Prevalence and related factors of Active and Healthy Ageing in Europe according to two models: Results from the Survey of Health, Ageing and Retirement in Europe (SHARE).
Prevalence and related factors of Active and Healthy Ageing in Europe according to two models: Results from the Survey of Health, Ageing and Retirement in Europe (SHARE).
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DOI：
10.1371/journal.pone.0206353
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发表时间：
2018
期刊：
影响因子：
3.7
通讯作者：
Juvinyà-Canal D
中科院分区：
文献类型：
--
作者：
Bosch-Farré C;Garre-Olmo J;Bonmatí-Tomàs A;Malagón-Aguilera MC;Gelabert-Vilella S;Fuentes-Pumarola C;Juvinyà-Canal D
积极和健康的老龄化（AHA）是优化与健康，参与和安全相关的机会，以提高生活质量的过程。最常用于衡量AHA的方法是Rowe和Kahn的满意老化模型。然而，这种模式有其局限性。世卫组织全球战略和行动计划（2016年）的战略目标之一是改善健康老龄化的衡量。我们的目标是比较两种评估AHA的模型，并进一步比较国家和社会人口变量的结果。这是对欧洲50岁及以上一般人群的代表性样本进行的横断面观察性分析。欧洲健康、老龄化和退休研究（SHARE）获得了分析数据。因变量为AHA及其维度，使用Rowe和Kahn AHA模型（AHA-B）和基于WHO定义的作者模型（AHA-BPS）进行测量。描述性分析和多元模型的二元逻辑回归。样本包括52，641名参与者（平均年龄65.24岁[SD = 10.18;范围= 50-104]，53.2%为女性）。AHA-B模型中的健康老龄化患病率为23.5%（95%CI = 23.1%-23.9%）。在AHA-BPS模型中，该患病率为38.9%。在这两个模型中，观察到各国之间存在显著差异，并沿沿着西北向东南梯度分布。与缺乏AHA相关的社会人口学变量为高龄、女性、配偶死亡、教育水平低、缺乏就业和经济状况低。比较这两个模型，AHA-B模型中AHA缺失与高龄（85岁及以上）之间的关联强度是AHA-B模型的4倍。我们的研究结果表明，这两个模型之间的差异提供的证据表明，AHA-BPS模型不惩罚老年人，更有可能从健康促进的角度来描述AHA。
Active and Healthy Ageing (AHA) is the process of optimizing opportunities related to health, participation, and safety in order to improve quality of life. The approach most often used to measure AHA is Rowe and Kahn’s Satisfactory Ageing model. Nonetheless, this model has limitations. One of the strategic objectives of the WHO Global Strategy and Action Plan (2016) is to improve Healthy Ageing measurement. Our objectives were to compare two models of assessing AHA and further compare the results by country and sociodemographic variables. This was a cross-sectional, observational analysis of a representative sample of the general population aged 50 years and older in Europe. The data analysed were obtained by the Study of Health, Ageing and Retirement in Europe (SHARE). The dependent variable was AHA and its dimensions, measured using the Rowe and Kahn AHA model (AHA-B) and the authors’ model based on the WHO definition (AHA-BPS). A descriptive analysis and multivariate models of binary logistical regression were developed. The sample consisted of 52,641 participants (mean age 65.24 years [SD = 10.18; Range = 50–104], 53.2% women). Healthy Ageing prevalence in the AHA-B model was 23.5% (95%CI = 23.1%-23.9%). In the AHA-BPS model, this prevalence was 38.9%. In both models, significant variations were observed between countries, and were distributed along a north-western to south-eastern gradient. The sociodemographic variables associated with the absence of AHA were advanced age, female sex, death of spouse, low educational level, lack of employment, and low financial status. Comparing the two models, the strength of association between absence of AHA and advanced age (85 years and older) was four times greater in the AHA-B model. Our results showing differences between these two models provide evidence that the AHA-BPS model does not penalize older age and is more likely to characterize AHA from a health promotion perspective.
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DOI：
10.1097/01.jgp.0000192501.03069.bc
发表时间：
2006-01-01
影响因子：
7.2
作者：
Depp, CA;Jeste, DV
通讯作者：
Jeste, DV
影响因子：
6.7
作者：
Bowling, Ann;Iliffe, Steve
通讯作者：
Iliffe, Steve
DOI：
10.1093/geronb/gbp059
发表时间：
2009-09-01
影响因子：
6.2
作者：
Chaves, Marcia Lorena;Camozzato, Ana Luiza;Kaye, Jeffrey
通讯作者：
Kaye, Jeffrey
DOI：
10.1016/s0140-6736(14)61461-6
发表时间：
2015-02-14
期刊：
Lancet (London, England)
影响因子：
--
作者：
Beard JR;Bloom DE
通讯作者：
Bloom DE
影响因子：
3.8
作者：
Bowling, Ann
通讯作者：
Bowling, Ann