caa a22 4500 397516681 CHVBK 20180308164620.0 cr unu---uuuuu 161202s1995 xx s 000 0 eng 10.1093/eurpub/5.1.20 doi (NATIONALLICENCE)oxford-10.1093/eurpub/5.1.20 VERBRUGGE LOIS M. New thinking and science on disability in mid- and late life [Elektronische Daten] [LOIS M. VERBRUGGE] Disability refers to the impacts that chronic conditions have on people's ability to act in necessary, expected and personally desired ways in their society. Scientists are now working to trace trajectories of disability over time for individuals and identify factors that propel and slow disability's pace. Their work is guided by conceptual schemes that Include i) a main pathway linking pathology, impairments, functional limitations, disability, and social disadvantage and ii) predisposing risk factors, interventions and exacerbators that alter the pace of that pathway. Recent findings from 3 projects are presented on the disabling impact of various chronic conditions, dynamics of disability for individuals and successful interventions. The results show the importance of non-fatal conditions as causes of disability in late life, how chronic conditions Increase time spent by older persons on obligatory activities while reducing time spent on discretionary ones and the great efficacy of personal and (especially) equipment assistance in reducing disability. We discuss medicine's dreams of primary prevention, contrasted with the actual advances in secondary prevention in the past half century and how those advances now prompt needs for prevention strategies that maintain and restore function among persons with chronic conditions. © European Journal of Public Health CHRONIC DISEASES nationallicence disability nationallicence dysfunction nationallicence gerontology nationallicence chronic conditions nationallicence The European Journal of Public Health Oxford University Press 5/1(1995), 20-28 1101-1262 5:1<20 1995 5 eurpub https://doi.org/10.1093/eurpub/5.1.20 text/html Onlinezugriff via DOI 1 other jats NATIONALLICENCE 856 40 https://doi.org/10.1093/eurpub/5.1.20 text/html Onlinezugriff via DOI NATIONALLICENCE 100 1- VERBRUGGE LOIS M. NATIONALLICENCE 773 0- The European Journal of Public Health Oxford University Press 5/1(1995), 20-28 1101-1262 5:1<20 1995 5 eurpub Metadata rights reserved CC BY-NC-4.0 http://creativecommons.org/licenses/by-nc/4.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-oxford