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Gender differences in disability: evidence and underlying reasons.
S G Leveille1, H E Resnick, J Balfour
1Epidemiology, Demography, and Biometry Program, NIA, NIH, Bethesda, Maryland, USA. leveille@mail.hrca.harvard.edu
Summary
Women live longer but experience more disability due to chronic conditions, lower bone density, and sedentary lifestyles. Addressing these factors can reduce disability burdens in the aging population.
Area of Science:
- Gerontology
- Public Health
- Epidemiology
Background:
- Women exhibit greater longevity than men, contributing to a larger proportion of the aging demographic.
- Higher prevalence of disability in women compared to men is influenced by health, disease, behavioral, and sociodemographic factors.
Purpose of the Study:
- To review methodologic and epidemiologic considerations for understanding gender differences in disability prevalence.
- To discuss underlying causes contributing to these gender disparities in disability.
Main Methods:
- Literature review focusing on methodologic and epidemiological studies.
- Analysis of factors contributing to gender differences in disability.
Main Results:
- Women live longer but have a greater duration of life with disability.
- Factors include higher prevalence of non-fatal chronic conditions, constitutional factors (e.g., lower muscle strength, bone density), and lifestyle factors (e.g., sedentary behavior, obesity).
Conclusions:
- Gender disparities in disability are influenced by a combination of biological and lifestyle factors.
- Several modifiable factors present targets for interventions to reduce disability in older populations.
- Understanding these differences is crucial for researchers, clinicians, and public health practitioners.