Long‐Term Limiting Illness in the United Kingdom: Before and After the Covid Lockdown

Vani K. Borooah and Colin G. Knox

International Journal of Health Planning and Management, 2025, vol. 40, issue 4, 849-862

Abstract: The purpose of this paper is to study the evolution of LTLI in the UK between the pre‐ and post‐Covid years of, respectively, 2019 and 2022 paying attention to differences in the propensity to LTLI between different subgroups of the population in each of the two years and then examining whether the propensity to LTLI changed between the years, both in respect of overall change and in respect of the separate population subgroups. This was achieved using UK Labour Force Survey data for 2019 and 2022. In terms of the social gradient to health, persons in the Managerial/Professional classes had a significantly higher PP (predicted probability) of N‐LTI (i.e., of not having a long‐term illness) than persons either in the Routine non‐Manual or Routine Manual classes and also had a significantly lower PP of LTLI‐lot (i.e., of having a long‐term illness which limited activity by a lot) than persons either in the Intermediate or in the Routine Manual or Routine non‐Manual classes. This was true in both 2019 and 2022. In other words, there was significant inequality in the PP of LTLI associated with the occupational classes. In terms of changes in the propensity to LTLI, the PP of having a long‐term illness—regardless of whether it was limiting or not ‐ was significantly higher in 2022 than it was in 2019 both for the overall population and for its subgroups.

Date: 2025
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