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Factors associated with active aging in Finland, Poland, and Spain

Published online by Cambridge University Press:  15 April 2014

Jaime Perales ,
Steven Martin ,
Jose Luis Ayuso-Mateos ,
Somnath Chatterji ,
Noe Garin ,
Seppo Koskinen ,
Matilde Leonardi ,
Marta Miret ,
Victoria Moneta  and
Beatriz Olaya
...Show all authors
Jaime Perales
Affiliation:
Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Barcelona, Spain
Steven Martin
Affiliation:
Department of Public Health & Primary Care, Cambridge Institute of Public Health, University of Cambridge, Cambridge, UK
Jose Luis Ayuso-Mateos
Affiliation:
Department of Psychiatry, Universidad Autónoma de Madrid, Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Investigación Sanitaria Princesa (IP), Hospital Universitario la Princesa, Madrid, Spain
Somnath Chatterji
Affiliation:
Department of Health Statistics and Information Systems, World Health Organization, Geneva, Switzerland
Noe Garin
Affiliation:
Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Barcelona, Spain
Seppo Koskinen
Affiliation:
National Institute for Health and Welfare, Helsinki, Finland
Matilde Leonardi
Affiliation:
Department of Neurology, Public Health and Disability, Italian National Neurological Institute “Carlo Besta” Foundation IRCCS (Istituto di ricovero e cura a carattere scientifico), Milan, Italy
Marta Miret
Affiliation:
Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Madrid, Spain Department of Psychiatry, Universidad Autónoma de Madrid, Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IP), Madrid, Spain
Victoria Moneta
Affiliation:
Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Barcelona, Spain
Beatriz Olaya
Affiliation:
Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Barcelona, Spain
Beata Tobiasz-Adamczyk
Affiliation:
Chair of Epidemiology and Preventive Medicine, Department of Medical Sociology, Jagiellonian University Medical College, Krakow, Poland
Josep Maria Haro*
Affiliation:
Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Barcelona, Spain Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Madrid, Spain
*
Correspondence should be addressed to: Josep Maria Haro, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Barcelona, Spain. Phone: +34 93 600 26 85. Email: [email protected].
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Abstract

Background:

Continuous population aging has raised international policy interest in promoting active aging (AA). AA theoretical models have been defined from a biomedical or a psychosocial perspective. These models may be expanded including components suggested by lay individuals. This paper aims to study the correlates of AA in three European countries, namely, Spain, Poland, and Finland using four different definitions of AA.

Methods:

The EU COURAGE in Europe project was a cross-sectional general adult population survey conducted in a representative sample of the noninstitutionalized population of Finland, Poland, and Spain. Participants (10,800) lived in the community. This analysis focuses on individuals aged 50 years old and over (7,987). Four definitions (two biomedical, one psychosocial, and a complete definition including biomedical, psychosocial, and external variables) of AA were analyzed.

Results:

Differences in AA were found for country, age, education, and occupation. Finland scored consistently the highest in AA followed by Spain and Poland. Younger age was associated with higher AA. Higher education and occupation was associated with AA. Being married or cohabiting was associated with better AA compared to being widowed or separated in most definitions. Gender and urbanicity were not associated with AA, with few exceptions. Men scored higher in AA only in Spain, whereas there was no gender association in the other two countries. Being widowed was only associated with lower AA in Poland and not being married was associated with lower AA in Poland and Finland but not Spain.

Conclusions:

Associations with education, marital status, and occupation suggest that these factors are the most important components of AA. These association patterns, however, seem to vary across the three countries. Actions to promote AA in these countries may be addressed at reducing inequalities in occupation and education or directly tackling the components of AA lacking in each country.

Keywords

active agingold agesuccessful agingaging wellgeriatrics
Type
Research Article
Information
International Psychogeriatrics , Volume 26 , Issue 8 , August 2014 , pp. 1363 - 1375
Copyright
Copyright © International Psychogeriatric Association 2014 

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References

Armstrong, T. and Bull, F. (2006). Development of the World Health Organization Global Physical Activity Questionnaire (GPAQ). Journal of Public Health, 14, 66–70.CrossRefGoogle Scholar
Berkman, L. F. and Kawachi, I. (2000). Social Epidemiology, Social Science. Oxford: Oxford University Press.CrossRefGoogle Scholar
Bøen, H., Dalgard, O. S. and Bjertness, E. (2012). The importance of social support in the associations between psychological distress and somatic health problems and socio-economic factors among older adults living at home: a cross sectional study. BMC Geriatrics, 12, 27.CrossRefGoogle ScholarPubMed
Bowling, A. (1993). The concepts of successful and positive ageing. Family Practice, 10, 449–453.Google Scholar
Bowling, A. and Dieppe, P. (2005). What is successful ageing and who should define it? BMJ, 331, 24–31.Google Scholar
Bowling, A. and Iliffe, S. (2006). Which model of successful ageing should be used? Baseline findings from a British longitudinal survey of ageing. Age and Ageing, 35, 607–14.Google Scholar
Carstensen, L. L. (2006). The influence of a sense of time on human development. Science, 312, 1913–1915.Google Scholar
Cosco, T. D., Prina, A. M., Perales, J., Stephan, B. C. M. and Brayne, C. (2013). Lay perspectives of successful ageing: a systematic review and meta-ethnography. BMJ Open, 3, e002710.CrossRefGoogle ScholarPubMed
Depp, C. A. and Jeste, D. V. (2006). Definitions and predictors of successful aging: a comprehensive review of larger quantitative studies. American Journal of Geriatric Psychiatry, 14, 6–20.Google Scholar
Diari Oficial de la Comunitat Valenciana. (2011). Decret 104/2011. Available at: http://sga.ua.es/es/documentos/normativa-academica/tasas/decreto-de-tasas-2010-2011.pdf; last accessed 21 March 2014.Google Scholar
Diari Oficial de la Comunitat Valenciana. (2012). Decret 110/2012. Available at: http://www.docv.gva.es/datos/2012/07/09/pdf/2012_6859.pdf; last accessed 21 March 2014.Google Scholar
Eikemo, T. a, Huisman, M., Bambra, C. and Kunst, A. E. (2008). Health inequalities according to educational level in different welfare regimes: a comparison of 23 European countries. Sociology of Health and Illness, 30, 565–582.Google Scholar
European Commission. (2009). Commission recommendation of 29 October 2009 on the use of the International Standard Classification of Occupations (ISCO-08). Official Journal of the Eurean Union, 292, 31–47.Google Scholar
European Union. (2012). European Year for Active Ageing and Solidarity between Generations. [WWW Document]. Available at: http://europa.eu/ey2012/ey2012main.jsp?catId=971&langId=en; last accessed 9 March 2013.Google Scholar
Fernández-Ballesteros, R. (2008). Lay concept of aging well: Cross-cultural comparisons. Journal of the American Geriatrics Society, 56, 950–952.Google Scholar
Fernández-Ballesteros, R., Molina-Martínez, M. A., Schettini-del-Moral, R. and Santacreu, M. (2013). The semantic network of aging well. In Robine, J. M., Jagger, C. and Crimmins, E. (eds.), Annual Review of Gerontology and Geriatrics: Healthy Longevity. (pp. 79–107). New York: Springer.Google Scholar
Fries, J. F. (2012). The theory and practice of active aging. Current Gerontoly and Geriatrics Research, 2012, 420637.Google ScholarPubMed
Hank, K. (2011). How “successful” do older Europeans age? Findings from SHARE. Journal of Gerontology: Social Sciences, 66B, 230–236.Google Scholar
He, W., Muenchrath, M. N. and Kowal, P. (2012). Shades of Gray: A Cross-Country Study of Health and Well-Being of the Older Populations in SAGE Countries, 2007–2010. Washington, DC: US Census Bureau.Google Scholar
Helmuth, L. (2003). The wisdom of the wizened. Science, 299, 1300–1302.CrossRefGoogle ScholarPubMed
Ibrahim, F., Cohen, C. and Ramirez, P. (2010). Successful aging in older adults with schizophrenia: prevalence and associated factors. American Journal of Geriatric Psychiatry, 18, 879–886.Google Scholar
Jeste, D. V. et al. (2013). Association between older age and more successful aging: critical role of resilience and depression. American Journal of Psychiatry, 170, 188–196.Google Scholar
Kenkel, D. S. (1991). Health behavior, health knowledge, and schooling. Journal of Political Economy, 99, 287–305 CrossRefGoogle Scholar
Kerschner, H. and Pegues, J. A. (1998). Productive aging: a quality of life agenda. Journal of the American Dietetic Association, 98, 1445–1448.Google Scholar
Kessler, R. C. and Ustün, T. B. (2004). The World Mental Health (WMH) survey initiative version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI). International Journal of Methods in Psychiatric Research, 13, 93–121.Google Scholar
Lupien, S. J. and Wan, N. (2004). Successful ageing: from cell to self. Philosophical transactions of the Royal Society of London. Series B, Biological Sciences, 359, 1413–1426.Google Scholar
Lynch, J. (2000). Income inequality and health: expanding the debate. Social Science & Medicine, 51, 1001–1005.Google Scholar
Malaspina, L. et al. (2011). Successful cognitive aging in persons living with HIV infection. Journal of Neurovirology, 17, 110–119.Google Scholar
Presupuestos Generales del Estado. (2011). Ley 39/2010. Available at: https://www.boe.es/diario_boe/txt.php?id=BOE-A-2010-19703; last accessed 21 March 2014.Google Scholar
Presupuestos Generales del Estado. (2013). Ley 17/2012. Available at: http://www.boe.es/buscar/pdf/2012/BOE-A-2012-15651-consolidado.pdf; last accessed 21 March 2014.Google Scholar
Rowe, J. W. and Kahn, R. L. (1997). Successful aging. Gerontologist, 37, 433–440.Google Scholar
StataCorp. (2009). Stata: Release 11. Stata Software. Available at: http://www.stata.com/stata11/; last accessed 21 March 2014.Google Scholar
Strawbridge, W. J., Cohen, R. D., Shema, S. J. and Kaplan, G. A. (1996). Successful aging: predictors and associated activities. American Journal of Epidemiology, 144, 135–141.Google Scholar
Ustun, T., Chatterji, S., Mechbal, A., Murray, C. and WHS Collaborating Groups. (2005). Quality assurance in surveys: standards, guidelines and procedures. In Department of Economic and Social Affairs Statistics Division of the United Nations (ed.). Household Sample Surveys in Developing and Transition Countries. New York: United Nations.Google Scholar
Walker, A. (2009). Commentary: the emergence and application of active aging in Europe. Journal of Aging & Social Policy, 21, 75–93.Google Scholar
Wilkinson, R. G. (2000). Inequality and the social environment: a reply to Lynch et al . Journal of Epidemiology and Community Health 54, 411–3.CrossRefGoogle ScholarPubMed
World Health Organization. (1990). World Health Annual Statistics. Geneva: World health Organization.Google Scholar
World Health Organization. (1992). ICD-10 Classification of mental and behavioural disorders. Geneva: World health Organization.Google Scholar
World Health Organization. (2001). International Classification of Functioning, Disability and Health (ICF). Geneva: World health Organization.Google Scholar
World Health Organization. (2012). The World Health Organization Disability Assessment Schedule II (WHODAS II) [WWW Document]. http://www.who.int/icidh/whodas/index.html; last accessed 15 March 2013.Google Scholar
World Health Organization. (2013a). Ageing and life course: What is “active ageing” [WWW Document]. http://www.who.int/ageing/active_ageing/en/; last accessed 15 March 2013.Google Scholar
World Health Organization. (2013b). World Health Organization Translation Guidelines [WWW Document]. http://www.who.int/substance_abuse/research_tools/translation/en/; last accessed 15 March 2013.Google Scholar
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