Changes in Active Life Expectancy Among Older Thais

Jiawiwatkul, Uthaithip; Aekplakorn, Wichai; Vapattanawong, Patama; Prasartkul, Pramote; Porapakkham, Yawarat

doi:10.1177/1010539511409923

Cited by 13 publications

(6 citation statements)

References 24 publications

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“…In general, gender differences are largely due to mortality differences favoring women, rather than differences in the onset of disability [ 30 ]. Higher disability prevalence among women may be a function of longer survivorship in disability rather than higher incidence of disability [ 31 , 32 ], in that women have higher prevalence of nonfatal but disabling diseases and men have higher prevalence of fatal diseases and chronic diseases strongly related to mortality [ 22 ]. Chang et al [ 31 ] ascribed Japanese women disadvantage in disabilities to gender inequalities in socioeconomic status and disease profiles.…”

Section: Resultsmentioning

confidence: 99%

“…Overall, the gender paradox is widely acknowledged and validated across different studies set in different countries, both high income and low and middle income countries (LMIC). For example, some of the results from our literature review showed evidence of the gender paradox in Brazil[ 27 , 29 , 37 – 39 ], Mexico[ 40 ], Hong Kong[ 41 ], Japan[ 31 , 36 , 42 , 43 ], Singapore[ 44 ], China[ 45 – 50 ], Bangladesh[ 23 ], Thailand[ 32 , 34 , 51 – 53 ], United States[ 22 , 30 , 54 ], Denmark[ 55 – 57 ], England[ 58 , 59 ], Italy[ 25 , 60 ], Bulgaria[ 61 ], Turkey [ 62 ], France[ 14 , 63 , 64 ] and across Europe [ 33 , 65 – 68 ].…”

Section: Resultsmentioning

confidence: 99%

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A Systematic Literature Review of Studies Analyzing Inequalities in Health Expectancy among the Older Population

Pongiglione

Stavola

Ploubidis³

2015

PLoS ONE

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AimTo collect, organize and appraise evidence of socioeconomic and demographic inequalities in health and mortality among the older population using a summary measure of population health: Health Expectancy.MethodsA systematic literature review was conducted. Literature published in English before November 2014 was searched via two possible sources: three electronic databases (Web of Science, Medline and Embase), and references in selected articles. The search was developed combining terms referring to outcome, exposure and participants, consisting in health expectancy, socioeconomic and demographic groups, and older population, respectively.ResultsOf 256 references identified, 90 met the inclusion criteria. Six references were added after searching reference lists of included articles. Thirty-three studies were focused only on gender-based inequalities; the remaining sixty-three considered gender along with other exposures. Findings were organized according to two leading perspectives: the type of inequalities considered and the health indicators chosen to measure health expectancy. Evidence of gender-based differentials and a socioeconomic gradient were found in all studies. A remarkable heterogeneity in the choice of health indicators used to compute health expectancy emerged as well as a non-uniform way of defining same health conditions.ConclusionsHealth expectancy is a useful and convenient measure to monitor and assess the quality of ageing and compare different groups and populations. This review showed a general agreement of results obtained in different studies with regard to the existence of inequalities associated with several factors, such as gender, education, behaviors, and race. However, the lack of a standardized definition of health expectancy limits its comparability across studies. The need of conceiving health expectancy as a comparable and repeatable measure was highlighted as fundamental to make it an informative instrument for policy makers.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

A Systematic Literature Review of Studies Analyzing Inequalities in Health Expectancy among the Older Population

Pongiglione

Stavola

Ploubidis³

2015

PLoS ONE

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“…Many theories have been proposed to explain the ‘gender paradox’ in mortality and disability, among which the most prevalent is that women may have higher prevalence of nonfatal but disabling diseases and men have higher prevalence of fatal and chronic diseases strongly related to mortality. Some researchers [5, 6] hypothesize that higher disability prevalence among women may be a function of longer survival in disability rather than higher incidence of disability.…”

Section: Introductionmentioning

confidence: 99%

Disability and all-cause mortality in the older population: evidence from the English Longitudinal Study of Ageing

et al. 2016

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Despite the vast body of literature studying disability and mortality, evidence to support their association is scarce. This work investigates the role of disability in explaining all‐cause mortality among individuals aged 50+ who participated in the English Longitudinal Study of Aging. The aim is to explain the gender paradox in health and mortality by analysing whether the association of disability with mortality differs between women and men. Disability was conceived following the International Classification of Functioning, Disability and Health (ICF), proposed by the WHO, that conceptualizes disability as a combination of three components: impairment, activity limitation and participation restriction. Latent variable models were used to identify domain-specific factors and general disability. The association of the latter with mortality up to 10 years after enrolment was estimated using discrete-time survival analysis. Our work confirms the validity of the ICF framework and finds that disability is strongly associated with mortality, with a time-varying effect among men, and a smaller constant effect for women. Adjusting for demographic, socioeconomic and behavioural factors attenuated the association for both sexes, but overall the effects remained high and significant. These findings confirm the existence of gender paradox by showing that, when affected by disability, women survive longer than men, although if men survive the first years they appear to become more resilient to disability. Sensitivity analyses suggested that the gender paradox cannot be solely explained by gender-specific health conditions: there must be other mechanisms acting within the pathway between disability and mortality that need to be explored.Electronic supplementary materialThe online version of this article (doi:10.1007/s10654-016-0160-8) contains supplementary material, which is available to authorized users.

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“…Our findings indicate that the prevalence of ADL limitations increased with age. Similarly, a previous study [24] reported that the prevalence of disability increased with older age. Older people presented a higher prevalence of functional limitations than younger people.…”

Section: Main Findings Interpretations and Comparisons With Related S...mentioning

confidence: 54%

The Association of Sociodemographic Variables and Unhealthy Behaviors With Limitations in Activities of Daily Living Among Thai Older Adults: Cross-sectional Study and Projected Trends Over the Next 20 Years

Nontarak¹,

Bundhamcharoen²,

Prasitsiriphon³

et al. 2023

Asian Pac Isl Nurs J

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Background Extended life spans have led to an increase in the number of older people and an increase in the prevalence of disability among people older than 60 years of age. Objective This study aims to investigate the association of sociodemographic variables and unhealthy behaviors with limitations in activities of daily living (ADL) among Thai older adults. The study also projects the number of older individuals likely to experience ADL limitations in the next 20 years. Methods We performed sex-specific multinomial logistic regression analysis based on the 5th Thai National Health Examination Survey in 2014 to investigate the association between sociodemographic variables and health behaviors with ADL limitations among Thai older adults. Age- and sex-specific prevalence estimates of ADL limitations were obtained by applying the same models. These estimates were combined with population projections up to 2040 from the Office of the National Economic and Social Development Board, Thailand, to generate projections of older individuals with ADL limitations. Results Age and physical activity were significant factors for both sexes, with age positively associated with the level of ADL limitations and low physical activity associated with an increased relative probability of mild or moderate to severe ADL limitations compared to individuals with no ADL limitation (1.2-2.2 times). Other variables such as education, marital status, diabetes, hypertension, smoking, alcohol consumption, and having a fruit- and vegetable-based diet showed significant associations, but the results varied regarding sex and levels of ADL limitations. This study also projected the number of older adults with mild and moderate to severe ADL limitations over the next 20 years from 2020 to 2040, revealing an increase of 3.2 and 3.1 times, respectively, along with a significant increase in men compared to that in women. Conclusions This study identified age and physical activity as significant factors associated with ADL limitations in older adults, while other factors showed varying associations. Over the next 2 decades, projections suggest a significant increase in the number of older adults with ADL limitations, particularly men. Our findings emphasize the importance of interventions to reduce ADL limitations, and health care providers should consider various factors impacting them.

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Changes in Active Life Expectancy Among Older Thais

Cited by 13 publications

References 24 publications

A Systematic Literature Review of Studies Analyzing Inequalities in Health Expectancy among the Older Population

A Systematic Literature Review of Studies Analyzing Inequalities in Health Expectancy among the Older Population

Disability and all-cause mortality in the older population: evidence from the English Longitudinal Study of Ageing

The Association of Sociodemographic Variables and Unhealthy Behaviors With Limitations in Activities of Daily Living Among Thai Older Adults: Cross-sectional Study and Projected Trends Over the Next 20 Years

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