Response shift in self-rated health after serious health events in old age

2017 ◽  
Vol 192 ◽  
pp. 85-93 ◽  
Author(s):  
Svenja M. Spuling ◽  
Julia K. Wolff ◽  
Susanne Wurm
2021 ◽  
pp. 016402752110273
Author(s):  
Markus Wettstein ◽  
Hans-Werner Wahl ◽  
Vera Heyl

Although stress is a risk factor for various diseases in later life, its role for sensory abilities in the second half of life has rarely been empirically addressed. We examined if perceived stress at baseline predicts self-reported difficulties with vision and hearing 3 years later. We also explored whether chronological age is a moderator of associations between stress and sensory difficulties. Our sample was derived from the German Ageing Survey and consisted of n = 5,085 individuals aged 40–95 years ( M = 64.01 years, SD = 10.84 years). Controlling for baseline self-reported sensory functioning, socio-demographic indicators, self-rated health and chronic diseases, greater perceived stress at baseline predicted greater self-reported difficulties with vision and hearing 3 years later. The effect of stress did not vary by age. Our findings suggest that, from middle adulthood to advanced old age, stress is a risk factor for increases in self-perceived problems with vision and hearing.


2019 ◽  
Vol 48 (4) ◽  
pp. 1352-1366 ◽  
Author(s):  
Stefan Sieber ◽  
Boris Cheval ◽  
Dan Orsholits ◽  
Bernadette W Van der Linden ◽  
Idris Guessous ◽  
...  

Abstract Background Welfare regimes in Europe modify individuals’ socioeconomic trajectories over their life-course, and, ultimately, the link between socioeconomic circumstances (SECs) and health. This paper aimed to assess whether the associations between life-course SECs (early-life, young adult-life, middle-age and old-age) and risk of poor self-rated health (SRH) trajectories in old age are modified by welfare regimes (Scandinavian [SC], Bismarckian [BM], Southern European [SE], Eastern European [EE]). Methods We used data from the longitudinal SHARE survey. Early-life SECs consisted of four indicators of living conditions at age 10. Young adult-life, middle-age, and old-age SECs indicators were education, main occupation and satisfaction with household income, respectively. The association of life-course SECs with poor SRH trajectories was analysed by confounder-adjusted multilevel logistic regression models stratified by welfare regime. We included 24 011 participants (3626 in SC, 10 256 in BM, 6891 in SE, 3238 in EE) aged 50 to 96 years from 13 European countries. Results The risk of poor SRH increased gradually with early-life SECs from most advantaged to most disadvantaged. The addition of adult-life SECs differentially attenuated the association of early-life SECs and SRH at older age across regimes: education attenuated the association only in SC and SE regimes and occupation only in SC and BM regimes; satisfaction with household income attenuated the association across regimes. Conclusions Early-life SECs have a long-lasting effect on SRH in all welfare regimes. Adult-life SECs attenuated this influence differently across welfare regimes.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 110-110
Author(s):  
Daniele Zaccaria ◽  
Stefano Cavalli ◽  
Barbara Masotti ◽  
Daniela Jopp

Abstract Although loneliness and social isolation are often discussed together, they are mainly examined separately. The few studies examining both concepts simultaneously focus usually on the wider category of older people (65+), with no or little attention to very old age. Our main aim was to investigate loneliness and social isolation in combination among near-centenarians and centenarians. Analyzing data from the Fordham Centenarian Study (N=94; MAge=99.2; range=95-107), we found no or very weak associations between loneliness and social isolation. Combining measures of loneliness (UCLA Loneliness scale) and social isolation (Lubben Scale) we built a typology with four different groups (Not lonely or isolated; Lonely and isolated; Lonely but not isolated; Isolated but not lonely). The factors that most strongly predicted the distribution among these four groups were gender, widowhood, education, and self-rated health. Findings highlight the importance of jointly studying both concepts to better understand social risks in very old age.


2007 ◽  
Vol 62 (5) ◽  
pp. P277-P285 ◽  
Author(s):  
S.-T. Cheng ◽  
H. Fung ◽  
A. Chan

2001 ◽  
Vol 49 (1) ◽  
pp. 36-44 ◽  
Author(s):  
Paula Diehr ◽  
Jeff Williamson ◽  
Donald L. Patrick ◽  
Diane E. Bild ◽  
Gregory L. Burke ◽  
...  

2014 ◽  
Vol 26 (4) ◽  
pp. 637-662 ◽  
Author(s):  
Leah S. Rohlfsen ◽  
Jennie Jacobs Kronenfeld

2016 ◽  
Vol 71 (7) ◽  
pp. 923-928 ◽  
Author(s):  
Emmi Huohvanainen ◽  
Arto Y. Strandberg ◽  
Sari Stenholm ◽  
Kaisu H. Pitkälä ◽  
Reijo S. Tilvis ◽  
...  

2021 ◽  
Vol 9 ◽  
Author(s):  
Meire Cachioni ◽  
Gabriela Cabett Cipolli ◽  
Flávia Silva Arbex Borim ◽  
Samila Sathler Tavares Batistoni ◽  
Mônica Sanches Yassuda ◽  
...  

Introduction: Self-rated health is a multidimensional health indicator and a predictor of adverse events in old age. Answers to this assessment are influenced by social, cultural and personality factors.Aim: Exploring common and distinctive characteristics of Brazilian and Portuguese older adults aged 70 and over regarding positive self-rated health according to sociodemographic variables, to functional capacity, to independent performance of basic activities of daily living and to neuroticism, as well as analyzing associations between positive self-rated health and these variables.Methods: The present paper is a comparative and cross-sectional study based on secondary data contained in the databases of the FIBRA (Frailty in Brazilian Older Adults) follow-up study, with 418 Brazilian older adults, and of the DIA (From Disability to Activity: The Challenge of Aging) study, with 380 Portuguese older adults. Both samples had higher percentages of women: 68.4% for Portugal and 69.9% for Brazil. The Brazilian sample had a higher average age (80.31 ± 4.67) than the Portuguese sample (76.80 ± 5.28).Results: The Portuguese older adults had better overall cognition scores, higher handgrip strength and higher neuroticism values than the Brazilian older adults. In the simple and multiple logistic regression analyses, it was found that among Brazilian older adults, subjects with higher scores in the MMSE (OR 1.16; 95% CI 1.08–1.24), regardless of ADL performance (OR 2.13; 95% CI 1.31–3.47) and with scores 24–29 (OR 1.92; 95% CI 1.07–3.43) or 11–23 (OR 2.09; 95% CI 1.15–3.79) in neuroticism were more likely to assess their health as very good/good. On the other hand, the Portuguese older adults with intermediate 24–9 (OR 2.38; 95% CI 1.31–4.33) or low 11–23 (OR 5.31; 95% CI 2.69–10.45) scores in neuroticism were more likely to evaluate their health as very good/good.Conclusion: Based on the findings of the present study and on the existing literature, it may be said that it is possible for people to age while keeping a positive perception of their own health, even in advanced old age; comparisons between the above-mentioned countries, however, point to the need for investments in healthcare systems so that older adults may enjoy greater physical independence and improved mental health.


Sign in / Sign up

Export Citation Format

Share Document