Health Changes Among Swedish Oldest Old: Prevalence Rates From 1992 and 2002 Show Increasing Health Problems

Parker, Marti G.; Ahacic, Kozma; Thorslund, Mats

doi:10.1093/gerona/60.10.1351

Cited by 114 publications

(125 citation statements)

References 21 publications

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“…Previous analyses of SWEOLD data, however, found no significant differences in ADL limitations between 1992 and 2002 (Parker et al 2005). It is important to understand that health problems do not always lead to disability and limitations in ADL's.…”

Section: Discussionmentioning

confidence: 93%

“…A study carried out with the same SWEOLD data confirmed the significant worsening of health between 1992 and 2002 when examining tests of function (peak flow, physical performance, cognition). Tests are less vulnerable to reporting differences, rising expectations and environmental modifications (Parker et al 2005).…”

Section: Discussionmentioning

confidence: 99%

“…The threshold to institutions has risen in the past decades, with the result that more very frail persons live at home and need medical and rehabilitative services as well as household services . At the same time, there have been signs that health in the elderly population has been deteriorating (Parker et al 2005). People with extensive needs for health and social services represent a special challenge in a care system that is divided in several disciplines and administered by several authorities.…”

Section: Introductionmentioning

confidence: 99%

“…By contrast, results from the USA showed an increasing prevalence of most diseases (Crimmins 2004). Swedish studies also indicated worsening health and function during the 1990s when examining self-reported health items and tests of function (Parker et al 2005) as well as longstanding illnesses (Rosen and Haglund 2005). There are indications that the trend of health improvement in the elderly population during the 1970s and 1980s does not apply to the 1990s (Lagergren 2004;.…”

Section: Introductionmentioning

confidence: 99%

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Complex health problems in the oldest old in Sweden 1992–2002

et al. 2006

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Most studies on health trends in the elderly population focus on specific conditions, studied one at a time. However, health problems are often interrelated and exist simultaneously in late life. Individuals with health problems in several domains present special challenges to care services. To estimate future needs for care it may be relevant to study trends of complex health problems as well as single health items. This study identified serious problems in three domains (diseases/ symptoms, mobility, cognition/communication) in two representative samples of the Swedish population aged 77 and older (1992: n=537; 2002: n=561). People with serious problems in two or three domains were considered to have complex health problems. Changes between 1992 and 2002 in the prevalence of persons having serious problems in no, one and two/three domains were analyzed with logistic regressions. When examining each domain separately all three showed a significant increase of serious problems. For diseases/symptoms the increase remained significant after controlling for different age and gender distributions in the two surveys. Results showed a significant increase in the prevalence of having problems in one domain, as well as having problems in two or three domains (complex problems). Results persisted when adjusting for different distributions in age, gender and education between 1992 and 2002. Results suggest a worsening of health during the 10-year period and an increase of complex problems. This emphasizes the necessity of cooperation and collaboration between different kinds of medical and social services for elderly people.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Complex health problems in the oldest old in Sweden 1992–2002

et al. 2006

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“…However, the picture is less clear concerning the late 1990s. There are other studies from Sweden (Parker et al 2005) pointing out that health status among the older adults may have been deteriorating in the beginning of 2000. The available evidence does not unambiguously imply that one of our scenarios is more likely to occur than the others.…”

Section: Discussionmentioning

confidence: 99%

Population ageing in Sweden: the effect of change in educational composition on the future number of older people suffering severe ill-health

2009

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We investigate how expected changes in the educational level composition of the older population may affect future prevalence of severe ill-health among older people in Sweden. Previous research has indicated that the number of older people, given educational differentials in mortality and expected changes in educational composition during the next decades, may increase more than expected following official population projections in Sweden. Eight alternative scenario projections for the possible development in the number of people with severe ill-health in Sweden between 2000 and 2035 are presented. Scenario projections, where both morbidity and mortality inequalities by educational level are taken into account, are compared with scenarios in which only age and gender are modelled. The projections are made with both constant and decreasing mortality. The calculations show that the expected increases in severe ill-health as a result from the ageing of the population in the period 2000-2035 might, to a large extent, be counteracted by the increase in the educational level of the Swedish population. We recommend therefore that in projections of the prevalence of illhealth, in addition to the ageing of the population, also changes in educational level should be taken into account.

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Ageing: International Statistical Trends and Prospects

Matthews

2010

Principles and Practice of Geriatric Psychiatry

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Health Changes Among Swedish Oldest Old: Prevalence Rates From 1992 and 2002 Show Increasing Health Problems

Cited by 114 publications

References 21 publications

Complex health problems in the oldest old in Sweden 1992–2002

Complex health problems in the oldest old in Sweden 1992–2002

Population ageing in Sweden: the effect of change in educational composition on the future number of older people suffering severe ill-health

Ageing: International Statistical Trends and Prospects

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