Residence in urban and rural areas over the life course and depression among Ghanaian and South African older adults

Abstract Background: Multimorbidity is defined as the co-occurrence of two or more than two diseases in the same person. With rising longevity, multimorbidity has become a prominent concern among the older population. Evidence from both developed and developing countries shows that older people are at much higher risk of multimorbidity, however, urban-rural differential remained scarce. Therefore, this study examines urban-rural differential in multimorbidity among older adults by decomposing the risk factors of multimorbidity and identifying the covariates that contributed to the change in multimorbidity.Methods: The study utilized information from 31,464 older adults (rural-20,725 and urban-10,739) aged 60 years and above from the recent release of the Longitudinal Ageing Study in India (LASI) wave 1 data. Descriptive, bivariate, and multivariate decomposition analysis techniques were used.Results: Overall, significant urban-rural differences were found in the prevalence of multimorbidity among older adults (difference: 16.3; p<0.001). Moreover, obese/overweight and high-risk waist circumference were found to narrow the difference in the prevalence of multimorbidity among older adults between urban and rural areas by 8% and 9.1%, respectively.Conclusion: There is a need to substantially increase the public sector investment in healthcare to address the multimorbidity among older adults, more so in urban areas, without compromising the needs of older adults in rural areas.

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Harmonisation and Between-Country Differences of the Lifetime of Experiences Questionnaire in Older Adults

Frontiers in Aging Neuroscience ◽

10.3389/fnagi.2021.740005 ◽

2021 ◽

Vol 13 ◽

Author(s):

Valentin Ourry ◽

Natalie L. Marchant ◽

Ann-Katrin Schild ◽

Nina Coll-Padros ◽

Olga M. Klimecki ◽

...

Keyword(s):

Older Adults ◽

Life Course ◽

Cognitive Reserve ◽

Leisure Activities ◽

International Comparisons ◽

Education Systems ◽

Promising Tool ◽

Behavioural Determinants ◽

Country Differences ◽

The Life Course

Background: The Lifetime of Experiences Questionnaire (LEQ) assesses complex mental activity across the life-course and has been associated with brain and cognitive health. The different education systems and occupation classifications across countries represent a challenge for international comparisons. The objectives of this study were four-fold: to adapt and harmonise the LEQ across four European countries, assess its validity across countries, explore its association with brain and cognition and begin to investigate between-country differences in life-course mental activities.Method: The LEQ was administered to 359 cognitively unimpaired older adults (mean age and education: 71.2, 13.2 years) from IMAP and EU-funded Medit-Ageing projects. Education systems, classification of occupations and scoring guidelines were adapted to allow comparisons between France, Germany, Spain and United Kingdom. We assessed the LEQ's (i) concurrent validity with a similar instrument (cognitive activities questionnaire - CAQ) and its structural validity by testing the factors' structure across countries, (ii) we investigated its association with cognition and neuroimaging, and (iii) compared its scores between countries.Results: The LEQ showed moderate to strong positive associations with the CAQ and revealed a stable multidimensional structure across countries that was similar to the original LEQ. The LEQ was positively associated with global cognition. Between-country differences were observed in leisure activities across the life-course.Conclusions: The LEQ is a promising tool for assessing the multidimensional construct of cognitive reserve and can be used to measure socio-behavioural determinants of cognitive reserve in older adults across countries. Longitudinal studies are warranted to test further its clinical utility.

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Comparison of The Risk Factors For Falls Among Older Adults Between Urban and Rural Areas of Shantou City, China

10.21203/rs.3.rs-72830/v1 ◽

2020 ◽

Author(s):

Xiaodong Chen ◽

Zeting Lin ◽

Ran Gao ◽

Yijian Yang ◽

Liping Li

Keyword(s):

Risk Factors ◽

Older Adults ◽

Fall Prevention ◽

Rural Areas ◽

Urban Areas ◽

Multivariable Analysis ◽

Living Environment ◽

Balance Function ◽

Urban And Rural Areas ◽

Risk Factors For Falls

Abstract Background: To investigate the prevalence of falls and risk factors among older adults in urban and rural areas and to facilitate the design of fall prevention interventions.Methods: We used cluster random sampling to investigate the sociodemographic information, living habits, medical history, and falls among 649 older adult participants. Univariable and multivariable logistic regression was used to examine fall risk factors in urban and rural areas.Results: The fall rate and rate of injury from falls among older adults in urban areas were 27.3% and 18.6%, respectively, which were higher than those in rural areas (17.0% and 12.2%; P<0.05). Multivariable analysis showed that the risk factors for falls among urban older adults included a high school or below education level (OR=3.737, 95% CI: 1.503~9.291); diabetes medicine use (OR=4.518, 95% CI: 1.228~16.626); incontinence (OR=8.792, 95% CI: 1.894~40.824); lack of fall prevention education (OR = 11.907, 95% CI: 1.321～107.354); and reduced balance function (OR = 3.901, 95% CI: 1.894~7.815). The risk factors among rural older adults included a previous nonfarming occupation (OR=2.496, 95% CI: 1.416~4.398); incontinence (OR =11.396, 95% CI: 1.901~68.327); poor living environment (OR=3.457, 95% CI: 1.488~8.033); and reduced balance function (OR =4.260, 95% CI: 2.361~7.688).Discussion: The rate of falls among older adults in urban areas is higher than that in rural areas of Shantou City. Fall prevention in urban areas should target older adults with low education and modify the diabetes medication use. Interventions should focus on improving the home environment of older adults in rural areas.

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Religiosity and self-rated health among older adults in Colombia

Colombia Medica ◽

10.25100/cm.v50i2.4012 ◽

2019 ◽

pp. 67-76

Author(s):

Carlos A Reyes Ortiz ◽

Claudia Payan ◽

Geraldine Altamar ◽

Jose F Gomez Montes ◽

Harold G Koenig

Keyword(s):

Older Adults ◽

Rural Areas ◽

Community Dwelling ◽

Cross Sectional Survey ◽

Significant Interaction Effect ◽

Cross Sectional ◽

Self Rated Health ◽

Urban And Rural Areas ◽

Fair Poor ◽

The Relationship

Objective: To identify the relationship between religiosity and self-rated health among older adults in Colombia. Methods: Data are drawn from the SABE (Salud, Bienestar y Envejecimiento) Colombia Study, a cross-sectional survey conducted in 2015 involving 18,871 community-dwelling adults aged 60 years and older living in urban and rural areas of Colombia. Religiosity was assessed by self-rated religiosity (how religious are you: not at all, somewhat or very). Self-rated health during previous 30 days was assessed as very good, good, fair, poor or very poor, analyzed as an ordinal variable(1-5) using weighted logistic regression, adjusting for confounders. Results: Those who were more religious were older, female, had lower socioeconomic status, and were more likely to be married. Multivariate analyses demonstrated that older adults who were more religious had better self-rated health (OR 0.92 95% CI 0.86- 0.99, p= 0.038); however, there was a significant interaction effect between gender and religiosity on self-rated health (p= 0.002), such that the relationship between religiosity and health was stronger in men (OR 0.86, 95% CI: 0.79-0.94, p= 0.001) but not significant in women. Conclusion: Older adults in Colombia who consider themselves more religious, especially men, are less likely to perceive their physical health as poor compared to those who are less religious.

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Attitudes toward aging, social support and depression among older adults: Difference by urban and rural areas in China

Journal of Affective Disorders ◽

10.1016/j.jad.2020.05.052 ◽

2020 ◽

Vol 274 ◽

pp. 85-92

Author(s):

Danxia Liu ◽

Juan Xi ◽

Brian J. Hall ◽

Mingqi Fu ◽

Bo Zhang ◽

...

Keyword(s):

Social Support ◽

Older Adults ◽

Rural Areas ◽

Attitudes Toward Aging ◽

Urban And Rural Areas

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KEEPING THINGS, BUT ONLY FOR A WHILE

Innovation in Aging ◽

10.1093/geroni/igz038.1323 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S362-S363

Author(s):

David J Ekerdt

Keyword(s):

Older Adults ◽

Material Culture ◽

Life Course ◽

Long Run ◽

Museum Objects ◽

Entire World ◽

The Difference ◽

Aging Adults ◽

The Life Course

Abstract The life course is accomplished by material culture held as a convoy of possessions, but also sustained by public affordances and amenities that include the artifacts and artworks to be found in museums. In both places—household and museum—objects come and go, but there is mainly keeping. The difference lies in the capacity to keep things indefinitely: it is virtue for museums but a predicament for households of aging adults. Museums model ideals of permanence and responsibility toward things, ideals that, in the long run, households can only faintly attain. For older adults and for gerontologists, preservation is the wrong lesson to take away from the galleries. Rather, what we can learn there is how single, selected things can show, in a thoughtful way, an entire world of ideas and universe of meaning. No need to keep it all—and forever—but we can honor things while we can.

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Sexy till I die: What applied theatre can offer in approaches to sexual health

Journal of Applied Arts and Health ◽

10.1386/jaah_00007_1 ◽

2019 ◽

Vol 10 (3) ◽

pp. 365-375

Author(s):

Leah Tidey

Keyword(s):

Older Adults ◽

Critical Pedagogy ◽

Sexual Health ◽

Life Course ◽

Social Stigma ◽

Health Issues ◽

Sexually Transmitted ◽

The Social ◽

Applied Theatre ◽

The Life Course

Abstract For older adults in Canada, too often shame and silence describe their experiences of sexual health. With more citizens over the age of 65 than ever before and increasing rates of Sexually Transmitted Infections (STIs) in older adults, we are facing a serious issue. Applied theatre offers an innovative approach to deconstructing social stigma in sexuality across the life course, whereby new understandings and perceptions may emerge for people of all ages. The usefulness, gaps and application of three different approaches to sexual health issues are examined to highlight innovations in addressing sexual health and critique ageist, sexist and heteronormative assumptions through a feminist, critical pedagogy lens. The analysis culminates in a proposed outline for an intergenerational, community-based theatre project to address the social stigma of sexuality across the life course entitled You're Doing What?! At Your Age?!

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FAMILY-MEMBER LOSS AS A CUMULATIVE BURDEN FOR HEALTH AMONG BLACK AND WHITE OLDER ADULTS

Innovation in Aging ◽

10.1093/geroni/igz038.2248 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S604-S604

Author(s):

Rachel Donnelly

Keyword(s):

Older Adults ◽

Life Course ◽

Family Member ◽

Functional Limitations ◽

Black Americans ◽

Later Life ◽

Cardiometabolic Health ◽

Black And White ◽

Family Loss ◽

The Life Course

Abstract The health consequences of multiple family member deaths across the life course has received less attention in the bereavement literature. Moreover, recent research shows that black Americans are more likely than white Americans to lose multiple family members. I analyze longitudinal data from the Health and Retirement Study (1992-2014) to assess how multiple family member losses across the life course are associated with declines in health among older adults. Findings suggest that multiple family losses prior to midlife are associated with a number of indicators of poor health (e.g., functional limitations, cardiometabolic health) and steeper declines in health as individuals age. Losses after midlife additionally undermine health declines for older adults. Thus, family member loss functions as a cumulative burden of stress across the life course that erodes health in mid- and later-life. Family loss disproportionately burdens black Americans and serves as a unique source of disadvantage for black families.

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Transitions, generations andinformal learning in later life

Andragoška spoznanja ◽

10.4312/as.18.4.29-36 ◽

2012 ◽

Vol 18 (4) ◽

pp. 29

Author(s):

John Field

Keyword(s):

Older Adults ◽

Older People ◽

Life Course ◽

Demographic Change ◽

Life Histories ◽

Later Life ◽

Identity Change ◽

Social Scientists ◽

Life Chances ◽

The Life Course

The nature of transitions across the lifecourse is changing, as are the ways in which these transitions are understoodand investigated by social scientists. Much earlier debate on older adults’ transitions has tended to be rooted in acco-unts of relatively fixed social roles and age-based social stages. However, while we can detect some tendencies towardsdestandardization and restandardization of the lifecourse in later life, we can also see significant continuities in theinfluences of socio-economic position, gender, and ethnicity, as well as of generational position, that continue to affectpeople’s life chances, as well as the expectations and experiences of transition of older people. The paper examines theinterplay of these complex and contradictory structural positions and cultural locations on transitions, and considersthe ways in which older people use and understand learning, formally and informally, as a way of exercising agencyand recreating meaning. It will draw on recent research into the life histories of adults in Scotland, a relatively smallcountry with a typically European pattern of demographic change. The study was concerned with agency, identity,change and learning across the life course, and this paper will concentrate on the evidence relating to experiences oftransition in later life. It will particularly focus on the idea of ‘educational generations’ as a key concept that helps usunderstand how adults use and interpret learning in later life.

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Association Between Happiness and Objective/Subjective Economic Status Among Older Adults in Myanmar

10.21203/rs.3.rs-122513/v1 ◽

2020 ◽

Author(s):

Yuri Sasaki ◽

Yugo Shobugawa ◽

Ikuma Nozaki ◽

Daisuke Takagi ◽

Yuiko Nagamine ◽

...

Keyword(s):

Older Adults ◽

Rural Areas ◽

Urban Areas ◽

Economic Status ◽

Wealth Index ◽

Economic Indicator ◽

Sampling Procedure ◽

Household Asset ◽

Face To Face ◽

Urban And Rural Areas

Abstract BackgroundFew studies have examined whether objective or subjective economic status (ES) has a greater effect on the happiness of older adults in developing countries with ageing populations. This study examined whether objective/subjective economic status (ES) is associated with happiness in older adults in Myanmar.MethodA multistage, random sampling procedure and face-to-face interviews were conducted in urban and rural areas in Myanmar. The happiness of 1,200 participants aged 60+ was evaluated using a single happiness score of 0 (very unhappy) to 10 (very happy). The wealth index, used as an objective economic indicator, was calculated from household asset items. Subjective economic status was assessed by asking “Which of the following best describes your current financial situation in light of general economic conditions?” The possible responses ranged from (1) very difficult to (5) very comfortable. ResultsThe mean happiness score was lower among participants with low objective and subjective ES than among those with medium or high objective ES (6.24 versus 6.80 points, p < 0.001) and average or higher subjective ES (5.62 versus 6.83 points, p < 0.001), respectively. Both low objective and subjective ES were negatively associated with happiness after adjusting for confounding variables (B: -0.41, 95% confidence interval [CI]: -0.69, -0.13 and B: -0.71, 95% CI: -1.00, -0.42, respectively) and stratification by region (low objective ES, urban: B: -0.52, 95% CI: -1.03, -0.02; low subjective ES, urban: B: -0.50, 95% CI: -0.96, -0.03; low objective ES, rural: B: -0.37, 95% CI: -0.73, -0.02; and low subjective ES, rural: B: -0.80, 95% CI: -1.18, -0.41). ConclusionsIn Myanmar, both objective and subjective ES might influence happiness among older adults. Although they had a similar impact on happiness in urban areas, subjective ES had a stronger impact in rural areas. Interventions for promoting happiness in older adults should consider differences in how objective/subjective ES impacts happiness in different regions, and focus should be placed not only on improving objective ES but also subjective ES in society.

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