Self-assessed health of older adults in Mexico, 2012 - 2018

Authors

  • Daniel Lozano Keymolen Centro de Investigación y Estudios Avanzados de la Población de la Universidad Autónoma del Estado de México, Toluca, México https://orcid.org/0000-0003-1086-7233
  • Sergio Cuauhtémoc Gaxiola Robles Linares Centro de Investigación y Estudios Avanzados de la Población de la Universidad Autónoma del Estado de México, Toluca, México https://orcid.org/0000-0002-7782-9058
  • Alejandro Martínez Espinosa Centro de Investigación y Estudios Avanzados de la Población de la Universidad Autónoma del Estado de México, Toluca, México https://orcid.org/0000-0002-6937-1200

DOI:

https://doi.org/10.20947/S0102-3098a0156

Keywords:

Self-rated health, Latent states, Aging, Chronic diseases, Mexico

Abstract

The objective of this research was to analyze the effects of certain sociodemographic and health factors on the self-assessed health trajectories of older adults in Mexico. With data from the Mexican Health and Aging Study 2012-2018, trajectories were estimated using Markov latent state models. The results indicate that, in both women and men, there are three trajectories which were constant, even adjusting for sociodemographic and health variables. However, residential arrangement, multimorbidity, or depressive symptoms had negative effects on the likelihood of a positive self-report of health. These results suggest that, although the factors associated with the defined trajectories of self-rated health, should be analyzed further, residential arrangements, multiple chronic illnesses or depression have longitudinal effects on the self-assessed health of older adults in Mexico.

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Author Biographies

Daniel Lozano Keymolen, Centro de Investigación y Estudios Avanzados de la Población de la Universidad Autónoma del Estado de México, Toluca, México

Daniel Lozano Keymolen es Doctor en Estudios de Población por El Colegio de México A. C. Profesor de tiempo completo en el Centro de Investigación y Estudios Avanzados de la Población de la Universidad Autónoma del Estado de México.

Sergio Cuauhtémoc Gaxiola Robles Linares, Centro de Investigación y Estudios Avanzados de la Población de la Universidad Autónoma del Estado de México, Toluca, México

Sergio Cuauhtémoc Gaxiola Robles Linares es Doctor en Estudios de Población por El Colegio de México A. C. Profesor de tiempo completo en el Centro de Investigación y Estudios Avanzados de la Población de la Universidad Autónoma del Estado de México.

Alejandro Martínez Espinosa, Centro de Investigación y Estudios Avanzados de la Población de la Universidad Autónoma del Estado de México, Toluca, México

Alejandro Martínez Espinosa es Doctor en Estudios de Población por El Colegio de México A. C. Profesor de tiempo completo en el Centro de Investigación y Estudios Avanzados de la Población de la Universidad Autónoma del Estado de México.

References

AGUILAR-NAVARRO, S G.; FUENTES-CANTÚ, A.; ÁVILA-FUNES, J. A.; GARCÍA-MAYO, E. J. Validez y confiabilidad del cuestionario del ENASEM para la depresión en adultos mayores. Salud Pública de México, v. 49, p. 256-262, 2017.

AGUILAR-PALACIO, I.; CARRERA-LASFUENTES, P.; SÁNCHEZ-RECIO, R.; ALONSO, J. P.; RABANAQUE, M. J. Recession, employment and self-rated health: a study on the gender gap. Public Health, n. 154, p. 44-50, 2017.

AMBRESIN, G.; CHONDROS, P.; DOWRICK, C.; HERRMAN, H.; GUNN, J. M. Self-rated health and long-term prognosis of depression. Annals of Family Medicine, v. 12, n. 1, p. 57-65, 2014.

AROKIASAMY, P.; UTTAMACHARYA, K. J. Multi-morbidity functional limitations, and self-rated health among older adults in India: cross-sectional analysis of LASI Pilot Survey, 2010. SAGE Open, v. 5, n. 1, 2015.

BARTOLUCCI, F.; FARCOMENI, A.; PENNONI, F. Latent Markov models for longitudinal data. Boca Raton: Chapman y Hall/CRC, 2012.

BARTOLUCCI, F.; PANDOLFI, S.; PENNONI, F. LMest: An R Package for latent Markov models for longitudinal categorical data. Journal of Statistical Software, v. 81, n. 4, p. 1-38, 2017.

BERDAHL, T. A.; MCQUILLAN, J. Self-rated health trajectories among married Americans: do disparities persist over 20 years? Journal of Aging Research, article ID 1208598, 2018.

CAMELO, L. V.; GIATTI, L.; BARRETO, S. M. Subjective social status, self-rated health and tobacco smoking. Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). Journal of Health Psychology, v. 91, n. 11, p. 1388-1399, 2014.

CEPAL – Comisión Económica para América Latina y el Caribe; OIT – Organización Internacional del Trabajo. Coyuntura laboral en América Latina y el Caribe. La inserción laboral de las personas mayores: necesidades y opciones. Santiago, Chile: Cepal/OIT, 2018.

CHEN, S.; WHITSON, H.; QUIÑONES, A.; THIELKE, S. Comparative health and self-rated health are equivalently associated with health indicators among older adults. Journal of Clinical Epidemiology, v. 70, p. 279-280, 2016.

CONAPO – Consejo Nacional de Población. Proyecciones de población de México y de las entidades federativas 2016-2050. México: Conapo, 2018. Disponible en: https://datos.gob.mx/busca/dataset/proyecciones-de-la-poblacion-de-mexico-y-de-las-entidades-federativas-2016-2050

ENASEM − Estudio Nacional de Salud y Envejecimiento en México. Archivos de Datos y Documentación (uso público). Estudio Nacional de Salud y Envejecimiento en México (Datos Brutos), 2020. Disponible en: www.ENASEM.org Acceso en: 10 ago. 2020.

FALCONER, J.; QUESNEL-VALLEÉ, A. Pathway from poor self-rated health to mortality: explanatory power of disease diagnosis. Social Science & Medicine, n. 190, p. 227-236, 2016.

FRANCO-MARINA, F. Adult smoking trends in Mexico: an analysis of the Mexican National Addiction Surveys. Salud Pública de México, v. 49, supl. 2, p. S137-S146, 2007.

GALLEGOS, K.; GARCÍA, C.; DURAN, C.; REYES, H.; DURAN, L. Self-perceived health status: an approach of the elderly in Mexico. Revista de Saúde Pública, v. 40, n. 5, p. 792-801, 2006.

IDLER, E. L.; BENYAMINI, Y. Self-rated health and mortality: a review of twenty-seven community studies. Journal of Health and Social Behavior, v. 38, n. 1, p. 21-37, 1997.

INEGI – Instituto Nacional de Estadística y Geografía. Encuesta Intercensal 2015. Tabulados básicos. Disponible en: https://www.inegi.org.mx/programas/intercensal/2015/default.html#Tabulados

JOHNSON, R. J.; WOLINSKY, F. D. The structure of health status among older adults: disease, disability, functional limitation, and perceived health. Journal of Health and Social Behavior, v. 34, n. 2, p. 105-121, 1993.

JOUNG, I. M.; STRONKS, K.; VAN DE MHEEN, H.; MACKENBACH, J. P. Health behaviors explain part of the differences in self-reported health associated with partner/marital status in the Netherlands. Journal of Epidemiology and Community Health, v. 49, n. 5, p. 482-488, 1995.

JYLHÄ, M. Self-rated health and subjective survival probabilities as predictors of mortality. In: ROGERS, R. G.; CRIMMINS, E. M. (ed.). International handbook of adult mortality. The Netherlands: Springer, 2011.

KAPLAN, G. A.; CAMACHO, T. Perceived health and mortality: a nine-year follow-up of the human population laboratory cohort. American Journal of Epidemiology, v. 117, n. 3, p. 292-306, 1983.

KATZ, S.; FORD, A.; MOSKOWITZ, R.; JACKSON, B.; JAFFE, M. Studies of illness and the aged: the index of ADL, a standardized measure of biological and psychological function. JAMA, n. 185, p. 914-919, 1963.

LEE, S.; SCHWARZ, N.; GOLDSTEIN, L. S. Culture-sensitive question order effects of self-rated health between older Hispanic and non-Hispanic adults in the United States. Journal of Aging Health, v. 26, n. 5, p. 860-883, 2014.

LI, M.; HARRIS, I.; LU, K. Differences in proxy-reported and patient-reported outcomes: assessing health and functional status among medicare beneficiaries. BMC Medical Research Methodology, n. 15, p. 62-72, 2015.

MANRIQUE-ESPINOZA, B.; SALINAS-RODRIGUEZ, A.; MORENO-TAMAYO, M.; ACOSTA-CASTILLO, I.; SOSA-ORTIZ, A.; GUTIERREZ-ROBLEDO, L. M.; TELLEZ-ROJO, M. Condiciones de salud y estado funcional de los adultos mayores en México. Salud Pública de México, v. 55, supl. 2, p. S323-S331, 2013.

MARTELL-CLAROS, N.; ARANDA, P.; GONZÁLEZ-ALBARRÁN, O.; DALFÓ-BAQUÉ, A.; DOMÍNGUEZ-SARDIÑANA, M.; DE LA CRUZ, J. A. C. Perception of health and understanding of cardiovascular risk among patients with recently diagnosed diabetes and/or metabolic syndrome. European Journal of Preventive Cardiology, v. 20, n. 1, p. 21-28, 2011.

MEADOWS, S. O. Family structure and fathers’ well-being: trajectories of self-rated and mental health. Journal of Health and Social Behavior, v. 50, n. 2, p. 115-131, 2009.

MIILUNPALO, S.; VUORI, I.; OJA, P.; PASANEN, M.; URPONEN, H. Self-rated health status as a health measure: the predictive value of self-reported health status on the use of physician services and on mortality in the working-age population. Journal of Clinical Epidemiology, v. 50, n. 5, p. 517-528, 1997.

MILLER, T. R.; WOLISNKY, F. D. Self-rated health trajectories and mortality among older adults. The Journals of Gerontology Series B: Psychological and Social Sciences, v. 62, n. 1, p. S22-S27, 2007.

MOLINA, T. Adjusting for heterogeneous response thresholds in cross-country comparisons of self-reported health. The Journal of the Economics of Ageing, n. 10, p. 1-20, 2017.

OCAMPO, M. Self-rated health: importance of use in elderly adults. Colombia Médica, n. 41, p. 275-289, 2010.

OROZCO-ROCHA, K.; WONG, R.; MICHAELS OBREGÓN, A. Atrición en encuestas de panel en México: la Encuesta Nacional sobre Salud y Envejecimiento en México. Datos y Espacio. Revista Internacional de Estadística y Geografía, v. 9, n. 1, p. 54-71, 2018.

OVERLAND, S.; GLOZIER, N.; MAELAND, J. G.; AARO, L. E.; MIKLETUN, A. Employment status and perceived health in the Hordaland Health Study (HUSK). BMC Public Health, n. 6, article 219, 2006.

PALLONI, A.; SOLDO, B.; WONG, R.; MCENIRY, M. Health status in a national sample of elderly Mexicans. Madison, WI: Center for Demography and Ecology, University of Wisconsin-Madison, 2003. (CDE Working Paper, n. 2003-03). Disponible en: https://www.researchgate.net/publication/242118372_Health_Status_in_a_National_Sample_of_Elderly_Mexicans

PICAZZO-PALENCIA, E. Depression and mobility among older adults in Mexico: ENSANUT 2012. Hispanic Health Care International, v. 14, n. 2, p. 94-98, 2016.

PINILLOS-FRANCO, S.; KAWACHI, I. The relationship between social capital and self-reported health: a gendered analysis of 17 European countries. Social Science & Medicine, n. 219, p. 30-35, 2017.

ROHLFSEN, L. S.; JACOBS KRONENFELD, J. Trajectories of self-rated health in middle and old age: an examination of differential exposure and differential vulnerability. Journal of Aging and Health, v. 26, n. 4, p. 637-662, 2014.

SALINAS, J. Preventive health screening utilization in older Mexicans before and after healthcare reform. Salud Pública de México, v. 57, (sup. I), p. S70-S78, 2015.

SARGENT-COX, K. A.; ANSTEY, K. J.; LUSZCZ, M. A. The choice of self-rated health measures matter when predicting mortality: evidence from 10 years follow-up of the Australian longitudinal study of ageing. BMC Geriatrics, n. 10, p. 18, 2010.

SUH, J. K.; DOCTOR, J. Self-rated health measures with different reference points and mortality. Value in Health, v. 16, n. 3, p. A265, 2013.

VUORISALMI, M.; LINTONEN, T.; JYLHÄ, M. Global self-rated health data from a longitudinal study predicted mortality better than comparative self-rated health in old age. Journal of Clinical Epidemiology, v. 18, n. 3, p. 211-217, 2006.

WEXLER, D. J.; PORNEALA, B.; CHANG, Y.; HUANG, E. S.; HUFFMAN, J. C.; GRANT, R. W. Diabetes differentially affects depression and self-rated health by age in the U.S. Diabetes Care, v. 35, n. 7, p. 1575-1577, 2012.

WOLINSKY, F. D.; TIERNEY, W. M. Self-rated health and adverse health outcomes: an exploration and refinement of the trajectory hypothesis. The Journals of Gerontology Series B: Psychological and Social Sciences, v. 53, n. 6, p. 336-S340, 1998.

WONG, R.; MICHAELS-OBREGON, A.; PALLONI, A. Cohort profile: the Mexican health and aging study. International Journal of Epidemiology, v. e2, p. 1-10, 2017.

WONG, R.; MICHAELS-OBREGON, A. Mexican health and aging study. In: GU, D.; DUPRE, M. E. (ed.). Encyclopedia of gerontology and population aging. Suiza: Springer International Publishing, 2019.

YOSHIMITSU, K.; TABIRA, T.; KUBOTA, M.; IKEDA, Y.; INOUE, K.; AKASAKI, Y. Factors affecting the self-rated health of elderly individuals living alone: a cross-sectional study. BMC Research Notes, n. 10, p. 512-518, 2017.

ZAJACOVA, A.; HUZURBAZAR, S.; TODD, M. Gender and the structure of self-rated health across the adult life span. Social Science & Medicine, n. 187, p. 58-66, 2017.

Published

2021-09-01

How to Cite

Lozano Keymolen, D., Gaxiola Robles Linares, S. C., & Martínez Espinosa, A. (2021). Self-assessed health of older adults in Mexico, 2012 - 2018. Brazilian Journal of Population Studies, 38, 1–21. https://doi.org/10.20947/S0102-3098a0156

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Section

Original Articles