Functional limitation trajectories and their determinants among women in the Philippines

Zimmer, Zachary; Bao, Luoman; Mayol, Nanette L.; Chen, Feinian; Perez, Tita Lorna; Duazo, Paulita

doi:10.4054/demres.2017.36.30

Cited by 9 publications

(9 citation statements)

References 75 publications

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“…The World Health Organization reports that developing and maintaining functional ability that enables an individual's dignity and well-being in older age represents a top priority for healthy aging. 1 However, functional limitation, a substantial impairment in a person's ability to effectively perform main daily tasks (such as mobility and personal hygiene), [2][3][4] is still an increasingly common experience in later life and becomes a significant public health concern worldwide. Extensive studies have documented negative consequences associated with functional limitation, such as depression, 5 cognitive impairment, 6 reduced quality of life, 7 increased health care use and cost, 8,9 and morbidity and mortality, [10][11][12] which can impose a heavy burden on families and society.…”

Section: Introductionmentioning

confidence: 99%

Spousal Concordance in the Development of Functional Limitations Among Married Adults in China

Wang

Hou

et al. 2021

JAMA Netw Open

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IMPORTANCE Functional limitation is increasingly common as people age and is often associated with negative consequences. Evidence of the dynamics of functional limitation within couples in China is still inadequate.OBJECTIVES To examine whether functional limitation was associated within middle-aged and older couples and to explore sex differences in spousal associations. DESIGN, SETTING, AND PARTICIPANTSIn this nationwide, population-based cohort study performed from January 1, 2011, to December 31, 2018, participants were selected using multistage probability sampling, and 5207 community-dwelling couples (10 414 individuals) 45 years or older were included in the nationally representative China Health and Retirement Longitudinal Study. Data analysis was performed from January 1 to February 28, 2021. EXPOSURESThe exposure variable was the presence of functional limitation in spouses. Functional limitation was measured by the activities of daily living (ADLs) and instrumental activities of daily living (IADLs) scales and was defined as having difficulty in independently performing at least 1 ADL or IADL item. MAIN OUTCOMES AND MEASURESThe main outcome was functional limitation in index participants. Multivariable logistic regression with generalized estimating equations was used to estimate the reciprocal association of functional limitation within couples over time. RESULTS A total of 5207 married, different-sex couples (mean [SD] age, 59.1 [8.8] years for husbands and 57.0 [8.2] years for wives) were included in the study. For husbands, the number (percentage) of participants classified with baseline functional limitation was 1140 (21.9%), the number (percentage) with ADL limitation was 684 (13.1%), and the number (percentage) with IADL limitation was 834 (16.0%). For wives, the number (percentage) of participants classified with baseline functional limitation was 1502 (28.8%), the number (percentage) with ADL limitation was 887 (17.0%), and the number (percentage) with IADL limitation was 1183 (22.7%). Longitudinal results demonstrated an association in spouses developing functional limitation (adjusted odds ratio[OR], 2.55; 95% CI, 2.41-2.69; P < .001), ADL limitation (adjusted OR, 2.26; 95% CI, 2.11-2.41; P < .001), and IADL limitation (adjusted OR, 2.58; 95% CI, 2.43-2.73; P < .001). Subgroup analyses by sex revealed similar patterns of spousal health concordance in terms of all studied outcomes, indicating no sex specificity. CONCLUSIONS AND RELEVANCE This population-based cohort study suggests that amongChinese middle-aged and older couples there is significant concordance in the development of functional limitation. This study of spousal functional ability from a dyadic perspective may help in (continued) Key Points Question Are spouses concordant in the development of functional limitation over time in middle and old age? Findings In this cohort study of 10 414 community-dwelling participants (5207 married, different-sex couples) 45 years or older in China, significant interdependent associations were ...

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Section: Introductionmentioning

confidence: 99%

Spousal Concordance in the Development of Functional Limitations Among Married Adults in China

Wang

Hou

et al. 2021

JAMA Netw Open

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“…Those who gave birth during the period of May 1983 through April 1984 were included in the sample (N = 3,327; response rate 90%) and were followed up in 1991, 1994, 1998, 2002, 2005, 2007, and 2012. There is no comparable large sample of women in developing countries who are followed from their reproductive years to older adulthood, making CLHNS uniquely suitable to study changes in women’s life trajectories in the larger context of epidemiological transition (e.g., Dahly and Adair 2007; Schmeer 2010; Zimmer et al 2017).…”

Section: Methodsmentioning

confidence: 99%

“…As for SES, we included two measures at the individual and household level: (1) years of education and (2) a quartile index measuring household assets, with those in a higher quartile indicating a higher level of household SES. In terms of community-level SES, we used an urbanicity score that has been validated in earlier studies using CLHNS, which quantifies the concentration of amenities typically found in urban communities (Dahly and Adair 2007; Zimmer et al 2017). It ranged from 7 to 61, with higher value indicating a higher level of urbanization.…”

Section: Methodsmentioning

confidence: 99%

Time-use Profiles, Chronic Role Overload, and Women’s Body Weight Trajectories from Middle to Later Life in the Philippines

et al. 2019

Self Cite

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With caregiving and domestic duties often considered the domain of women in most parts of the world, increasing female representation in the workforce means that a growing number of women are juggling work and family responsibilities-a phenomenon often characterized by the term double burden or second shift (Bratberg, Dahl, and Risa 2002; Hochschild and Machung 2012). Researchers have explored the potential harm associated with work-and-family-conflict issues (Floderus et al. 2009; Hewitt, Baxter, and Western 2006). However, we know surprisingly little about the long-term health effects of the combination of work and family duties for women, especially as they enter into and exit from midlife, a life stage characterized by complex demands from various life domains and potential early onset of chronic illness and disease (Lachman 2004). While engagement in multiple roles could enhance psychological and emotional well-being, excessive demands from work, caregiving, and household chores could also become a source for elevated stress, especially when such role overload has endured and accumulated over the life course.

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“…Gender roles are crucial to well-being since more and more women require active social participation at higher ages. However, given the functional limitation, it may likely risk their well-being and challenge their overall health and welfare [ 9 , 10 ]. Women are more vulnerable to the risk of poor functional health than males and the risk is manifold particularly at upper ages [ 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

Functional disability among older adults in India; a gender perspective

Malik

2022

PLoS ONE

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Introduction Older adults are always at a greater risk of physical and functional health challenges. These complications result into morbidity, disability and death making them more vulnerable at later ages. Therefore, this paper will examine the functional health status among older adults and its gender perspective, along with associated risk factors. Materials and methods Using the first round of Longitudinal ageing survey of India (2017–18). Functional disability was computed based on general and instrumental activities of daily living (ADL and IADL) (n = 20910). Functional disability was coined with individual having at least one of the limitations of these activities. Applying bivariate and multivariate analysis the present paper studied the association, gender perspective and risk factors of functional disability among older adults aged 50 and above in India. Results Our results clearly showed the gender bias in functional disability, with greater proportion of women (52%) at risk for functional disability then men (35%). Factors like multimorbidity, depression and life satisfaction are key risk factors identified by this study that increase the likelihood of disability. Conclusion Functional disability is key to healthy ageing and needs immediate attention given its greater concentration among the elderly, particularly women. The results reflect the substantial burden of functional disability than self-care among older adults in India and therefore indicates some significant policy interventions to reduce the likely impact of functional disability.

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Functional limitation trajectories and their determinants among women in the Philippines

Cited by 9 publications

References 75 publications

Spousal Concordance in the Development of Functional Limitations Among Married Adults in China

Spousal Concordance in the Development of Functional Limitations Among Married Adults in China

Time-use Profiles, Chronic Role Overload, and Women’s Body Weight Trajectories from Middle to Later Life in the Philippines

Functional disability among older adults in India; a gender perspective

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