Support from children, living arrangements, self-rated health and depressive symptoms of older people in Spain

Zunzunégui, Maria-Victoria; Béland, François; Otero, Ángel

doi:10.1093/ije/30.5.1090

Cited by 239 publications

(230 citation statements)

References 41 publications

(36 reference statements)

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“…Our results are in line with the results previously found in the older population in Spain (Fernández Ballesteros 2002). In our study, perceived social support did not appear to influence health-related QoL, even though the positive effect of social support and social relationships on health has been shown elsewhere (Azpiazu Garrido et al 2002;Otero Puime et al 2006;Zunzunegui et al 2001). Sense of coherence likewise exerted a significant influence on the global QoL, but not on health-related QoL, of the study sample, thereby confirming its important positive effect in older adults QoL.…”

Section: Discussionsupporting

confidence: 78%

Components and determinants of quality of life in community-dwelling older adults

et al. 2012

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The objectives of this study are to detect the main components of global quality of life (QoL) of community-dwelling older adults from their own perspective and to identify determinants of health-related and global QoL in the same population. This is a cross-sectional study covering a representative sample of 1,106 communitydwelling adults aged 60 years and older residing in Spain. The survey collected information on QoL through a face-toface interview asking for QoL components in free-format, as well as the completion of two QoL measures, the EQ-5D and the Personal Wellbeing Index. The most important QoL dimensions, according to the participants of this study, were health, family, and finances. Depression was the main determinant of both QoL indices, while functional independence and social support specifically influenced health-related and global QoL, respectively. Based on the perspective of the older adults as well as on statistical analysis, this work emphasizes the importance of health, family, and social support as areas of special interest in aging. There was a discrepancy when comparing findings related to the importance of financial status. Results also support that global and health-related QoL share some common determinants, but with different weights for functional independence and social support.Keywords Global quality of life Á Health-related quality of life Á Community-dwelling Á Older adults Á Multimethod data

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Section: Discussionsupporting

confidence: 78%

Components and determinants of quality of life in community-dwelling older adults

et al. 2012

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“…The ability to perform ADL independently may have different value in each of the three countries. While in northern Europe autonomy is highly valued, in southern Europe it is the availability of assistance from family members that is valued highly (Zunzunegui et al 2001b). For a southern European person, having a son or a daughter willing to help his or her parents in need is a matter of pride and source of happiness.…”

Section: Discussionmentioning

confidence: 99%

“…Country differences in the associations between self-rated health and social networks seem to surpass the well-known socio-economic factors (Turner and Marino 1994;Grundy and Slogett 2003). In particular, emotional support from children is associated with good physical and mental health in older people from Spain, while the role of networks made up of subjects' children and support from such children is much weaker among the French-speaking Canadian population (Zunzunegui et al 2001b(Zunzunegui et al , 2004. However, having friends and social participation are strongly associated with good health status in French-speaking Canadian older subjects (Zunzunegui et al 2004).…”

Section: Introductionmentioning

confidence: 91%

Disability and social ties: comparative findings of the CLESA study

et al. 2005

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The associations between prevalence, incidence and recovery from activities of daily living (ADL) disability and social ties among community-dwelling persons over 65 in Finland, The Netherlands and Spain are examined. Data were harmonized in the CLESA study. The baseline sample was composed of 3,648 subjects between 65 and 85 years old, living in Finland, The Netherlands and Spain. Disability in four activities of daily living was determined at baseline and at follow-up. Social participation, number of family ties and presence of friends were added to obtain a social ties index. Logistic regressions were fitted to the prevalence, incidence and recovery data to estimate the associations between disability and social ties, adjusting for education, comorbidity and self-rated health. The modifying effects of country, age and sex were tested in all models. For every country, the social ties index, having friends and social participation were negatively associated with ADL disability prevalence. ADL incidence was negatively related to the number of family ties, with a stronger relationship in Spain than in The Netherlands or Finland. ADL recovery was associated with the social ties index. No age or gender differences in these associations were found. Social ties appear to generate a beneficial effect on the maintenance and restoration of ADL function. While social ties play an important role in maintaining and restoring function in all three countries, family ties appear to generate a stronger effect on protection from disability incidence than does social participation, and the strength of this effect varies by culture.

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“…Selfreported level of disability has been shown to be higher when help to perform ADL activities is available within the family (Seeman et al 1996) and is therefore subject to cultural influences. In the Mediterranean culture family interdependence is highly valued, and older adults expect their children to provide help in ADL in exchange for the help that they gave to their children throughout their active life (Zunzunegui et al 2001). Older persons in northern countries, particularly older men, have learned to withhold information about their weaknesses and not to report that they need help, even if they really do (the 'Calvinist' attitude).…”

Section: Discussionmentioning

confidence: 99%

Disability-free life expectancy: a cross-national comparison of six longitudinal studies on aging. The CLESA project

Minicuci¹,

Noale²,

Pluijm

et al. 2004

Eur J Ageing

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Disability-free life expectancy (DFLE) was compared in six countries taking part in the Crossnational Determinants of Quality of Life and Health Services for the Elderly (CLESA) project. Data from six existing longitudinal studies were used: TamELSA (Tampere, Finland), CALAS (Israel), ILSA (Italy), LASA (The Netherlands), Aging in Legane´s (Legane´s, Spain) and SATSA (Sweden). A harmonised four-item disability measure (bathing, dressing, transferring, toileting) was used to calculate DFLE; the harmonised measure was dichotomised into 'independent in all four activities' vs. 'dependent in at least one'. Calculations of DFLE were made using the multistate life table approach and the IMaCh program (INED/EuroRE-VES, http://eurorevesinedfr/imach/) for subjects aged 65-89 years. Prevalence ratios of disability varied significantly across countries, with Italy and Legane´s having the highest percentages among men and among women, respectively, while The Netherlands presented the lowest for both sexes. At 75 years of age the estimated total life expectancy among men ranged from 7.8 years in Tampere and Sweden to 9.0 years in Israel; among women it ranged from 9.5 years in Israel to 11.6 years in Italy. For both sexes Italy showed the lowest total life expectancy without disability (72% among men, 61% among women) and Sweden the highest (89% among men and 71% among women). The results yielded a north/south gradient, with residents in Tampere, The Netherlands and Sweden expected to spend a higher percentage of their lives without disability than those in Italy, Israel and Legane´s.

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Support from children, living arrangements, self-rated health and depressive symptoms of older people in Spain

Cited by 239 publications

References 41 publications

Components and determinants of quality of life in community-dwelling older adults

Components and determinants of quality of life in community-dwelling older adults

Disability and social ties: comparative findings of the CLESA study

Disability-free life expectancy: a cross-national comparison of six longitudinal studies on aging. The CLESA project

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