Skip to main content

ETHNOS_APP

Home • Search • Journals • List 0

Health across Generations in Europe. The role of Age, Gender, and Education

Bibliographic Data

ID21822073
AuthorsMADELIN GOMEZ-LEON (0000-0003-4512-638X, Universitat Pompeu Fabra, corresponding author), Aïda Solé-Auró (0000-0003-3726-2509, Universitat Pompeu Fabra)
Year2026
Publication date2026-06-29
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueJournal of Population Ageing (JOURNAL)
Journal identifiersISSN: 1874-7876 • E-ISSN: 1874-7884
PublisherSpringer Science and Business Media LLC (PUBLISHER)
DOI10.1007/s12062-026-09572-6
OpenAlexW7166518669
LanguageEN
References cited76

Health inequalities among older adults remain a major concern in ageing European populations. While shaped by age, gender, and education, how these health inequalities evolve across generations is less clear. This study examines six European birth cohorts from age 50 to advanced old age using 18 years of longitudinal data from the Survey of Health, Ageing and Retirement in Europe (SHARE). Poor self-perceived health (SPH) and multimorbidity (three or more chronic conditions) were analysed using multivariate logistic models. Results show health improvements among younger cohorts, and evidence of morbidity compression in midlife and early old age. Gender health gaps have narrowed across cohorts, indicating an improvement; however, educational inequalities persist, with higher-educated individuals consistently enjoying better health. These findings reveal the persistence of social inequalities, highlighting the importance of monitoring cohort-specific health trajectories, and provide evidence to support targeted health policies, educational interventions, and resource planning for Europe’s ageing populations

Ageing · Health equity · Healthy ageing · Inequality · Life course approach · Logistic regression · Longitudinal data · Longitudinal study · Multivariate analysis · Social determinants of health · Aging and Gerontology Research · Chronic Disease Management Strategies · Health disparities and outcomes

  • Trends in health inequalities in 27 European countries

    Open Access•J P Mackenbach, Jose R Rubio Valverde et al.•Proceedings of the National…•2018

  • Aging, Natural Death, and the Compression of Morbidity

    James F Fries•New England Journal of Medicine•1980

  • Changing Concepts of Morbidity and Mortality in the Elderly Population

    Kenneth G Manton•The Milbank Memorial Fund…•1982

  • Health Trends in the Elderly Population

    Marti G Parker, Mats Thorslund•The Gerontologist•2007

  • Ageing populations

    Open Access•Kaare Christensen, Gabriele Doblhammer et al.•The Lancet•2009

  • Differences between Men and Women in Mortality and the Health Dimensions of the Morbidity Process

    Open Access•E M Crimmins, Hyunju Shim et al.•Clinical Chemistry•2019

  • Gender differences in health

    Open Access•E M Crimmins, J K Kim et al.•European Journal of Public Health•2011

  • Depression and Quality of Life in Older Persons

    Open Access•Heidi Sivertsen, Guro Hanevold Bjørkløf et al.•Dementia and Geriatric Cognitive…•2015

  • Men

    Open Access•Anna Oksuzyan, Knud Juel et al.•Aging Clinical and Experimental…•2008

  • Health, functioning, and disability in older adults—present status and future implications

    Open Access•Somnath Chatterji, Julie Byles et al.•The Lancet•2015

  • Data Resource Profile

    Axel Börsch‐supan, Axel Börsch-Supan et al.•International Journal of…•2013

  • Comparative analysis of health expectancy indicators in older adult men and women in selected European countries

    Open Access•Wiktoria Wróblewska•Bulletin of Geography.…•2022

  • The Emergence and Development of Life Course Theory

    Open Access•Glen H Elder, M K Johnson et al.•Handbook of the Life Course•2003

  • Understanding differences in health behaviors by education

    Open Access•Donald Cutler, David M Cutler et al.•Journal of Health Economics•2009

  • International Perspectives on Summary Measures of Population Health in an Aging World

    Open Access•Angelique Chan, Yasuhiko Saito et al.•Journal of Aging and Health•2016

  • Trends of multimorbidity in 15 European countries

    Open Access•Dyego L B Souza, Albert Oliveras-Fàbregas et al.•BMC Public Health•2021

  • Cognitive performance trends among European older adults

    Open Access•Johan Rehnberg, Stefan For et al.•BMC Public Health•2024

  • Education Inequalities in Health Among Older European Men and Women

    Open Access•Bruno Arpino, Aïda Solé-Auró•Journal of Aging and Health•2017

  • Economic Hardship and Educational Differentials in Disability in 26 European Countries

    Open Access•Emmanuelle Cambois, Aïda Solé-Auró et al.•Journal of Aging and Health•2016

  • Feeling Better? Trends in General Health Status

    L G Martins, L G Martin et al.•The Journals of Gerontology…•2007

  • Cohort Differences in Physical Health and Disability in the United States and Europe

    Open Access•Laura Gimeno, A Goisis et al.•The Journals of Gerontology…•2024

  • Gender, health inequalities and welfare state regimes

    Clare Bambra, Daniel Pope et al.•Journal of Epidemiology and…•2009

  • Trends in US Older Adult Disability

    Shih-Fan Lin, Audrey N Beck et al.•American Journal of Public Health•2012

  • Disability Trends Among Older Americans

    Teresa Seeman, Teresa E Seeman et al.•American Journal of Public Health•2010

  • At the Intersection of Adverse Life Course Pathways

    Open Access•Silvia Loi, Peng Li et al.•Demography•2024

  • Cohort and Life-Course Patterns in the Relationship between Education and Health

    Open Access•Scott M Lynch•Demography•2003

  • Disease Incidence and Mortality Among Older Americans and Europeans

    Open Access•Aïda Solé-Auró, Pierre-Carl Michaud et al.•Demography•2015

  • Education and the Gender Gaps in Health and Mortality

    Open Access•C E Ro, CATHERINE E ROSS et al.•Demography•2012

  • Educational differences in disability-free life expectancy

    Open Access•Netta Mäki, Pekka Martikainen et al.•Social Science & Medicine•2013

  • Educational inequalities in self-rated health and social relationships – analyses based on the European Social Survey 2002-2016

    Open Access•Nico Vonneilich, Daniel Lüdecke et al.•Social Science & Medicine•2019

  • Education and health in 22 European countries

    Open Access•Olaf Von Dem Knesebeck, Pablo Emilio Verde et al.•Social Science & Medicine•2006

  • Cumulative Advantage/Disadvantage and the Life Course

    Dale Dannefer•The Journals of Gerontology…•2003

  • Compression or expansion of morbidity? Trends in healthy-life expectancy in the elderly Austrian population between 1978 and 1998

    Open Access•Gabriele Doblhammer, Josef Kytir•Social Science & Medicine•2001

  • What is self-rated health and why does it predict mortality? Towards a unified conceptual model

    Open Access•Marja Jylhä•Social Science & Medicine•2009

  • Birth-cohort trends in older-age functional disability and their relationship with socio-economic status

    Open Access•Marcello Morciano, Ruth M Hancock et al.•Social Science & Medicine•2015

  • Change in the Prevalence of Diseases Among Older Americans

    Open Access•E M Crimmins, Eileen Crimmins et al.•Demographic Research•2000

  • Fundamental Causes' of Social Inequalities in Mortality

    Open Access•Jo C Phelan, Jo Phelan et al.•Journal of Health and Social…•2004

  • New Directions in Life Course Research

    K U Mayer•Annual Review of Sociology•2009

  • Gender and the Health Benefits of Education

    Open Access•Catherine E Ro, CATHERINE E ROSS et al.•Sociological Quarterly•2010

Citation velocityhistorical
Highly citedNo

Tools

Open DOIOpen Access
Ethnos_APP • Open Source Project • MIT License • Frontend v2.0.0 • Privacy and Cookies • API Documentation: api.ethnos.app/docs • API Source Code: GitHub • DOI: 10.5281/zenodo.17049435 • Frontend Source Code: GitHub • DOI: 10.5281/zenodo.17050053 • cruz.rio.br • Expectantes Misericordiae