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Cecilia Tomassini

Publications and source records attributed to Cecilia Tomassini.

15 recordsLinked to original sources
PubMed2006

Twins and their health cost: consequences of multiple births on parental health and mortality in Denmark and England and Wales.

The rapid increase in twinning rates in developed countries has increased interest in the question as to whether twin mothers have higher mortality and more health problems than mothers of singletons. Here we use a national survey, the Office for National Statistics Longitudinal Study of England & Wales, and a linkage between the Danish Twin Registry and the Danish population register to examine mortality patterns after age 45 (50 for fathers) for twin parents and the whole population born from 1911 to 1950. For England and Wales, presence of limiting long-term illnesses and self-rated health status was also investigated. Overall similar health and mortality was found for twin parents and the whole population although both life table methods and survival analysis suggested a slight excess mortality among older cohorts of twin mothers in England and Wales.

Adolescent↗
PubMed2006

Multiple role occupancy and social participation among midlife wives and husbands in the United Kingdom.

We investigated the relationship between intensive multiple role occupancy and one key dimension of well-being, social participation (i.e., frequency of participation in social and leisure activities and meeting friends or relatives). Moreover, we examined gender differences in the association between individual, spousal and couple intensive multiple role commitments and individual social participation. Our research is based on a sample of mid-life wives (45-59) and their husbands from the 2000 British Household Panel Study (BHPS). Our findings show that, among wives whose husbands were providing care to a dependent for 20 or more hours a week, there was a negative association with social and leisure activity participation, whereas husbands' level of participation in social and leisure activities was higher if their wives were in full-time paid work. We also found lower odds of meeting friends or relatives among wives and husbands in full-time employment, and higher odds of meeting friends and relatives among wives providing care for 20 or more hours a week. Our results will aid policy thinking in addressing how people can be best supported to balance work and family commitments in order to optimize different dimensions of well-being in later life and help alleviate the pressures associated with multiple-role occupancy in mid-life.

Caregivers↗
PubMed2006

The oldest old in Great Britain: change over the last 20 years.

This article examines twenty-year trends in several demographic and socio-economic characteristics of the oldest old. Using data obtained by merging consecutive waves of the General Household Survey (GHS), this study offers detailed descriptive and multivariate analyses of the use of selected health services and the living arrangements of the oldest old over the last 20 years. The results provide an insight into the characteristics of the oldest old and changes over time in the selected characteristics, that is, the increase in the proportion living alone and in hospital out-patient visits, in contrast with the stability in the proportion visiting their General Practitioner (GP).

Aged↗
PubMed2005

Fertility history and health in later life: a record linkage study in England and Wales.

Women born at different periods within the 20th century in England and Wales have followed varying fertility pathways with large changes in, for example, proportions having no children or only one child. Among the consequences of these changes may be effects on women's health later in life. Links between fertility histories and later health and mortality have been investigated in several studies, but in many of these socio-economic characteristics have not been allowed for, even though there are socio-economic differences in both fertility and mortality patterns and results are conflicting. Here we analyse associations between the fertility histories of women born 1911-1940 in England and Wales and their mortality and health status after age 50. We used data from the Office for National Statistics Longitudinal Study; a record linkage study of approximately 1% of the population initially based on those enumerated in the 1971 Census of England and Wales. We used survival analysis to investigate the effects of parity, short birth intervals, and timing of fertility on mortality from age 50 to the end of 2000, controlling for a range of relevant socio-demographic characteristics. For survivors to 1991, we additionally used logistic regression to model probability of having a limiting long-term illness in 1991. We found that nulliparous women and women with five or more children had significantly higher mortality than other women, and that in the oldest groups women with just one child also had raised mortality. Women who had been teenage mothers had higher mortality and higher odds of poor health than other parous women. Mothers with short birth intervals, including mothers of twins, also had elevated risks in some cohorts. Late childbearing (after age 39) was associated with lower mortality. Personal demographic history is an important factor to consider in analyses of health and mortality variations in later life. More research is needed to further elucidate causal pathways.

Birth Intervals↗
PubMed2005

The influence of social relations on mortality in later life: a study on elderly Danish twins.

PURPOSE: We examined whether the presence of a spouse and the frequency of interaction with children, relatives, and friends significantly influence the risk of dying in late life. We assessed these effects separately by gender, controlling for self-reported health. In addition, we examined whether interaction with the co-twin has a different impact on mortality for identical and fraternal twins. DESIGN AND METHODS: The data set consists of 2,147 Danish twins aged 75 years and older, who were followed prospectively from 1995 to 2001. We modeled the effect of social ties on mortality by using event history analysis. RESULTS: Survival is extended by having a spouse and close ties with friends and the co-twin. However, contact frequency with friends and the co-twin is significant, respectively, only for women and identical twins. IMPLICATIONS: Investigating social relations sheds light on the life span of individuals older than 75 years of age. We stress the importance of social relations beyond the presence of the spouse for survival even at very old ages.

Aged↗
PubMed2005

The health consequences of multiple roles at older ages in the UK.

Increasing proportions of men and women are combining family (including care-giving) and work responsibilities in later life; however, the relationship between multiple role commitments and health at older ages remains unclear. Employing data from the longitudinal Retirement Survey (1988-1989 and 1994), the present authors applied logistic regression models to investigate the relationship between multiple role occupancy (1) cross-sectionally in 1988-1989 and health status in 1994; (2) retrospectively over the respondent's lifetime up to 1988-1989 and health outcomes in 1988-1989; and (3) retrospectively between 1988-1989 and 1994, and health status in 1994. The health outcomes considered were (1) general health status, (2) functional ability and (3) severity of disability category. Overall, simultaneous role occupancy (e.g. care-giving and employment) at older ages does not appear to be associated with poor health. The authors report a positive association between employment and health, as expected. There were mixed results concerning the association between care-giving and health. Where adverse health outcomes were found, the parental role, alone or in combination with other roles, was most frequently related to poor health. Thus, for a nationally representative sample of mid-life men and women, the combination of care-giving with other family and work roles appears to have few negative health consequences. Further research is needed on whether continued parental demands in mid-life have a negative impact on health.

Aged↗
PubMed2005

Sex differences in mortality, a comparison of the United Kingdom and other developed countries.

Women, on average, live longer than men, though sex differences in mortality vary from country to country and over time. This study includes a description of recent changes in life expectancies at different ages, followed by a more detailed analysis of death rates by age in selected countries. Additionally it provides a historical perspective on the sex differences in mortality in France and England and Wales. Possible explanations for the differences among countries are explored using trends in mortality by cause of death.

Adult↗
PubMed2005

The demographic characteristics of the oldest old in the United Kingdom.

Those aged 85 and over (the oldest old) are the fastest growing age group in the population of many developed countries. However it is still uncommon to find statistics and analysis of this age group in current reporting. This article draws together demographic characteristics of people aged 85 and over from various different national data sources to provide an up-to-date picture of the oldest old.

Age Distribution↗
PubMed2004

Living arrangements among older people: an overview of trends in Europe and the USA.

This article compares the trends in living arrangements of older people in several European countries and in the United States. Trends and cross-country variability in several factors that could account for these cross-national differences, including marital status, fertility, labour force participation and attitudes, are also examined. In most countries the proportion of older people living alone increased substantially between 1970 and 1990. However the increase in living alone stabilised or even declined between 1990 and 2000 in most of the countries analysed indicating a possible reversal in the trend. Increases in proportions of older women who are married and reductions in the proportions childless may partially explain this. Considerable variability in both trends and levels of older people's living arrangements was seen especially between north-western and southern European countries. These variations mirrored contrasts in attitudes towards residential care and parent-child coresidence between the countries.

Adult↗
PubMed2004

Demographic data needs for an ageing population.

A consequence of population ageing is an increased need for demographic information on the older population. This presents new challenges for data collection. This article analyses several key aspects of data collection on older people, including survey design and questions. It also critically examines the current range of UK and international sources for data on older people. Specifically, it addresses the under-representation of the following groups in some UK statistical sources: ) older people in institutions, 2) the oldest old and 3) older people from ethnic minorities.

Aged↗
PubMed2003

Changes in the distribution of marital age differences in England and Wales, 1963 to 1998.

Assumptions about the 'typical' age gap between spouses underlie much social policy (e.g. the five-year difference in men's and women's state pension ages). In order to test the basis for these assumptions, detailed marriage registration statistics were obtained for 1963 and 1998, for England and Wales. Age differences between spouses were calculated and analysed by year, age at marriage and previous marital status. The median age gap hardly changed between 1963 and 1998 but this concealed considerable increase in the proportion of marriages where the man was younger than the woman or--to a lesser extent--where the man was six or more years older.

Adult↗
PubMed2002

The effect of losing the twin and losing the partner on mortality.

Several studies have explored the impact of marital bereavement on mortality, while increasing emphasis has recently been placed on genetic factors influencing longevity - in this paper, we study the impact of losing the spouse and losing the co-twin, for twins aged 50 to 70. We use data from the Danish Twin Registry and the Population Register of Denmark for the period 1968 through 1999. Firstly, we use survival analysis to study mortality after the death of the spouse or the co-twin. We find that the risk of dying is highest in the first year after the death of the spouse, as well as in the second year after the death of the co-twin. We then use event history analysis techniques to show that there is a strong impact of the event 'losing the co-twin' even after controlling for age, sex and zygosity and that this effect is significantly higher in the second year of bereavement. The effect is similar for men and women, and it is higher for monozygotic twins. The latter confirms the influence of genetic factors on survival, while the mortality trajectory with a peak in the second year after the death of the co-twin is consistent with the existence of a twin bereavement effect.

Aged↗