Influence of Sociodemographic, Behavioral and Other Health-Related Factors on Healthy Ageing Based on Three Operative Definitions
Elsevier BV - 2019
Tóm tắt
Healthy ageing (HA) is a key concept and highly desirable phenomenon in every ageing and already old societies. The aim of our study was to evaluate the influence of socio-economic conditions as well as life-style and other health-related factors on the WHO definition of HA. The study used cross-sectional data of the PolSenior Project — nationwide research evaluating different aspects of ageing in Poland — which included 4’653 respondents aged 65 years and over. Data were collected by trained interviewers in respondents’ homes. Three definitions of HA including or not the participants’ chronic conditions were analyzed. The prevalence of HA appeared as high as 17.6% if none or 1 chronic disease was present and 42.8% if no information about chronic diseases was taken into account. The association between known health predictors (age, marital status, education, income) and HA was observed. Moreover, HA appeared in relation with indicators of physical functioning and lifestyle. There was a strong concordance between HA and the fair self-rated health (OR = 1.87; 1.99, and 2.74 for the 1st, 2nd and 3rd definitions, respectively) and opposite relation with self-reported need for help (OR = 0.15; 0.15; and 0.13, respectively). The HA definition based on no functional activity limitations, no cognitive impairment, no depressive symptoms, no more than one disease and being socially active seems to be a useful approach of HA..
Từ khóa
Tài liệu tham khảo
Cosco TD, Prina AM, Perales J, Stephan BCM, Brayne C. Operational definitions of successful aging: a systematic review. Int Psychogeriatrics 2014;26:373–381
Depp CA, Jeste DV. Definitions and Predictors of Successful Aging: A Comprehensive Review of Larger Quantitative Studies. Am J Geriatr Psychiatry 2006;14:6–20
Michel J-P, Sadana R. “Healthy Aging” Concepts and Measures. J Am Med Dir Assoc 2017;18:460–164
Jopp DS, Wozniak D, Damarin AK, De Feo M, Jung S, Jeswani S. How Could Lay Perspectives on Successful Aging Complement Scientific Theory? Findings From a U.S. and a German Life-Span Sample. Gerontologist 2015;55:91–106
Rowe J, Kahn RR. Human aging: usual and successful. Science 1987;(80-) 237:143–149
Baker J, Meisner BA, Logan AJ, Kungl A-M, Weir P. Physical Activity and Successful Aging in Canadian Older Adults. J Aging Phys Act 2009;17:223–235
World Health Organization, 2015. WHO World report on ageing and health. http://www.who.int/ageing/events/world-report-2015-launch/en/. Accessed 10 Dec 2018
Cosco TD, Prina AM, Perales J, Stephan BCM, Brayne C. Lay perspectives of successful ageing: a systematic review and meta-ethnography. BMJ, 2013; Open doi/ https://doi.org/10.1136/bmjopen-2013-002710
Bryant LL, Corbett KK, Kutner JS. In their own words: a model of healthy aging. Soc Sci Med 2001;53:927–941
McLaughlin SJ, Connell CM, Heeringa SG, Li LW, Roberts JS. Successful Aging in the United States: Prevalence Estimates From a National Sample of Older Adults. Journals Gerontol Ser B Psychol Sci Soc Sci 2010;65B:216–226
Li C, Wu W, Jin H, Zhang X, Xue H, He Y, Xiao S, Jeste DV, Zhang M. Successful aging in Shanghai, China: definition, distribution and related factors. Int Psychogeriatrics 2006;18:551–563
Chaves ML, Camozzato AL, Eizirik CL, Kaye J. Predictors of Normal and Successful Aging Among Urban-Dwelling Elderly Brazilians. Journals Gerontol Ser B Psychol Sci Soc Sci 2009;64B:597–602
Arias-Merino ED, Mendoza-Ruvalcaba NM, Arias-Merino MJ, Cueva-Contreras J, Vazquez Arias C. Prevalence of Successful Aging in the Elderly in Western Mexico. Curr Gerontol Geriatr Res 2012; 1–6
Hamid TA, Momtaz YA, Ibrahim R. Predictors and prevalence of successful aging among older Malaysians. Gerontology 2012;58:366–370
Britton A, Shipley M, Singh-Manoux A, Marmot MG. Successful Aging: The Contribution of Early-Life and Midlife Risk Factors. J Am Geriatr Soc 2008;56:1098–1105
Hank K. How “Successful” Do Older Europeans Age? Findings From SHARE. Journals Gerontol Ser B Psychol Sci Soc Sci 2011;66B:230–236
Sowa A, Tobiasz-Adamczyk B, Topór-Mędry R, Poscia A, la Milia DI. Predictors of healthy ageing: public health policy targets. BMC Health Serv Res 2016;16: 289
Raphael D. The political economy of health promotion: part 1, national commitments to provision of the prerequisites of health. Health Promot Int 2013;28:95–111
Douglas H, Georgiou A, Westbrook J. Social participation as an indicator of successful aging: an overview of concepts and their associations with health. Aust Heal Rev 2017;41:455–162
Kleinspehn-Ammerlahn A, Kotter-Gruhn D, Smith J. Self-Perceptions of Aging: Do Subjective Age and Satisfaction With Aging Change During Old Age? Journals Gerontol Ser B Psychol Sci Soc Sci 2008;63:P377–P385
Wolff JL, Starfield B, Anderson G. Prevalence, Expenditures, and Complications of Multiple Chronic Conditions in the Elderly. Arch Intern Med 2002;162:2269
Fortin M, Bravo G, Hudon C, Vanasse A, Lapointe L. Prevalence of Multimorbidity Among Adults Seen in Family Practice. Ann Fam Med 2005;3:223–228
Strawbridge WJ, Wallhagen MI, Cohen RD. Successful Aging and Well-Being: Self-Rated Compared With Rowe and Kahn. Gerontologist 2002;42:727–733
McLaughlin SJ, Jette AM, Connell CM. An Examination of Healthy Aging Across a Conceptual Continuum: Prevalence Estimates, Demographic Patterns, and Validity. Journals Gerontol Ser A Biol Sci Med Sci 2012;67:783–789
Stephan Y, Demulier V, Terracciano A. Personality, self-rated health, and subjective age in a life-span sample: the moderating role of chronological age. Psychol Aging 2012;27:875–880
Jaspers L, Schoufour JD, Erler NS, et al. Development of a Healthy Aging Score in the Population-Based Rotterdam Study: Evaluating Age and Sex Differences. J Am Med Dir Assoc 2017;18:276.e1–276.e7
Bledowski P, Mossakowska M, Chudek J, Grodzicki T, Milewicz A, Szybalska A, Wieczorowska-Tobis K, Wiecek A, Bartoszek A, Dabrowski A, Zdrojewski T. Medical, psychological and socioeconomic aspects of aging in Poland: Assumptions and objectives of the PolSenior project. Exp Gerontol 2011;46:1003–1009
Rowe JW, Kahn RL. Successful Aging. Gerontologist 1997;37:433–140
Yesavage JA, Sheikh JI. Geriatric Depression Scale (GDS). Clin Gerontol 1986;5:165–173
GUS, 2010. Retirement Pay and Pensions in Poland in 2010. https://stat.gov.pl/cps/rde/xbcr/gus/ls_retirement_pay_and_pensions_in_2010.pdf Accessed 12 Dec 2018