scholarly journals Health Patterns among Migrant and Non-Migrant Middle- and Older-Aged Individuals in Europe—Analyses Based on Share 2004–2017

2021 ◽  
Vol 18 (22) ◽  
pp. 12047
Author(s):  
Nico Vonneilich ◽  
Daniel Bremer ◽  
Olaf von dem Knesebeck ◽  
Daniel Lüdecke
Keyword(s):  
Depressive Symptoms ◽  
Physical Functioning ◽  
Health Indicators ◽  
Logistic Regression Models ◽  
Migrant Populations ◽  
Self Rated Health ◽  
Health Differences ◽  
Health Patterns ◽  
Health Gap ◽  
Over Time

Introduction: European populations are becoming older and more diverse. Little is known about the health differences between the migrant and non-migrant elderly in Europe. The aim of this paper was to analyse changes in the health patterns of middle- and older-aged migrant and non-migrant populations in Europe from 2004 to 2017, with a specific focus on differences in age and gender. We analysed changes in the health patterns of older migrants and non-migrants in European countries from 2004 to 2017. Method: Based on data from the Survey of Health, Ageing and Retirement in Europe (6 waves; 2004–2017; n = 233,117) we analysed three health indicators (physical functioning, depressive symptoms, and self-rated health). Logistic regression models for complex samples were calculated. Interaction terms (wave * migrant * gender * age) were used to analyse gender and age differences and the change over time. Results: Middle- and older-aged migrants in Europe showed significantly higher rates of depressive symptoms, lower self-rated health, and a higher proportion of limitations on general activities compared to non-migrants. However, different time trends were observed. An increasing health gap was identified in the physical functioning of older males. Narrowing health gaps over time were observed in women. Discussion: An increasing health gap in physical functioning in men is evidence of cumulative disadvantage. In women, evidence points towards the hypothesis of aging-as-leveler. These different results highlight the need for specific interventions focused on healthy ageing in elderly migrant men.

Anaemia and physical and mental health in the very old: An individual participant data meta-analysis of four longitudinal studies of ageing

2020 ◽  
Author(s):  
Leah Palapar ◽  
Ngaire Kerse ◽  
Anna Rolleston ◽  
Wendy P J den Elzen ◽  
Jacobijn Gussekloo ◽  
...  
Keyword(s):  
Mental Health ◽  
Depressive Symptoms ◽  
Standard Deviation ◽  
Cognitive Function ◽  
Functional Ability ◽  
Meta Analysis ◽  
Physical And Mental Health ◽  
Very Old ◽  
Self Rated Health ◽  
Over Time

Abstract Objective To determine the physical and mental health of very old people (aged 80+) with anaemia. Methods Individual level meta-analysis from five cohorts of octogenarians (n = 2,392): LiLACS NZ Māori, LiLACS NZ non-Māori, Leiden 85-plus Study, Newcastle 85+ Study, and TOOTH. Mixed models of change in functional ability, cognitive function, depressive symptoms, and self-rated health over time were separately fitted for each cohort. We combined individual cohort estimates of differences according to the presence of anaemia at baseline, adjusting for age at entry, sex, and time elapsed. Combined estimates are presented as differences in standard deviation units (i.e. standardised mean differences–SMDs). Results The combined prevalence of anaemia was 30.2%. Throughout follow-up, participants with anaemia, on average, had: worse functional ability (SMD −0.42 of a standard deviation across cohorts; CI -0.59,-0.25); worse cognitive scores (SMD -0.27; CI -0.39,-0.15); worse depression scores (SMD -0.20; CI -0.31,-0.08); and lower ratings of their own health (SMD -0.36; CI -0.47,-0.25). Differential rates of change observed were: larger declines in functional ability for those with anaemia (SMD −0.12 over five years; CI -0.21,-0.03) and smaller mean difference in depression scores over time between those with and without anaemia (SMD 0.18 over five years; CI 0.05,0.30). Conclusion Anaemia in the very old is a common condition associated with worse functional ability, cognitive function, depressive symptoms, and self-rated health, and a more rapid decline in functional ability over time. The question remains as to whether anaemia itself contributes to worse outcomes or is simply a marker of chronic diseases and nutrient deficiencies.

scholarly journals The gender health gap in Europe’s ageing societies: universal findings across countries and age groups?

2020 ◽  
Vol 17 (4) ◽  
pp. 509-520 ◽  
Author(s):  
Alina Schmitz ◽  
Patrick Lazarevič
Keyword(s):  
Gender Gap ◽  
Age Groups ◽  
Health Indicators ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Activity Limitations ◽  
Chronic Health ◽  
Heart Attacks ◽  
Self Rated Health ◽  
Health Gap

AbstractWe provide a systematic country and age group comparison of the gender gap in several generic health indicators and more specific morbidity outcomes. Using data from the Survey of Health, Ageing and Retirement (SHARE), we examined the gender gap in the prevalence of poor self-rated health, chronic health conditions, activity limitations, multimorbidity, pain, heart attacks, diabetes, and depression in three age groups (50–64, 65–79, and 80+) based on linear probability models with and without adjustment for covariates. While women were typically disadvantaged regarding poor self-rated health, chronic health conditions, activity limitations, multimorbidity, pain, and depression, men had a higher prevalence of heart attacks and diabetes. However, the gender gap’s magnitude and sometimes even its direction varied considerably with some age trends apparent. Regarding some health indicators, the gender gap tended to be higher in Southern and Eastern Europe than in Western and Northern Europe. All in all, the presence of a gender health gap cannot be regarded as a universal finding as the gap tended to widen, narrow or even reverse with age depending on the indicator and country.

The association between adults' experiences with violence, perceived social support, and health

2013 ◽  
Author(s):  
◽  
Linley A. Snyder-Rivas
Keyword(s):  
Life Satisfaction ◽  
Depressive Symptoms ◽  
Health Outcomes ◽  
Emotional Support ◽  
Health Indicators ◽  
Functional Health ◽  
Physical And Mental Health ◽  
Stress Buffering ◽  
Self Rated Health ◽  
Main Effects

[ACCESS RESTRICTED TO THE UNIVERSITY OF MISSOURI AT AUTHOR'S REQUEST.] This study examined the associations between adults' experiences with violence, spousal and non-marital perceived emotional support, and physical and mental health using hierarchical multiple regression. A sample of 3,612 adults from the Americans' Changing Lives study, 641 of whom had been attacked or assaulted at least once in their lives, was studied. Main effects, mediation, and moderation (i.e., stress-buffering) models with perceived emotional support as the potential mediator and moderator for the association between violence and health were evaluated. Findings demonstrated that the main effects model explained a significant amount of variance in infrequent depressive symptoms, life satisfaction, and self-rated health outcomes in the full sample, and in infrequent depressive symptoms, life satisfaction, and the absence of chronic conditions outcomes for violence survivors. However, none of the full mediation models explained a significant amount of variance in the health outcomes. For the moderation model, non-marital perceived emotional support moderated the association between the recency of an attack/assault using the self-rated health and functional health indicators for violence survivors, dependent on the time since the attack/assault. These findings suggest that the recency of an attack and source of support are critical to understanding the effect of violence on health, with implications for practitioners working with violence survivors.

scholarly journals Early-life socioeconomic circumstances explain health differences in old age, but not their evolution over time

2019 ◽  
Vol 73 (8) ◽  
pp. 703-711 ◽  
Author(s):  
Boris Cheval ◽  
Dan Orsholits ◽  
Stefan Sieber ◽  
Silvia Stringhini ◽  
Delphine Courvoisier ◽  
...  
Keyword(s):  
Old Age ◽  
Early Life ◽  
Critical Role ◽  
Adult Life ◽  
Health Indicators ◽  
Well Being ◽  
Healthy Ageing ◽  
Rate Of Change ◽  
Health Differences ◽  
Over Time

BackgroundEarly-life socioeconomic circumstances (SEC) are associated with health in old age. However, epidemiological evidences on the influence of these early-life risk factors on trajectories of healthy ageing are inconsistent, preventing drawing solid conclusion about their potential influence. Here, to fill this knowledge gap, we used a statistical approach adapted to estimating change over time and an outcome-wide epidemiology approach to investigate whether early-life SEC were associated with the level of and rate of decline of physical, cognitive and emotional functioning over time.MethodsWe used data on more than 23 000 adults in older age from the Survey of Health, Ageing and Retirement in Europe, a 12-year large-scale longitudinal study with repeated measurements of multiple health indicators of the same participants over time (2004 –2015, assessments every 2 years). Confounder-adjusted linear growth curve models were used to examine the associations of early-life SEC with the evolution of muscle strength, lung function, cognitive function, depressive symptoms and well-being over time.ResultsWe consistently found an association between early-life SEC and the mean levels of all health indicators at age 63.5, with a critical role played by the cultural aspect of disadvantage. These associations were only partly explained by adult-life SEC factors. By contrast, evidences supporting an association between early-life SEC and the rate of change in health indicators were weak and inconsistent.ConclusionsEarly-life SEC are associated with health in old age, but not with trajectories of healthy ageing. Conceptual models in life course research should consider the possibility of a limited influence of early-life SEC on healthy ageing trajectories.

scholarly journals Gender Equality and Gender Inequalities in Self-Reported Health: A Longitudinal Study of 27 European Countries 2004 to 2016

2020 ◽  
pp. 002073142096034
Author(s):  
Luis Roxo ◽  
Clare Bambra ◽  
Julian Perelman
Keyword(s):  
Gender Equality ◽  
Health Inequalities ◽  
European Countries ◽  
Gender Inequalities ◽  
Health Differences ◽  
Health Gap ◽  
Employment Education ◽  
And Gender ◽  
Low Educated ◽  
Over Time

Significant gender-based health inequalities have been observed across Europe, with women reporting worse health than men. Still, there has been little examination of how the gender–health gap has changed over time, and how it has been shaped by societal gender equality. We used data from the Statistics on Income and Living Conditions Eurostat database (EU-SILC), involving 2,931,081 participants aged 25–64, for 27 European countries. Logistic regressions were performed to model the association between self-reported bad health and gender, in general and over time. Analyses were stratified by employment, education, and clusters of countries according to levels of Gender Equality Index (GEI). Adjusting for age, year, and country, bad health was 17% more likely among women, but this disadvantage ceased after accounting for education and employment. Gender–health inequalities were larger among countries with higher GEI scores and among low-educated groups. The gender–health gap did not reduce significantly between 2004 and 2016, in general and within subgroups. Although societies are becoming more equal, persistent inequalities in employment and income still lead to sustained health differences between men and women.

scholarly journals Association of Structural Social Capital and Self-Reported Well-Being among Japanese Community-Dwelling Adults: A Longitudinal Study

2021 ◽  
Vol 18 (16) ◽  
pp. 8284
Author(s):  
Kazuya Nogi ◽  
Haruhiko Imamura ◽  
Keiko Asakura ◽  
Yuji Nishiwaki
Keyword(s):  
Social Capital ◽  
Depressive Symptoms ◽  
Longitudinal Study ◽  
Relative Risk ◽  
Local Community ◽  
Well Being ◽  
Adjusted Relative Risk ◽  
Community Activities ◽  
Self Rated Health ◽  
Structural Social Capital

Previous studies have shown both positive and non-positive associations between social capital and health. However, longitudinal evidence examining its comprehensive effects on well-being is still limited. This study examined whether structural social capital in the local community was related to the later well-being of Japanese people aged 40 or above. A 3.6-year longitudinal study was conducted in a rural Japanese town. “Well-being” was measured using three indicators (happiness, self-rated health, and depressive symptoms), and those who were high in well-being in the baseline 2015 survey and responded to the follow-up 2018 survey were analyzed (n = 1032 for happiness, 938 for self-rated health, and 471 for depressive symptoms). Multilevel Poisson regression analysis adjusted for covariates showed that having contact with fewer neighbors was associated with a decline in happiness at both the community level (adjusted relative risk = 1.64, 95% confidence interval = 1.20–1.63) and the individual level (adjusted relative risk = 1.51, 95% confidence interval = 1.05–2.17), but participation in local community activities was not. The results suggest that dense personal networks might be more important in areas with thriving local community activities, not only for individuals but also for all community members.

scholarly journals Patient Activation, Depressive Symptoms, and Self-Rated Health: Care Management Intervention Effects among High-Need, Medically Complex Adults

2021 ◽  
Vol 18 (11) ◽  
pp. 5690
Author(s):  
Cynthia F. Corbett ◽  
Kenn B. Daratha ◽  
Sterling McPherson ◽  
Crystal L. Smith ◽  
Michael S. Wiser ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Care Management ◽  
Controlled Trial ◽  
Patient Activation ◽  
Study Groups ◽  
Telephone Intervention ◽  
Management Intervention ◽  
Self Rated Health ◽  
Randomized Controlled ◽  
Complex Population

The purpose of this randomized controlled trial (n = 268) at a Federally Qualified Health Center was to evaluate the outcomes of a care management intervention versus an attention control telephone intervention on changes in patient activation, depressive symptoms and self-rated health among a population of high-need, medically complex adults. Both groups had similar, statistically significant improvements in patient activation and self-rated health. Both groups had significant reductions in depressive symptoms over time; however, the group who received the care management intervention had greater reductions in depressive symptoms. Participants in both study groups who had more depressive symptoms had lower activation at baseline and throughout the 12 month study. Findings suggest that patients in the high-need, medically complex population can realize improvements in patient activation, depressive symptoms, and health status perceptions even with a brief telephone intervention. The importance of treating depressive symptoms in patients with complex health conditions is highlighted.

scholarly journals Customary physical activity and odds of depression: a systematic review and meta-analysis of 111 prospective cohort studies

2021 ◽  
pp. bjsports-2020-103140
Author(s):  
Rodney K Dishman ◽  
Cillian P McDowell ◽  
Matthew Payton Herring
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Depressive Symptoms ◽  
Cohort Studies ◽  
Prospective Cohort ◽  
Observational Studies ◽  
Meta Analysis ◽  
Vigorous Physical Activity ◽  
Prospective Cohort Studies ◽  
Over Time

ObjectiveTo explore whether physical activity is inversely associated with the onset of depression, we quantified the cumulative association of customary physical activity with incident depression and with an increase in subclinical depressive symptoms over time as reported from prospective observational studies.DesignSystematic review and meta-analysis.Data sourcesMEDLINE, PsycINFO, PsycARTICLES and CINAHL Complete databases, supplemented by Google Scholar.Eligibility criteriaProspective cohort studies in adults, published prior to January 2020, reporting associations between physical activity and depression.Study appraisal and synthesisMultilevel random-effects meta-analysis was performed adjusting for study and cohort or region. Mixed-model meta-regression of putative modifiers.ResultsSearches yielded 111 reports including over 3 million adults sampled from 11 nations in five continents. Odds of incident cases of depression or an increase in subclinical depressive symptoms were reduced after exposure to physical activity (OR, 95% CI) in crude (0.69, 0.63 to 0.75; I2=93.7) and adjusted (0.79, 0.75 to 0.82; I2=87.6) analyses. Results were materially the same for incident depression and subclinical symptoms. Odds were lower after moderate or vigorous physical activity that met public health guidelines than after light physical activity. These odds were also lower when exposure to physical activity increased over time during a study period compared with the odds when physical activity was captured as a single baseline measure of exposure.ConclusionCustomary and increasing levels of moderate-to-vigorous physical activity in observational studies are inversely associated with incident depression and the onset of subclinical depressive symptoms among adults regardless of global region, gender, age or follow-up period.

scholarly journals Profile Groups Based on Lifestyle and Differences in Mental Health and Cognition

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 404-404
Author(s):  
Joseph Kim ◽  
Kyuree Kim
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Depressive Symptoms ◽  
Latent Class ◽  
Mail Survey ◽  
Later Life ◽  
Self Rated Health ◽  
Final Sample ◽  
Group 2 ◽  
Mean Differences

Abstract The purpose of this study was to identify the profiles of older adults according to lifestyle. Data for the study were from the 2017 Consumption and Activities Mail Survey (CAMS). CAMS 2017 is a questionnaire mailed to a sub-sample of respondents from the Health and Retirement Study. Participants were limited to older adults 65 and older, and the final sample consisted of 1136 older adults. The sample included 443 men and 693 women. Caucasians comprised 82.0% of the participants. Lifestyle was measured through items assessing the amount of time spent on activities. Due to high skewness, the items were dichotomized, 0=no time spent on activity and 1=time spent on the activity. Latent class analysis (LCA) was performed to identify groups based on lifestyle. LCA is a person-centered approach for identifying unobserved subgroups based on similarity in responses to items. Three lifestyle groups were identified. Group 1 was “Outgoing” with 471 individuals. Group 2 was “Adequate” with 229 individuals. Group 3 was “Inactive” with 436 individuals. An ANOVA was then conducted to assess mean differences in self-rated health, cognition, depressive symptoms, and loneliness for the three lifestyle groups. The “Outgoing” and “Adequate” groups had significantly higher scores on self-rated health and cognition, and in addition, significantly lower scores on depressive symptoms and loneliness compared to the “Inactive” group. No significant differences were observed between the “Outgoing” and “Adequate” groups. An implication from this study is the importance of maintaining an active lifestyle in later life for better mental health and cognition.

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