Health profiles and socioeconomic characteristics of nonagenarians residing in Mugello, a rural area in Tuscany (Italy)

Strozza, Cosmo; Pasqualetti, Patrizio; Egidi, Viviana; Loreti, Claudia; Vannetti, Federica; Macchi, Claudio; Padua, Luca

doi:10.1186/s12877-020-01689-3

Cited by 3 publications

(3 citation statements)

References 52 publications

(128 reference statements)

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“…However, this score reported very few missing values (2 individuals in each cohort). The creation of the “not tested” category allowed us to considerably reduce the number of missing values for participants who were unable to respond due to ill health [ 36 ]. However, there were still some missing values in the dataset (see Table A4 in Supplemental Material).…”

Section: Methodsmentioning

confidence: 99%

“…We perform a Latent Class Analysis (LCA) to shed light on the unobserved heterogeneity in health among Danish centenarians. LCA is a statistical method used to identify unobserved classes of individuals via observed categorical variables [ 36 – 40 , 50 ]. By considering several individual characteristics, the LCA determines individual probabilities of belonging to the latent classes and probabilities of finding a person with a certain characteristic in each class.…”

Section: Methodsmentioning

confidence: 99%

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Stratification in health and survival after age 100: evidence from Danish centenarians

et al. 2021

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Background The existence of a super-select group of centenarians that demonstrates increased survivorship has been hypothesized. However, it is unknown if this super-select group possesses similar characteristics apart from extreme longevity. Methods In this study, we analyse high-quality health and survival data of Danish centenarians born in 1895, 1905 and 1910. We use Latent Class Analysis to identify unobserved health classes and to test whether these super-select lives share similar health characteristics. Results We find that, even after age 100, a clear and distinct gradient in health exists and that this gradient is remarkably similar across different birth cohorts of centenarians. Based on the level of health, we identify three clusters of centenarians - robust, frail and intermediate - and show that these groups have different survival prospects. The most distinctive characteristic of the robust centenarians is the outperformance in different health dimensions (physical, functional and cognitive). Finally, we show that our health class categorizations are good predictors of the survival prospects of centenarians. Conclusions There is a clear stratification in health and functioning among those over 100 years of age and these differences are associated with survival beyond age 100.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Stratification in health and survival after age 100: evidence from Danish centenarians

et al. 2021

Self Cite

View full text Add to dashboard Cite

show abstract

“…However, this score reported very few missing values (2 individuals in each cohort). The creation of the "non tested" category allowed us to considerably reduce the number of missing values for participants who were unable to respond due to ill health (41). However, there were still some missing values in the dataset.…”

Section: Methodsmentioning

confidence: 99%

Human survival after age 100: Good luck or good health?

Alvarez

Medford

Strozza

et al. 2021

Preprint

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BackgroundThe existence of a super-select group of centenarians that demonstrates increased survivorship has been hypothesized. However, it is unknown if this super-select group possesses similar characteristics apart from extreme longevity. MethodsIn this study, we analyse high-quality health and survival data of Danish centenarians born in 1895, 1905 and 1910. We use Latent Class Analysis to identify unobserved health classes and to test whether these super-select lives share similar health characteristics. ResultsWe find that, even after age 100, a clear and distinct gradient in health exists and that this gradient is remarkably similar across different birth cohorts of centenarians. Based on the level of health, we identify three clusters of centenarians - robust, frail and intermediate - and show that these groups have different survival prospects. The most distinctive characteristic of the robust centenarians is the outperformance in different health dimensions (physical, functional and cognitive). Finally, we show that our health class categorizations are good predictors of the survival prospects of centenarians. ConclusionsThere is a clear stratification in health and functioning among those over 100 years of age and these differences are associated with survival beyond age 100.

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Self-assessment of health: how socioeconomic, functional, and emotional dimensions influence self-rated health among Italian nonagenarians

Strozza,

Egidi,

Vannetti

et al. 2023

Qual Quant

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Self-Rated Health (SRH) is currently one of the most popular indicators of population health. Studies show that SRH has a strong association with physical functioning, well-being, and mortality across a variety of populations and ages. Despite its wide use, the different elements that act and interact when an individual assesses their own health are still not clear. To date, only one study has focused on the process of self-assessment of health among the oldest-old individuals. The aim of this paper is to explore direct and indirect effects of socioeconomic status, presence of disease, functional health, and emotional health on the good self-assessment of health among Italian nonagenarians. By applying Structural Equation Modelling (SEM) on Mugello Study data, we find a strong direct effect of both emotional and functional health on SRH, confirming their key roles in the process of self-assessment of health among the oldest-old individuals. Furthermore, we find indirect effects of socioeconomic status, presence of disease, and functional health on SRH. This is in line with existing literature on younger adults and elderly people.

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Health profiles and socioeconomic characteristics of nonagenarians residing in Mugello, a rural area in Tuscany (Italy)

Cited by 3 publications

References 52 publications

Stratification in health and survival after age 100: evidence from Danish centenarians

Stratification in health and survival after age 100: evidence from Danish centenarians

Human survival after age 100: Good luck or good health?

Self-assessment of health: how socioeconomic, functional, and emotional dimensions influence self-rated health among Italian nonagenarians

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