Health status and the end-of-life stage

Robert Johnson, Krysia N. Mossakowski, Terrence D. Hill

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Although numerous studies highlight the social, psychological, and physiological significance of life stages based on specific ages, little scholarly attention has been devoted to identifying factors that distinguish the stage prior to death. Instead of conceptualizing the life course as stages delineated by specific ages, our study explores the changes in self-rated health status and functional health limitations that occur when older adults pass from a vital stage of life into the end-of-life stage. Using data from the Longitudinal Study on Aging, we compare the health status of those at varying points near the end-of-life (died within 1-6 years from the initial interview) to vital survivors (survived beyond 6 years). Controlling for age, sex, race, education, and a host of diagnosed diseases and serious health conditions, those in the end-of-life stage have more lower and upper body limitations, greater difficulty with activities of daily living, and worse overall self-rated health than vital survivors. We conclude that the end-of-life stage should be considered a unique period in the life course that is irreducible to age.

Original languageEnglish (US)
Pages (from-to)132-143
Number of pages12
JournalAdvances in Life Course Research
Volume16
Issue number3
DOIs
StatePublished - Sep 2011

Fingerprint

health status
health
longitudinal study
Disease
death
interview
education

Keywords

  • End-of-life stage
  • Functional limitations
  • Life course
  • Self-rated health status

ASJC Scopus subject areas

  • Life-span and Life-course Studies

Cite this

Health status and the end-of-life stage. / Johnson, Robert; Mossakowski, Krysia N.; Hill, Terrence D.

In: Advances in Life Course Research, Vol. 16, No. 3, 09.2011, p. 132-143.

Research output: Contribution to journalArticle

Johnson, Robert ; Mossakowski, Krysia N. ; Hill, Terrence D. / Health status and the end-of-life stage. In: Advances in Life Course Research. 2011 ; Vol. 16, No. 3. pp. 132-143.
@article{58c057e73ae448e886437e9cfa9b2669,
title = "Health status and the end-of-life stage",
abstract = "Although numerous studies highlight the social, psychological, and physiological significance of life stages based on specific ages, little scholarly attention has been devoted to identifying factors that distinguish the stage prior to death. Instead of conceptualizing the life course as stages delineated by specific ages, our study explores the changes in self-rated health status and functional health limitations that occur when older adults pass from a vital stage of life into the end-of-life stage. Using data from the Longitudinal Study on Aging, we compare the health status of those at varying points near the end-of-life (died within 1-6 years from the initial interview) to vital survivors (survived beyond 6 years). Controlling for age, sex, race, education, and a host of diagnosed diseases and serious health conditions, those in the end-of-life stage have more lower and upper body limitations, greater difficulty with activities of daily living, and worse overall self-rated health than vital survivors. We conclude that the end-of-life stage should be considered a unique period in the life course that is irreducible to age.",
keywords = "End-of-life stage, Functional limitations, Life course, Self-rated health status",
author = "Robert Johnson and Mossakowski, {Krysia N.} and Hill, {Terrence D.}",
year = "2011",
month = "9",
doi = "10.1016/j.alcr.2011.08.002",
language = "English (US)",
volume = "16",
pages = "132--143",
journal = "Advances in Life Course Research",
issn = "1040-2608",
publisher = "Elsevier",
number = "3",

}

TY - JOUR

T1 - Health status and the end-of-life stage

AU - Johnson, Robert

AU - Mossakowski, Krysia N.

AU - Hill, Terrence D.

PY - 2011/9

Y1 - 2011/9

N2 - Although numerous studies highlight the social, psychological, and physiological significance of life stages based on specific ages, little scholarly attention has been devoted to identifying factors that distinguish the stage prior to death. Instead of conceptualizing the life course as stages delineated by specific ages, our study explores the changes in self-rated health status and functional health limitations that occur when older adults pass from a vital stage of life into the end-of-life stage. Using data from the Longitudinal Study on Aging, we compare the health status of those at varying points near the end-of-life (died within 1-6 years from the initial interview) to vital survivors (survived beyond 6 years). Controlling for age, sex, race, education, and a host of diagnosed diseases and serious health conditions, those in the end-of-life stage have more lower and upper body limitations, greater difficulty with activities of daily living, and worse overall self-rated health than vital survivors. We conclude that the end-of-life stage should be considered a unique period in the life course that is irreducible to age.

AB - Although numerous studies highlight the social, psychological, and physiological significance of life stages based on specific ages, little scholarly attention has been devoted to identifying factors that distinguish the stage prior to death. Instead of conceptualizing the life course as stages delineated by specific ages, our study explores the changes in self-rated health status and functional health limitations that occur when older adults pass from a vital stage of life into the end-of-life stage. Using data from the Longitudinal Study on Aging, we compare the health status of those at varying points near the end-of-life (died within 1-6 years from the initial interview) to vital survivors (survived beyond 6 years). Controlling for age, sex, race, education, and a host of diagnosed diseases and serious health conditions, those in the end-of-life stage have more lower and upper body limitations, greater difficulty with activities of daily living, and worse overall self-rated health than vital survivors. We conclude that the end-of-life stage should be considered a unique period in the life course that is irreducible to age.

KW - End-of-life stage

KW - Functional limitations

KW - Life course

KW - Self-rated health status

UR - http://www.scopus.com/inward/record.url?scp=80053185668&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=80053185668&partnerID=8YFLogxK

U2 - 10.1016/j.alcr.2011.08.002

DO - 10.1016/j.alcr.2011.08.002

M3 - Article

AN - SCOPUS:80053185668

VL - 16

SP - 132

EP - 143

JO - Advances in Life Course Research

JF - Advances in Life Course Research

SN - 1040-2608

IS - 3

ER -