Association Between Neighborhood Disadvantage and Functional Well-being in Community-Living Older Persons

Key Points Question: Do estimates of active and disabled life expectancy differ on the basis of neighborhood disadvantage after accounting for individual-level socioeconomic characteristics and other prognostic factors? Findings: In this prospective longitudinal cohort study among 754 nondisabled community-living older persons who were interviewed monthly for up to 22 years, active life expectancy was consistently lower, and the percentage of remaining life disabled was consistently higher in participants from neighborhoods that were disadvantaged vs not disadvantaged. Meaning: Living in a disadvantaged neighborhood was associated with lower active life expectancy and a greater percentage of projected remaining life with disability.