A multidimensional model of healthy ageing: proposal and evaluation of determinants based on a population survey in Ecuador

Abstract Background Healthy ageing is a complex construct which involves multiple dimensions. Previous studies of healthy ageing have focused only on measuring the intrinsic capacity of the older person. The objectives of this study were to design a multidimensional model of healthy ageing and to id...

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Autores principales:	María Fernanda Rivadeneira, María José Mendieta, Jessica Villavicencio, José Caicedo-Gallardo, Patricio Buendía
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Healthy ageing Quantitative research methods Multidimensional approach Cross-sectional study Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/2af6c818215b4fc99c501fae1409649f
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spelling	oai:doaj.org-article:2af6c818215b4fc99c501fae1409649f2021-11-07T12:16:06ZA multidimensional model of healthy ageing: proposal and evaluation of determinants based on a population survey in Ecuador10.1186/s12877-021-02548-51471-2318https://doaj.org/article/2af6c818215b4fc99c501fae1409649f2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12877-021-02548-5https://doaj.org/toc/1471-2318Abstract Background Healthy ageing is a complex construct which involves multiple dimensions. Previous studies of healthy ageing have focused only on measuring the intrinsic capacity of the older person. The objectives of this study were to design a multidimensional model of healthy ageing and to identify its determinants from national data in Ecuador. Methods A cross-sectional analytical study was carried out from the National Survey of Health and Well-being of the Older Adult, 2010. Sample was 1797 adults aged 65 years or more. A multidimensional model was designed based on the World Health Organization’s concept of healthy ageing. For the analysis, two groups were created: a healthy ageing and a less healthy ageing group. Bivariate and multivariate logistic regressions were performed to analyze the probability of belonging to the healthy group according to sex, age, area of residence, level of education, perceived health status, perceived life satisfaction, and poverty by income level. Results The 53.15% of the sample was classified in the healthy ageing group. Women and the poorest older adults were less likely to be in the healthy ageing group (OR 0.58; 95% CI 0.464–0.737; OR 0.44; 95% CI 0.343–0.564). Older adults with secondary education or higher, who considered their health as excellent and who were satisfied with their life, had a greater probability of being in healthy ageing group (OR 2.61; 95% CI 1.586–4.309; OR 28.49; 95% CI 3.623–224.02; OR 0.23; 95% CI 0.165–0.341). Conclusions This study contributes with a multidimensional approach to healthy ageing. It proposes to evaluate the intrinsic capacity of the individual, the social and political environment and the interaction with it, through indicators that discriminate who are ageing in a healthy way and who are not. By using this model, it was identified that gender and economic situation seem to play an important role on heathy ageing of the Ecuadorian population. Public policies are necessary to promote healthy ageing, especially focused on improving socioeconomic conditions and gender equity.María Fernanda RivadeneiraMaría José MendietaJessica VillavicencioJosé Caicedo-GallardoPatricio BuendíaBMCarticleHealthy ageingQuantitative research methodsMultidimensional approachCross-sectional studyGeriatricsRC952-954.6ENBMC Geriatrics, Vol 21, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Healthy ageing Quantitative research methods Multidimensional approach Cross-sectional study Geriatrics RC952-954.6
spellingShingle	Healthy ageing Quantitative research methods Multidimensional approach Cross-sectional study Geriatrics RC952-954.6 María Fernanda Rivadeneira María José Mendieta Jessica Villavicencio José Caicedo-Gallardo Patricio Buendía A multidimensional model of healthy ageing: proposal and evaluation of determinants based on a population survey in Ecuador
description	Abstract Background Healthy ageing is a complex construct which involves multiple dimensions. Previous studies of healthy ageing have focused only on measuring the intrinsic capacity of the older person. The objectives of this study were to design a multidimensional model of healthy ageing and to identify its determinants from national data in Ecuador. Methods A cross-sectional analytical study was carried out from the National Survey of Health and Well-being of the Older Adult, 2010. Sample was 1797 adults aged 65 years or more. A multidimensional model was designed based on the World Health Organization’s concept of healthy ageing. For the analysis, two groups were created: a healthy ageing and a less healthy ageing group. Bivariate and multivariate logistic regressions were performed to analyze the probability of belonging to the healthy group according to sex, age, area of residence, level of education, perceived health status, perceived life satisfaction, and poverty by income level. Results The 53.15% of the sample was classified in the healthy ageing group. Women and the poorest older adults were less likely to be in the healthy ageing group (OR 0.58; 95% CI 0.464–0.737; OR 0.44; 95% CI 0.343–0.564). Older adults with secondary education or higher, who considered their health as excellent and who were satisfied with their life, had a greater probability of being in healthy ageing group (OR 2.61; 95% CI 1.586–4.309; OR 28.49; 95% CI 3.623–224.02; OR 0.23; 95% CI 0.165–0.341). Conclusions This study contributes with a multidimensional approach to healthy ageing. It proposes to evaluate the intrinsic capacity of the individual, the social and political environment and the interaction with it, through indicators that discriminate who are ageing in a healthy way and who are not. By using this model, it was identified that gender and economic situation seem to play an important role on heathy ageing of the Ecuadorian population. Public policies are necessary to promote healthy ageing, especially focused on improving socioeconomic conditions and gender equity.
format	article
author	María Fernanda Rivadeneira María José Mendieta Jessica Villavicencio José Caicedo-Gallardo Patricio Buendía
author_facet	María Fernanda Rivadeneira María José Mendieta Jessica Villavicencio José Caicedo-Gallardo Patricio Buendía
author_sort	María Fernanda Rivadeneira
title	A multidimensional model of healthy ageing: proposal and evaluation of determinants based on a population survey in Ecuador
title_short	A multidimensional model of healthy ageing: proposal and evaluation of determinants based on a population survey in Ecuador
title_full	A multidimensional model of healthy ageing: proposal and evaluation of determinants based on a population survey in Ecuador
title_fullStr	A multidimensional model of healthy ageing: proposal and evaluation of determinants based on a population survey in Ecuador
title_full_unstemmed	A multidimensional model of healthy ageing: proposal and evaluation of determinants based on a population survey in Ecuador
title_sort	multidimensional model of healthy ageing: proposal and evaluation of determinants based on a population survey in ecuador
publisher	BMC
publishDate	2021
url	https://doaj.org/article/2af6c818215b4fc99c501fae1409649f
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A multidimensional model of healthy ageing: proposal and evaluation of determinants based on a population survey in Ecuador

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