PD