Heterogeneity in Multidimensional Health Trajectories of Late Old Years and Socioeconomic Stratification: A Latent Trajectory Class Analysis

Wickrama, K. A. S.; Mancini, Jay A.; Kwag, Kyunghwa; Kwon, Josephine A.

doi:10.1093/geronb/gbs111

Cited by 60 publications

(53 citation statements)

References 22 publications

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“…Em um estudo realizado por Alves et al 24 , a condição socioeconômica dos idosos, reflexo do grau de educação e a renda global, apresenta, forte relação com aspectos relevantes de sua saúde geral. Wickrama et al 25 , em estudo prospectivo, delineado para avaliar a heterogeneidade da trajetória de saúde multidimensional de 1.945 idosos, ressaltaram que a condição socioeconômica dos idosos impactam de forma negativa suas relações sociais, bem como os hábitos de vida e o acesso aos serviços de saúde pública, fatores que em conjunto contribuem para que os mesmos avaliem de forma negativa a própria saúde. O impacto da alta prevalência de doenças crônicas, associado ao tempo de doença, à redução da capacidade funcional e a um estado depressivo, tem sido sistematicamente relatado na literatura como fator capaz de influenciar negativamente a autoavaliação do estado de saúde do idoso 23,24,[26][27][28] .…”

Section: Discussionunclassified

Fatores associados à autoavaliação negativa da saúde em idosos cadastrados nas Unidades Básicas de Saúde

2018

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Introdução: A autoavaliação do estado de saúde pode ser considerada um preditor significante e independente de funcionalidade e morbimortalidade em idosos. Objetivo: Verificar a associação de indicadores sociodemográficos, de saúde e funcionalidade com a autoavaliação negativa da saúde (AANS) em idosos. Métodos: Estudo transversal, com uma amostra estratificada de idosos comunitários do município de Diamantina (MG), Brasil. Para avaliar a AANS e as variáveis sociodemográficas, de saúde e funcionalidade foi utilizado o Questionário BOAS – Brazil Old Age Schedule. Os testes Timed up & go e Functional reach foram aplicados para avaliar funcionalidade e risco de quedas, respectivamente. Para as análises univariadas utilizou-se o teste Qui-Quadrado de Pearson e o teste Qui-Quadrado de tendência linear (p ≤ 0,20). As análises múltiplas foram realizadas por meio de três modelos de regressão logística (p ≤ 0,05). Resultados: 401 idosos participaram deste estudo. As variáveis que apresentaram associação significativa com a AANS foram: idade de 80 anos e mais (OR=1,81; IC95%=1,06-3,08), recurso financeiro insuficiente (OR=2,43; IC95%=1,55-3,78), histórico de quedas (OR=3,24; IC95%=1,71-6,14), hipertensão (OR=3,27; IC95%=1,37-7,81), doença neurológica (OR=2,36; IC95%=1,18-4,71), doença osteomioarticular (OR=2,18; IC95%=1,26-3,78), depressão (OR=3,87; IC95%=1,88-7,75), tempo de doença > 12 anos (OR=2,13; IC95%=1,12-4,03), uso de prótese dentária (OR=0,50; IC95%=0,28-0,89), tempo ≥ 10 segundos para realização do Timed up & go (OR=2,54; IC95%=1,62-3,10), incapacidade em 2 ou mais atividades de vida diária (OR=1,86; IC95%=1,17-2,95) e autorrelato de sentir menos energia (OR=2,60; IC95%=1,57-4,31). Conclusão: A AANS está associada a fatores sociodemográficos, de saúde e funcionalidade, indicando a necessidade de um cuidado integral à saúde do idoso.

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Section: Discussionunclassified

Fatores associados à autoavaliação negativa da saúde em idosos cadastrados nas Unidades Básicas de Saúde

2018

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“…Guided by the life course perspective, age, race, and gender were considered ascribed characteristics that individuals cannot change [51,52]. Age was measured in years at baseline, gender as female (1) and male (0), and race/ethnicity as Caucasians (0), African Americans (1), and others (2).…”

Section: Methodsmentioning

confidence: 99%

Heterogeneous Trajectories of Physical and Mental Health in Late Middle Age: Importance of Life-Course Socioeconomic Positions

Kwon

Park

2017

IJERPH

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Drawing on life course and cumulative disadvantage theory, this study examines heterogeneous trajectories of functional limitations and depressive symptoms among late middle-aged individuals. This study used prospective data from 6010 adults, 51 to 64 years old, collected over a 12-year-period from the Health and Retirement Study. Considering the empirical proposition that several physical and mental trajectories may exist, Latent Class Growth Modeling was used. Five heterogeneous patterns of joint trajectories (Relatively healthy, Moderately improving, Steadily deteriorating, Steeply deteriorating, and Persistently high comorbid) were identified. Early life adversity was related to an increasing risk of declines in physical and mental health. The Persistently high comorbid class was characterized by a concentration of disadvantages over the life course. The development of public health interventions could help reduce co-existing physical and mental health problems, especially during late middle-age.

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“…Research has begun to establish the relationship between social disadvantage in early life and one’s health gradient in later life [11,12]. Most depression research to date has sought to examine SES effects on older adults by using a wide range of social disadvantage measures such as educational attainment [13-15], last occupation [14-16], and current income [13,15,17].…”

Section: Introductionmentioning

confidence: 99%

The effects of mid-life socioeconomic disadvantage and perceived social support on trajectories of subsequent depressive symptoms among older Taiwanese women

Chen¹,

Chiao²,

Ksobiech

2014

BMC Public Health

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BackgroundScant research has taken a life-course perspective to explore the longitudinal impact of socioeconomic disadvantage and perceived social support on the psychological well-being of older women. We sought to explore whether socioeconomic disadvantage and perceived social support in mid-life are associated with subsequent depressive symptomatology among older Taiwanese women.MethodsThis study was based on data from the Taiwan Longitudinal Study on Aging conducted on a nationally representative sample (n = 1,073) of women aged 50 and above with a 12-year follow up. Mid-life socioeconomic disadvantage was assessed by socioeconomic status (SES) (i.e., educational attainment, major lifetime occupation in adulthood, and employment status) and economic strain. Perceived social support included three dimensions: listening, caring, and sick care. We used the short form of the Center of Epidemiological Studies-Depression (CES-D) scale that measures depressive symptomatology within two domains (negative affect and lack of positive affect). Growth curve models were employed to predict the relationships between mid-life socioeconomic disadvantage, perceived social support, and subsequent depressive trajectories, controlling for aging effects.ResultsMultivariate analyses demonstrated older women in a socioeconomic disadvantaged position are more likely to report higher initial levels of depressive symptoms in both domains; lack of formal education did not exacerbate depressive symptoms in the lack of positive affect domain over time. In addition, mid-life perceived positive social support in caring and sick care was associated with lower initial levels of depressive symptoms in both domains.ConclusionsOur results suggest independent effects of mid-life socioeconomic disadvantage and perceived social support on subsequent depressive symptomatology among older Taiwanese women.

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Heterogeneity in Multidimensional Health Trajectories of Late Old Years and Socioeconomic Stratification: A Latent Trajectory Class Analysis

Cited by 60 publications

References 22 publications

Fatores associados à autoavaliação negativa da saúde em idosos cadastrados nas Unidades Básicas de Saúde

Fatores associados à autoavaliação negativa da saúde em idosos cadastrados nas Unidades Básicas de Saúde

Heterogeneous Trajectories of Physical and Mental Health in Late Middle Age: Importance of Life-Course Socioeconomic Positions

The effects of mid-life socioeconomic disadvantage and perceived social support on trajectories of subsequent depressive symptoms among older Taiwanese women

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