Socioeconomic Inequalities in Functional Health in Older Adults

Olivares-Tirado, Pedro; Zanga, Rosendo

doi:10.1007/s12062-022-09404-3

Cited by 2 publications

(2 citation statements)

References 9 publications

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“…Lai et al using data from longitudinal older adults aged 70+ followed them for 10 years in Hong Kong, found that older adults with lower socioeconomic status (SES) were more prone to ADL disability; and such inequalities accentuated with time [39]. Olivares-Tirado and Zanga using data from the Chilean 2017 National Socioeconomic Characterization Survey, indicated a descending gradient of both severity levels on six BADL functional limitation rates, moving from the poorest to the wealthiest deciles in both sexes, suggesting significant socioeconomic inequalities in functional health among older adults in Chile [40]. Stefler et al indicated a consistently higher risk of low physical and cognitive functioning in participants with lower education or income but the magnitude of these inequalities varies across different social contexts [41].…”

Section: Discussionmentioning

confidence: 99%

Socioeconomic Inequalities and Intergenerational Support in Functional Health in Brazilian Older Adults

Olivares-Tirado¹

2023

Intergenerational Relations - Contemporary Theories, Studies and Policies

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There is a growing concern as socioeconomic inequalities affect health outcomes in an older population. Ageing in Brazil occurs in the context of deep and persistent income, gender and ethnic inequalities and intensely challenging health, retirement and social protection systems. Using data from the 2019-PNS Survey, socioeconomic inequalities in functional health and intergenerational support of care for non-institutionalized older Brazilians stratified by household income deciles and sex were examined. Inequality indexes reveal significant socioeconomic inequalities in functional health among older Brazilian adults. Across inequality indexes, the poorest in both sexes consistently show a higher prevalence rate in mild BADLs limitations than the wealthiest. In severe BADLs limitations, these differences are not clearly stated, and it depends on the sex and type of BADLs involved. Intergenerational care favoured the wealthiest deciles across inequality indexes. Consistently and significantly in both sexes, the wealthiest received more family caregiving in both BADLs limitation categories than the poorest; however, in men, their magnitude differences were lesser and statistically significant in the 10/10 and 20/20 indexes. These findings highlight the need for national policies and programs to decrease socioeconomic inequalities during early adulthood and reduce limitations in functional health later in life, particularly in the poorest.

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Section: Discussionmentioning

confidence: 99%

Socioeconomic Inequalities and Intergenerational Support in Functional Health in Brazilian Older Adults

Olivares-Tirado¹

2023

Intergenerational Relations - Contemporary Theories, Studies and Policies

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“…Besides lower socio-economic status, older adults are also considered to be a vulnerable group due to the natural decline in health and physical strength associated with aging [ 11 ]. The continuous rise in the older population has an impact on various aspects of healthcare, including staffing, care costs, program availability, and service provision [ 12 ]. Older individuals often face challenges in accessing necessary preventive, diagnostic, treatment, and management healthcare services [ 3 , 13 ].…”

Section: Introductionmentioning

confidence: 99%

Self-Reported Health Inequalities among Older Adults in Saudi Arabia

Al-Hanawi

2023

Healthcare

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Considering the rising life expectancy, the growing population of older adults poses challenges in providing adequate healthcare services. Self-reported health is an important indicator of overall health, predicting morbidity and mortality. This study investigated self-reported health inequalities among older adults in Saudi Arabia and the underlying factors contributing to establishing such inequalities. The study utilized data from the 2018 Saudi Family Health Survey, focusing on 2023 respondents aged ≥60 years with complete data. Univariate, bivariate, and multivariate logistic regression analyses were employed to explore socio-economic factors linked to health inequalities. Additionally, concentration curves and indices were used to assess the magnitude of health inequalities among older adults. The findings indicate a higher prevalence of self-reported poor health among respondents aged ≥70 years and those with chronic diseases. Age, education, income level, marital status, and insurance coverage were other factors significantly linked to reporting poor health. Inequality analysis revealed a concentration of poor health among less educated individuals (concentration index = −0.261, p < 0.01). Both income- and education-based indices highlighted a concentration of poor health among men with lower income and education levels. Addressing healthcare inequalities among older adults requires targeted policy efforts, focusing on those aged ≥70, unmarried individuals, those without insurance coverage, those with chronic illnesses, and those with lower education levels. Targeted interventions for these groups can address their unique healthcare needs and promote equitable health outcomes.

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Socioeconomic Inequalities in Functional Health in Older Adults

Cited by 2 publications

References 9 publications

Socioeconomic Inequalities and Intergenerational Support in Functional Health in Brazilian Older Adults

Socioeconomic Inequalities and Intergenerational Support in Functional Health in Brazilian Older Adults

Self-Reported Health Inequalities among Older Adults in Saudi Arabia

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