Longitudinal trends in good self-rated health: effects of age and birth cohort in a 25-year follow-up study in Sweden

Johansson, Sven‐Erik; Midlöv, Patrik; Sundquist, Jan; Sundquist, Kristina; Calling, Susanna

doi:10.1007/s00038-015-0658-y

Cited by 37 publications

(44 citation statements)

References 35 publications

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“…Increased availability of psychosocial interventions in health care centers, such as psychologists, could also be valuable. Our recently published study of the same study population showed a trend of deteriorating self-rated health in young adults, between 1980 and 2005, which further points out the vulnerability of this young age group [24]. …”

Section: Discussionmentioning

confidence: 90%

Longitudinal trends in self-reported anxiety. Effects of age and birth cohort during 25 years

et al. 2017

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BackgroundAnxiety has been suggested to increase among young individuals, but previous studies on longitudinal trends are inconclusive. The aim of this study was to analyze longitudinally, the changes over time of prevalence of self-reported anxiety in the Swedish population between 1980/1981 and 2004/2005, in different birth cohorts and age groups.MethodsA random sample of non-institutionalized persons aged 16–71 years was interviewed every eighth year. Self-reported anxiety was assessed using the question” Do you suffer from nervousness, uneasiness, or anxiety?” (no; yes, mild; yes, severe). Mixed models with random intercepts were used to estimate changes in rates of anxiety (mild or severe) within different age groups and birth cohorts and in males and females separately. In addition to three time-related variables – year of interview, age at the time of the interview, and year of birth –the following explanatory variables were included: education, urbanization, marital status, smoking, leisure time physical activity and body mass index.ResultsOverall prevalence of self-reported anxiety increased from 8.0 to 12.4% in males and from 17.8% to 23.6% in females, during the 25-year follow-up period. The increasing trend was found in all age groups except in the oldest age groups, and the highest increase was found in young adults 16–23 years, with more than a three-fold increase in females, and a 2.5-fold increase in males, after adjustments for covariates.ConclusionsBetween 1980/81 and 2004/05, there was an increasing prevalence of self-reported anxiety in all age groups except in the oldest, which indicates increased suffering for a large part of the population, and probably an increased burden on the health care system. Clinical efforts should focus particularly on young females (16–23 years), where the increase was particularly large; almost one third experienced anxiety at the end of the 25-year follow-up.

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Section: Discussionmentioning

confidence: 90%

Longitudinal trends in self-reported anxiety. Effects of age and birth cohort during 25 years

et al. 2017

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“…Previous studies suggested that the temporal developments of SRH differ across ages [9,13,27], thus calling for an age-specific approach in analyzing health trends. Within the context of an ageing population, the German government decided to rise the statutory retirement age gradually up to the age of 67 in order to keep the pension system financially sustainable [28].…”

Section: Introductionmentioning

confidence: 99%

Trends in self-rated health among the elderly population in Germany from 1995 to 2015 – the influence of temporal change in leisure time physical activity

et al. 2020

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Background: Against the backdrop of rising statutory retirement age in Germany, we analyzed time trends in selfrated health (SRH) among the elderly population between 50 and 70 years of age and explored the mediating role of leisure time physical activity (LTPA) on the relationship between time period and self-rated health (SRH). Methods: We used longitudinal survey data (n = 23,161) from a national panel study (GSOEP) to analyze time trends in SRH and regular LTPA (at least once a week) by means of Generalized Estimation Equation (GEE) analysis for logistic regression. The Karlson-Holm-Breen (KHB) method was applied for decomposing trend effects into direct and indirect parts via LTPA. In addition to odds ratios (OR), we illustrated the results by means of predicted probabilities and average partial effects (APE). Results: Over time, the predicted probabilities of good SRH and regular LTPA increased while those of poor SRH decreased. After adjusting for socioeconomic status (SES) 53.4% of the trend in good SRH in women (OR = 1.34 / APE = 6.8%-points) could be attributed to the rise in regular LTPA. In men, the remaining smaller effect (OR = 1.13 / APE = 2.7%) could be fully assigned to temporal changes in regular LTPA. With respect to poor health we found a suppression effect of LTPA in the adjusted model, indicating that without improvements in regular LTPA over time an increase in poor SRH would have occurred. Conclusions: The increase of regular LTPA accounted for improved SRH from 1995 to 2015 among the elderly, indicating that promoting LTPA might be a key factor to raise healthy working life expectancy.

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“…Ikäihmisten koettu terveys on aikaisempien tutkimusten perusteella kohentunut vuosien saatossa (Leinonen, Suominen, Sakari-Rantala, Laukkanen & Heikkinen 2006;Leskinen ym. 2010;Galenkamp, Braam, Huisman & Deeg 2012;Helldán & Helakorpi 2014;Johansson, Midlöv & Sundquist 2015;Giron 2016). On havaittu, että suomalaisten ikäihmisten koettu terveys on parantunut tasaisesti 1990-luvun alusta alkaen (Helldán & Helakorpi 2014).…”

Section: Johdantounclassified

“…2006;Galenkamp ym. 2012;Helldán & Helakorpi 2014;Johansson, Midlöv & Sundquist 2015). Tämän tutkimuksen tulokset tukevat aikaisempien tutkimusten havaintoja.…”

Section: Pohdintaunclassified

Koettu terveys, elintavat ja fyysinen toimintakyky – vuosina 1920 ja 1940 syntyneiden kohorttien vertailu

Henriksson¹,

Salminen²,

Arve³

et al. 2017

gerontologia

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Tutkimuksen tarkoituksena oli vertailla vuosina 1920 (n = 1032) ja 1940 (n = 956) syntyneiden 70-vuotiaiden kotona asuvien turkulaisten koettua terveyttä, elintapoja ja fyysistä toimintakykyä. Tiedot koetusta terveydestä, elintavoista (tupakointi, alkoholinkäyttö ja painoindeksi) ja fyysisestä toimintakyvystä (päivittäiset toiminnot, välineelliset toiminnot ja päivittäisiä toimintoja haittaavat oireet) kerättiin kyselylomakkeiden ja haastatteluiden avulla. Tulosten mukaan vuonna 1940 syntyneet kokivat terveytensä ja fyysisen toimintakykynsä paremmiksi kuin vuonna 1920 syntyneet. Lisäksi 1940 syntyneillä oli vähemmän päivittäistä toimintaa haittaavia oireita kuin vuonna 1920 syntyneillä. Alkoholin käyttö ja ylipaino sen sijaan olivat yleisempiä 1940 syntyneiden kuin 1920 syntyneiden keskuudessa. Tulokset ovat tärkeitä suunniteltaessa ennaltaehkäiseviä palveluita ikääntyville. Self-perceived health, health behaviour and physical functioning – a comparison of two cohorts born in 1920 and 1940 The aim of the study was to compare differences in self-perceived health, health behaviour and physical functioning between community-dwelling 70-year-old citizens of Turku born in 1920 (n=1032) and 1940 (n=956). Data of self-perceived health, health behaviour (smoking, alcohol consumption, body mass index) and physical functioning (activities of daily living, instrumental activities of daily living, symptoms causing difficulties in daily living) were collected using questionnaires and interviews. According to the results, self-perceived health and physical functioning were better among those born in 1940 than among those born in 1920. In addition, symptoms causing difficulties in daily living were less frequent in 1940 cohort than in 1920 cohort. However, alcohol consumption and overweight were more common in 1940 cohort compared to 1920 cohort. These results are applicable in planning of preventive services for older people.

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Longitudinal trends in good self-rated health: effects of age and birth cohort in a 25-year follow-up study in Sweden

Abstract: Longitudinal trends in good self-rated health: effects of age and birth cohort in a 25-year follow-up study in Sweden.

Cited by 37 publications

References 35 publications

Longitudinal trends in self-reported anxiety. Effects of age and birth cohort during 25 years

Longitudinal trends in self-reported anxiety. Effects of age and birth cohort during 25 years

Trends in self-rated health among the elderly population in Germany from 1995 to 2015 – the influence of temporal change in leisure time physical activity

Koettu terveys, elintavat ja fyysinen toimintakyky – vuosina 1920 ja 1940 syntyneiden kohorttien vertailu

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