Self-reported functional status among the old-old: A comparison of two Israeli cohorts

Howard Litwin, Amit Shrira, Dov Shmotkin

Research output: Contribution to journalArticlepeer-review

8 Scopus citations


Objectives: To examine differences in functional status among two successive cohorts. Method: The study was a comparative analysis of Jewish respondents aged 75 to 94 from two nationwide random samples: the Cross-Sectional and Longitudinal Aging Study (1989-1992; N = 1,200) and the Survey of Health, Ageing, and Retirement in Europe (2005-2006; N = 379). Self-reported functional limitation and disability were compared by means of logistic regressions and MANCOVA, controlling for age, gender, origin, education, marital status, income, self-rated health, and home care receipt. Results: Reported functional limitation decreased in the later cohort (SHARE-Israel), but activities of daily living (ADL) and instrumental activities of daily living (IADL) disability increased. Receipt of home care moderated these effects. ADL and IADL disability increased among home care-receiving respondents in the later cohort whereas functional limitation decreased among respondents not in receipt of home care. Discussion: The findings suggest that different measures used to assess the disablement process capture different aspects and that contextual factors influence how older people rate their own functional capacity.

Original languageEnglish
Pages (from-to)846-862
Number of pages17
JournalJournal of Aging and Health
Issue number5
StatePublished - Aug 2012
Externally publishedYes

Bibliographical note

Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The CALAS was initially funded by grant R01 AG005885 of the U.S. National Institute on Aging for the project titled “National Epidemiological Study of the Oldest Old.” The first wave of SHARE data collection in Israel was funded by the U.S. National Institute on Aging (R21 AG025169) for the project titled “Developing an Israeli Version of the HRS/SHARE Project,” the German–Israeli Foundation for Scientific Research and Development (G.I.F.), and the National Insurance Institute of Israel.


  • Israel
  • disability
  • functional status
  • home care
  • old-old


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