Wellbeing at older ages: Towards an inclusive and multidimensional measure.

Wellbeing at older ages: Towards an inclusive and multidimensional measure.
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DOI:
10.1016/j.dhjo.2020.100926
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发表时间:
2020-10
影响因子:
4.5
通讯作者:
Jajtner KM
Jajtner KM
中科院分区:
医学2区
文献类型:
--
作者:
Mitra S;Brucker DL;Jajtner KM

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随着人口老龄化,越来越需要衡量和监测老年人,包括残疾老年人的福祉。为了估计美国60岁以上人群的整体和跨残疾状态的幸福程度,本文开发了一种多维度和残疾包容性的老年人幸福指标。美国老年人整体和残疾老年人的多维幸福率是使用多变量回归分析和来自收入动态小组研究的数据与2013年残疾和使用时间补充相匹配来估计的。多维幸福被定义为同时实现五个方面的成果:物质幸福,健康状况,个人活动,社会联系/关系和经济安全在所有老年人中,33%的人经历多维幸福。然而,只有4%至18%的残疾老年人感到幸福。这一亚群的福祉在各个方面都各不相同。在健康保险状况和社会联系/关系方面,残疾人与非残疾人享有同样的福祉。相比之下,就物质福利、健康状况和个人活动而言,残疾老年人的福祉往往较少。本文揭示了美国老年人福祉经验中的残疾差距。有必要进行研究,以制定政策和实践,提高残疾老年人的福祉,包括物质福祉,健康和个人活动。
With population aging, there is a growing need to measure and monitor the wellbeing of older people, including older people with disabilities. To estimate the extent of wellbeing for individuals age 60+ in the U.S. overall and across disability status, this paper develops a measure of wellbeing at older ages that is multidimensional and disability inclusive. Rates of multidimensional wellbeing among American older adults overall and among older adults with disabilities were estimated using multivariate regression analysis and data from the Panel Study of Income Dynamics matched with the 2013 Disability and Use of Time Supplement. Multidimensional wellbeing was defined as the simultaneous achievement of outcomes in five dimensions: material wellbeing, health status, personal activities, social connections/relationships, and economic security Among all older adults, 33% experience multidimensional wellbeing. However, only 4 to 18% of older adults with disabilities experience wellbeing. Wellbeing varies across the dimensions of wellbeing for this subpopulation. Persons with disabilities experience as much wellbeing as persons without disabilities in terms of health insurance status and social connections/relationships. In contrast, for material wellbeing, health status and personal activities, older persons with disabilities less often experience wellbeing. This paper brings to light a disability gap in the experience of wellbeing among older adults in the U.S. There is a need for research which can inform the development of policies and practices that will enhance wellbeing for older people with disabilities, including material wellbeing, health and personal activities.
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