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Research Article
María Fernanda Rivadeneira
Pontificia Universidad Católica del Ecuador
Corresponding Author
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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.
Keywords
Healthy ageing, Quantitative research methods, Multidimensional approach, Cross-sectional study
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No competing interests reported.
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This preprint is under consideration at BMC Geriatrics. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research Article
María Fernanda Rivadeneira
Pontificia Universidad Católica del Ecuador
Corresponding Author
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Under Review
Version 1
Posted 11 Mar, 2021
No community comments so far
Editor invited
On 03 Mar, 2021
Submission checks complete
On 03 Mar, 2021
First submitted
On 26 Feb, 2021
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Geriatrics & Gerontology
License:
This work is licensed under a CC BY 4.0 License. Read Full License
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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