Delineating the third age: joint models of older people's quality of life and attrition in Britain 2002–2010

Abstract

Objectives: In the public mind, later life is being transformed by the emerging possibility of a flourishing third age with sustained quality of life. We draw trajectories of life quality measured using CASP-19 over eight years. We refine these trajectories by jointly modelling attrition, since older people tend to leave longitudinal studies (attrite) not at random.

Methods: Growth curve models are applied to the English Longitudinal Study of Ageing waves 1 to 5. Then joint model is estimated where attrition is considered. Extensive predictors are entered including demographic attributes, social and economic status, health conditions, and behaviours.

Results: Strong non-linear age trajectory of life quality is revealed by the growth curve models where the peak is achieved in the late 60s. Then the joint model uncovers the peak somewhat later in time, and also reveals secular improvement in life quality experienced by recent cohorts. Sharp estimates for many predictors of higher levels of life quality are also found.

Conclusion: For the first time, the trajectories of life quality in the third age are drawn and improvement across cohorts is demonstrated. The contributions are estimated for predictors amenable to intervention such as social capital. This can help in policy discussion on improving the lives of older people in the third age.

Keywords:

• quality of life/well-being
• mental health measures
• epidemiology

Disclosure statement

No potential conflict of interest was reported by the author.

Additional information

Funding

This paper is part of the research of the fRaill project [grant number G1001375/1] funded by the cross-research council Lifelong Health and Wellbeing Programme.