Original Article

Time Trends in Self-Rated Health and Disability in Older Spanish People: Differences by Gender and Age

Abstract

Background: To analyse time trends in self-rated health in older people by gender and age and examine disability in the time trends of self-rated health.

Methods: The data used come from the Spanish National Health Surveys conducted in 2001, 2003, 2006 and 2011-12. Samples of adults aged 16 yr and older were selected. Multivariate logistic regression was used to assess the association between age, gender, socio-economic status, marital status, disability and self-rated health across period study.

Results: Women exhibited lower (higher) prevalence of good self-rated health (disability) compared to men. The multivariate analysis for time trends found that good self-rated health increased from 2001 to 2012. Overall, variables associated with a lower likelihood of good self-rated health were: being married or living with a partner, lower educational level, and disability.

Conclusion: Trends of good self-rated health differ by gender according to socio-demographic factors and the prevalence of disability.

 

National Statistics Institute (INE) (2013). Census 2011. Available from:

http://www.ine.es/en/cen-sos2011_datos/cen11_datos_inicio_en.htm

Giannakouris K (2008). Ageing characterises the demographic perspectives of the Eu-ropean so¬cieties. Eurostat. Available from: http://www.age-platform.eu/home/10-social-policy/age-news/110-ageing-characterises-the-demographic-perspectives-of-european-socie¬ties

Tamayo-Fonseca N, Quesada JA, Nolasco A, Mel¬chor I, Moncho J, Pereyra-Zamora P, et al. (2013) Self-rated health and mortality: a follow-up study of a Spanish population. Public Health,127(12): 1097-104.

Aijänseppä S, Notkola I-L, Tijhuis M, van Staveren W, Kromhout D, Nissinen A (2005). Physical functioning in elderly Eu-ropeans: 10 year changes in the north and south: the HALE pro¬ject. J Epidemiol Com-munity Health, 59(5):413-9.

Idler EL, Benyamini Y (1997). Self-Rated Health and Mortality: A Review of Twen-ty-Seven Community Studies. J Health Soc Behav, 38(1):21-37.

Jang Y, Chiriboga DA, Kim G, Cho S (2009). Changes in Perceived Health and Depres-sive Symptoms: A Longitudinal Analysis with Older Korean Americans. J Immigr Minor Health, 11(1):7-12.

Simsek H, Doganay S, Budak R, Ucku R (2014). Relationship of socioeconomic sta-tus with health behaviors and self-perceived health in the elderly: A commu-nity-based study, Turkey. Geriatr Gerontol Int, 14(4):960-8.

Kunst AE, Bos V, Lahelma E, Bartley M, Lissau I, Regidor E, et al. (2005). Trends in socioeco¬nomic inequalities in self-assessed health in 10 European countries. Int J Epi-demiol, 34(2):295-305

Orfila F, Ferrer M, Lamarca R, Alonso J (2000). Evolution of self-rated health sta-tus in the el¬derly: Cross-sectional vs. longi-tudinal estimates. J Clin Epidemiol, 53(6):563-70.

Roqué i Figuls M, Salvà A, Bolíbar I, Rivero T (2012). Tendencias en salud percibida y depen¬dencia de la población mayor espa-ñola: evolu¬ción entre los años 1993 y 2006. Medicina Clínica, 139(7):284-9.

Manton KG, Stallard E, Corder LS (1998). The dynamics of dimensions of age-related disability 1982 to 1994 in the U.S. elderly population. J Gerontol A Biol Sci Med Sci, 53(1):B59-70.

Manton KG, Gu X (2001). Changes in the prevalence of chronic disability in the United States black and nonblack population above age 65 from 1982 to 1999. PNAS, 98(11):6354-9.

Ministerio de Sanidad, Servicios Sociales e Igualdad (2014). Encuesta Nacional de Sa-lud de España 2001, 2003, 206 y 2011-2012. http://www.msc.es/estadEstudi-os/estadisticas/encuestaNacional/

Katz S, Ford AB, Moskowitz RW, Jackson-BA, Jaffe MW (1963). Studies of illness in the aged. The index of ADL: a standard-ised measure of biological and psychologi-cal function. JAMA, 185:914-9.

Katz S (1983). Assessing self-maintenance: activi¬ties of daily living, mobility, and in-strumental ac¬tivities of daily living. J Am Geriatr Soc, 31(12):721-7.

Lawton MP, Brody EM (1969). Assessment of older people: self-maintaining and in-strumental activities of daily living. Gerontol-ogist, 9(3):179-86.

Vittinghoff E, Glidden D, Shiboski SC, McCulloch CE (2005). Regression Methods in Biostatistics: linear, logistic, survival, and repeat measures models. Springer, USA.

Bursac Z, Gauss CH, Williams DK, Hosmer DW (2008). Purposeful selection of varia-bles in lo¬gistic regression. Source Code for Bi-ology and Medi¬cine, 3(17):1-8.

Fors S, Lennartsson C, Lundberg O (2008). Health inequalities among older adults in Sweden 1991-2002. Eur J Public Health, 18(2):138-43.

Séculi E, Fusté J, Brugulat P, Juncà S, Rué M, Guil¬lén M (2001). Percepción del estado de salud en varones y mujeres en las últi-mas etapas de la vida. Gaceta Sanitaria, 15(3):217-23.

Wu Y, Zhang D, Pang Z, Oksuzyan A, Jiang W, Wang S, et al. (2012). Gender-specific patterns in age-related decline in general health among Danish and Chinese: A cross-national compar¬ative study. Geriatr Gerontol Int,12(3):431-9.

Verropoulou G (2012). Determinants of change in self-rated health among older adults in Europe: a longitudinal perspec-tive based on SHARE data. Eur J Ageing, 9(4):305-18.

Galenkamp H, Huisman M, Braam AW, Deeg DJH (2012). Estimates of prospec-tive change in self-rated health in older people were biased owing to potential re-calibration response shift. J Clin Epidemiol, 65(9):978-88.

D’ Uva TB, O’Donnell O, Doorslaer EV (2008). Differential health reporting by ed-ucation level and its impact on the meas-urement of health in¬equalities among older Europeans. Int J Epi¬demiol, 37(6):1375-83.

Tsimbos C (2010). An assessment of socio-eco¬nomic inequalities in health among el-derly in Greece, Italy and Spain. Int J Public Health, 55(1):5-15.

Girón P (2012). Determinants of self-rated health in Spain: differences by age groups for adults. Eur J Public Health, 22(1):36-40.

Rueda S, Artazcoz L, Navarro V (2008). Health in¬equalities among the elderly in western Europe. J Epidemiol Community Health, 62(6):492-8.

Leinonen R, Heikkinen E, Jylhä M (2001). Predic¬tors of decline in self-assessments of health among older people--a 5-year longitudinal study. Soc Sci Med, 52(9):1329-41.

National Statistics Institute (INE) (2012). Sur-vey on Disabilities, Impairment and Hand-icaps 1986, Survey on Disabilities, Im-pairments and Health Status 1999 and Survey on Disability, Personal Autonomy and Dependency Situa¬tions 2008. Availa-ble from:

http://www.ine.es/jaxi/menu.do?type=pcax-is&path=%2Ft15%2Fp418&file=inebase&L=1 htm

Gútierrez MF, Jiménez-Martín S, Vegas Sán-chez R, Villaplana C (2010). The Spanish long-term care system: ENEPRI research report, 88. ENEPRI. Available from:

http://aei.pitt.edu/14603/1/Spain.pdf. (Last accessed 20 May 2015).

Files
IssueVol 45 No 3 (2016) QRcode
SectionOriginal Article(s)
Keywords
Disability Gender Health surveys Older people Self-rated health

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
GIRON P. Time Trends in Self-Rated Health and Disability in Older Spanish People: Differences by Gender and Age. Iran J Public Health. 2016;45(3):289-296.