abstract: 'Background: While cross-sectional data have been invaluable for

  describing national trends in disability over time, we know

  comparatively little, at a population level, about the long term

  experiences of persons living with a disability over the adult life

  course.

  Objective: In this paper we use nationally representative data from the

  U.S. Panel Study of Income Dynamics to describe the life course health

  and socioeconomic profiles of Americans who are aging with a

  work-limiting disability.

  Methods: Data come from a cohort of adults age 20-34 in 1979, who were

  followed annually for 30 years to 2009 (to age 50-64). Disability is

  defined according to repeated measures of work limitations in prime

  working years. Using growth curve models we describe the life course

  profile of these Americans aging with work-limiting disability with

  respect to health, educational attainment, family formation, economic

  fortunes, and occupational history, and compare them to those who have

  not experienced repeated work-limiting disability in adulthood.

  Results: Persons with persistent work-limiting disability prior to age

  50 experienced lower rates of employment and lower household incomes

  over adulthood in comparison to those aging without a work-limiting

  disability. Additionally, in the mid-life period, adults with

  work-limiting disabilities were more likely to practice poor health

  behaviors (reflected by smoking, obesity, and sedentary activity) and to

  experience restrictions in functional independence than those without a

  work-limiting disability.

  Conclusions: Our findings suggest that there are critical risk factors

  that make adults aging with work-limiting disability more vulnerable

  with respect to their health and independence as they age, suggesting

  avenues for intervention that may equalize the health and independence

  of Americans aging with and aging into disability in the years ahead.

  (C) 2014 Elsevier Inc. All rights reserved.'
affiliation: 'Clarke, P (Corresponding Author), Univ Michigan, Inst Social Res, 426
  Thompson St,Room 3330 ISR, Ann Arbor, MI 48104 USA.

  Clarke, Philippa, Univ Michigan, Inst Social Res, Ann Arbor, MI 48104 USA.

  Latham, Kenzie, Indiana Univ Purdue Univ Indianapolis, Indianapolis, IN USA.'
author: Clarke, Philippa and Latham, Kenzie
author-email: pjclarke@umich.edu
author_list:
- family: Clarke
  given: Philippa
- family: Latham
  given: Kenzie
da: '2023-09-28'
doi: 10.1016/j.dhjo.2013.08.008
eissn: 1876-7583
files: []
issn: 1936-6574
journal: DISABILITY AND HEALTH JOURNAL
keywords: 'Life course; Cumulative disadvantage; Socioeconomic status; Self-rated

  health'
keywords-plus: 'SELF-RATED HEALTH; CUMULATIVE ADVANTAGE; CARE; INEQUALITY; MORTALITY;

  ACCESS'
language: English
month: JAN
number: '1'
number-of-cited-references: '25'
orcid-numbers: Latham-Mintus, Kenzie/0000-0003-1018-0693
pages: S15-S23
papis_id: 10ac544c81fc169d22162ed4dd0c600f
ref: Clarke2014lifecourse
researcherid-numbers: Latham-Mintus, Kenzie/I-8843-2019
times-cited: '45'
title: Life course health and socioeconomic profiles of Americans aging with disability
type: article
unique-id: WOS:000330918500003
usage-count-last-180-days: '0'
usage-count-since-2013: '18'
volume: '7'
web-of-science-categories: 'Health Care Sciences \& Services; Health Policy \& Services;
  Public,

  Environmental \& Occupational Health; Rehabilitation'
year: '2014'