Socioeconomic status and health behaviors as predictors of changes in self‐rated health among older persons in Israel

Tur‐Sinai, Aviad; Soskolne, Varda

doi:10.1111/hsc.13205

Cited by 11 publications

(6 citation statements)

References 53 publications

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“…We were able to identify five SRH-change categories; stable high, stable moderate, and stable low in addition to a decline category and an improvement category. Previous studies investigating SRH in older adults identified only three change categories (no change, improvement, and decline), with the majority of the participants showing no change in SRH over the follow-up period, which is in agreement with the results of our study when the three stable categories are combined [30][31][32]. Two of the aforementioned studies reported a higher proportion of individuals in the improvement category than in the decline category [30,32].…”

Section: Discussionsupporting

confidence: 92%

Polypharmacy and the Change of Self-Rated Health in Community-Dwelling Older Adults

Barghouth

Schaeffner

Ebert

et al. 2023

IJERPH

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Polypharmacy is associated with poorer self-rated health (SRH). However, whether polypharmacy has an impact on the SRH progression is unknown. This study investigates the association of polypharmacy with SRH change in 1428 participants of the Berlin Initiative Study aged 70 years and older over four years. Polypharmacy was defined as the intake of ≥5 medications. Descriptive statistics of SRH-change categories stratified by polypharmacy status were reported. The association of polypharmacy with being in SRH change categories was assessed using multinomial regression analysis. At baseline, mean age was 79.1 (6.1) years, 54.0% were females, and prevalence of polypharmacy was 47.1%. Participants with polypharmacy were older and had more comorbidities compared to those without polypharmacy. Over four years, five SRH change categories were identified. After covariate adjustment, individuals with polypharmacy had higher odds of being in the stable moderate category (OR 3.55; 95% CI [2.43–5.20]), stable low category (OR 3.32; 95% CI [1.65–6.70]), decline category (OR 1.87; 95% CI [1.34–2.62]), and improvement category (OR 2.01; [1.33–3.05]) compared to being in the stable high category independent of the number of comorbidities. Reducing polypharmacy could be an impactful strategy to foster favorable SRH progression in old age.

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Section: Discussionsupporting

confidence: 92%

Polypharmacy and the Change of Self-Rated Health in Community-Dwelling Older Adults

Barghouth

Schaeffner

Ebert

et al. 2023

IJERPH

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“…This study draws on data collected by the Survey of Health, Aging and Retirement in Europe (SHARE), which seeks to better understand the dynamics of the growing population of persons aged 50+ and to provide a research infrastructure for public policymaking on behalf of the older-adult population [35]. The data collected in SHARE make it possible to compare the health, economic situation, and welfare of older adults in 29 European countries over time by providing a multidisciplinary cross-national bank of microdata on health, psychological, and economic variables [36][37][38].…”

Section: Data Source and Study Samplementioning

confidence: 99%

Impact of the Outbreak of the COVID-19 Pandemic on Formal and Informal Care of Community-Dwelling Older Adults: Cross-National Clustering of Empirical Evidence from 23 Countries

et al. 2021

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The COVID-19 pandemic has been dramatically affecting the life of older adults with care needs and their family caregivers. This study illustrates how the initial outbreak of the pandemic changed the supply of formal and informal care to older adults in European countries and Israel and assesses the resilience of these countries in providing support to their older populations by means of a mix of both types of care. We subjected data from the Survey of Health, Ageing and Retirement in Europe COVID-19 period (SHARE-COVID-19) across 23 European countries (including Israel) to descriptive and cluster analyses. In the first wave of the outbreak, a significant proportion of older adults in European countries received informal help, with an increase in the frequency of informal help received from children, neighbors, friends, or colleagues and a decrease in that received from other relatives. In most countries, difficulties in receiving home care services from professional providers were reported. Seven clusters were identified, reflecting different combinations of changes in the formal/informal care provision. In most countries, informal care is more resilient than home care services that formal providers deliver. Since they are an essential source for sustainable care, their challenges related to care should be addressed. The impact of the pandemic does not follow the traditional characterization of welfare regimes. A clustering effort may yield more understanding of the priorities that future care policies should exhibit at the national level and may identify potential systems for policymakers to enhance sustainability of care for community-dwelling older adults.

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“…Notably, Arabs also tend to rate health system responsiveness higher than Jews do, but there are indications that this may be due to lower expectation levels rather than better levels of care in practice [ 35 ]. Furthermore, in the time-dependent analysis that considered changes in SRH between two time points in the Jewish and Arab populations, the results showed that Arab Israelis exhibited a weaker deterioration in SRH compared to Jewish Israelis [ 42 ]. These findings may warrant further investigation.…”

Section: Discussionmentioning

confidence: 99%

Ethnic Differences in Socioeconomic and Health Determinants Related to Self-Rated Health Status: A Study on Community-Dwelling Israeli Jews and Arabs in Old Age

Rozani

2022

IJERPH

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Self-rated health (SRH) is widely used as a proxy for general health status. In old age, SRH has been found to be a strong predictor of morbidity, physical functioning, recovery from illness, use of health services, and mortality. This study was designed to examine differences in socioeconomic and health determinants related to self-rated health status among community-dwelling Jews and Arabs aged 65+ years. Cross-sectional data from 2011 on such Jews and Arabs were extracted from reprehensive National Surveys. The association between socioeconomic and health factors with poor SRH was estimated using three hierarchical logistic regression models. The majority of the respondents were Jews (86%), with a mean age of 73.1 (±6.3) years. The study revealed that older Arabs are disadvantaged according to almost every socioeconomic and health indicator compared to Jews. Poor SRH was significantly associated with age (OR = 1.03, p = 0.002), ethnicity (Jews OR = 2.62, p < 0.001), unemployment/retirement (OR = 2.03, p < 0.001), low income (OR = 3.03, p < 0.001), low education (OR = 1.37, p = 0.013), absence of physical activity (OR = 2.17, p < 0.001), dentures (OR = 1.40, p = 0.002), and prevalence of one or more chronic diseases (OR = 4.06, p < 0.001). The findings therefore indicated that these factors need to be detected and focused on by health professionals in order to improve the population’s general health status.

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Socioeconomic status and health behaviors as predictors of changes in self‐rated health among older persons in Israel

Cited by 11 publications

References 53 publications

Polypharmacy and the Change of Self-Rated Health in Community-Dwelling Older Adults

Polypharmacy and the Change of Self-Rated Health in Community-Dwelling Older Adults

Impact of the Outbreak of the COVID-19 Pandemic on Formal and Informal Care of Community-Dwelling Older Adults: Cross-National Clustering of Empirical Evidence from 23 Countries

Ethnic Differences in Socioeconomic and Health Determinants Related to Self-Rated Health Status: A Study on Community-Dwelling Israeli Jews and Arabs in Old Age

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