Structural disadvantage and (un)successful ageing: gender differences in activities of daily living for older people in Chile

Rotarou, Elena S.; Sakellariou, Dikaios

doi:10.1080/09581596.2018.1492092

Cited by 10 publications

(6 citation statements)

References 47 publications

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“…Also, the assessment of functional health, including measures of difficulty in executing functions related to ADL, such as eating, getting dressed, washing, and using the bathroom, demonstrated significant disparities in favour of men [ 41 , 42 ]. Similarly, previous studies show that physical restrictions, such as ADL, affect older women more than men [ 43 , 44 ]. Again, better cognitive functioning among men than women could be the basis of many other healthier personal choices, allowing men to age more successfully than their female counterparts [ 45 – 47 ].…”

Section: Discussionsupporting

confidence: 61%

Multivariate decomposition of gender differentials in successful aging among older adults in India

et al. 2023

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Background Rowe and Kahn define successful aging as a high physical, psychological, and social functioning in old age without major diseases. It is considered a viable solution to the burdens placed on healthcare systems and financial and social security in societies with aging population. The present study aimed to determine the prevalence of successful aging and explore the factors contributing to gender differentials in successful aging among older adults in India. Methods This study utilized data from the nationally representative Longitudinal Ageing Study in India, conducted in 2017–18. The study is based on a sample of 15,098 older men and 16,366 older women aged 60 years and above. The outcome variable was a dichotomous measure of successful aging with six components including absence of chronic diseases, free from disability, high cognitive ability, free from depressive symptoms, active social engagement in life and free from obesity. Older adults satisfying all these conditions were considered aging successfully. Descriptive and bivariate analyses were carried out. Proportion test was used to evaluate the gender differentials and reflect the statistical significance in the associated factors. Multivariate decomposition analysis was conducted to identify covariates’ contribution in explaining the gender differences in successful aging. Results There was a significant gender difference in successful aging among older adults in India (Difference: 8.7%; p-value < 0.001] with 34.3% older men and 25.6% older women experiencing successful aging. A proportion of 88% of gender difference in successful aging was explained by the differences in the distribution of characteristics (Coef: 0.082; p-value < 0.05). Considerable gender gap in successful aging would be reduced if women had similar levels of work status (28% reduction) to their male counterparts. Bringing the level of frequent physical activity in women to the same levels observed in men would reduce the gender gap by 9%. Conclusions The findings suggest that women had a lower score in successful aging, which is attributed to several socioeconomic and behavioural factors including not working status and physical inactivity. More studies must be done to explore the reasons for such differences and what particular factors in low-income countries create differences among older men and women in achieving successful aging.

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Section: Discussionsupporting

confidence: 61%

Multivariate decomposition of gender differentials in successful aging among older adults in India

et al. 2023

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“…The same figures for France were 91.3% for men vs. 89.5% for women, and in Israel 91.2 vs. 88.8%, respectively. Similarly, various studies confirm that women in old age suffer more than men from limitations in physical functioning, such as ADL and IADL, and frailty (1, 4, 6, 69). In conclusion, data from various sources indicate that although women have more years of life, they also live more years with disabilities and these difficult years tend to occur during their old age.…”

Section: Gender Differences In Healthmentioning

confidence: 90%

Health and Well-Being in Late Life: Gender Differences Worldwide

Carmel

2019

Front. Med.

146

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Maintaining health and quality of life and decreasing the number of years lived with disabilities in old age are among the main challenges of aging societies worldwide. This paper aims to present current worldwide health-related gender inequalities throughout life, and especially in late life, as well as gender gaps in social and personal resources which affect health, functioning and well-being. This paper also addresses the question of whether gender gaps at younger ages tend to narrow in late life, due to the many biological and social changes that occur in old age. Based on international data regarding these gender gaps and the trends of change in personal resources and health-related lifestyles in the more and less developed nations, conclusions regarding future changes in gender gaps are presented, along with practical implications for future improvements in women's health and well-being.

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“…Contrary to the situation in men, women have a higher incidence of chronic diseases such as arthritis, depression, osteoporosis, and consecutive fractures 35 ) ; therefore, women experience more physical functional limitations and frailty than men. 36 ) Women also spend more years than men living with disability, likely during old age. Therefore, older women may be more strongly affected by various factors such as age and have a smaller LSM than older men.…”

Section: Discussionmentioning

confidence: 99%

Gender Differences in Life-space Mobility-associated Factors and Structures in Community-dwelling Older People

Matsuda

Ariie

Okoba

et al. 2022

PRM

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Objectives: This cross-sectional study sought to examine gender dissimilarities in factors and structures associated with life-space mobility (LSM) in community-dwelling older people. Methods: This study included a total of 294 older people living in Okawa, Fukuoka Prefecture, Japan. The subjects’ body mass index (BMI) and skeletal muscle mass index (SMI) were evaluated. Furthermore, the age, gender, and LSM of the participants were assessed. LSM was assessed using a framework based on social isolation, fall self-efficacy, mobility, cognitive function, and lower limb muscle strength. Path analysis was performed to assess LSM-associated factors and their respective effect sizes (ESs), and male and female LSM models were established. Results: Path analysis identified SMI and social isolation as direct factors and cognitive function as an indirect factor associated with LSM in both men and women. In the male LSM model, the direct factors in descending order of ES were BMI, social isolation, SMI, and lower limb muscle strength. In the female model, the direct factors in descending order of ES were age, fall self-efficacy, mobility, social isolation, and SMI; age was noted as having an indirect effect on the remaining associated factors. Conclusions: This study clarified the gender differences in factors influencing LSM and the underlying structure of LSM mediation by these factors. Therefore, gender differences should be considered when planning interventions aimed at improving the LSM and general well-being of older people, particularly for community-dwelling individuals.

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Structural disadvantage and (un)successful ageing: gender differences in activities of daily living for older people in Chile

Cited by 10 publications

References 47 publications

Multivariate decomposition of gender differentials in successful aging among older adults in India

Multivariate decomposition of gender differentials in successful aging among older adults in India

Health and Well-Being in Late Life: Gender Differences Worldwide

Gender Differences in Life-space Mobility-associated Factors and Structures in Community-dwelling Older People

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