Background: Healthy ageing is a complex construct, which involves multiple dimensions. The objective of this study was 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 (sample expanded to 898,152). A multidimensional model was designed based on the domains involved in the concept of healthy ageing from the World Organization Health´s approach, and the environment dimension. For the analysis, two groups were created per bi-stage cluster: healthy ageing and less healthy ageing. The probability of belonging to the healthiest group was analyzed with bivariate and multivariate logit for complex samples.
Results: The 53.15% of the sample was classified in the healthy ageing group. Women and the poorest older adults are less likely to be in the healthy ageing group (OR 0.58; CI 95% 0.464 - 0.737; OR 0.44; CI 95% 0.343 - 0.564). Older adults with secondary education or higher, who consider their health as excellent and who are satisfied with their life have a greater probability of being in healthy ageing (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: The model of healthy ageing addresses multidimensional variables which are summarized in three components: the intrinsic capacity, referring to the physical and mental health, the social and political environment, and the interaction of the elderly with the environment. It was found that the poorest older adults and women are less likely to belong to the healthiest group. Healthy aging plans must focus on socioeconomic conditions and gender equity.
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No competing interests reported.
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Posted 11 Mar, 2021
On 03 Mar, 2021
On 03 Mar, 2021
On 26 Feb, 2021
Posted 11 Mar, 2021
On 03 Mar, 2021
On 03 Mar, 2021
On 26 Feb, 2021
Background: Healthy ageing is a complex construct, which involves multiple dimensions. The objective of this study was 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 (sample expanded to 898,152). A multidimensional model was designed based on the domains involved in the concept of healthy ageing from the World Organization Health´s approach, and the environment dimension. For the analysis, two groups were created per bi-stage cluster: healthy ageing and less healthy ageing. The probability of belonging to the healthiest group was analyzed with bivariate and multivariate logit for complex samples.
Results: The 53.15% of the sample was classified in the healthy ageing group. Women and the poorest older adults are less likely to be in the healthy ageing group (OR 0.58; CI 95% 0.464 - 0.737; OR 0.44; CI 95% 0.343 - 0.564). Older adults with secondary education or higher, who consider their health as excellent and who are satisfied with their life have a greater probability of being in healthy ageing (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: The model of healthy ageing addresses multidimensional variables which are summarized in three components: the intrinsic capacity, referring to the physical and mental health, the social and political environment, and the interaction of the elderly with the environment. It was found that the poorest older adults and women are less likely to belong to the healthiest group. Healthy aging plans must focus on socioeconomic conditions and gender equity.
Figure 1
Figure 2
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