TY - JOUR
T1 - Life course indices for social determinants of self-rated health trajectory in Korean elderly
AU - Lee, Jiae
AU - Cho, Sung Il
AU - Chun, Heeran
AU - Jung-Choi, Kyunghee
AU - Kang, Minah
AU - Jang, Soong Nang
N1 - Publisher Copyright:
© 2017 Elsevier B.V.
PY - 2017/5/1
Y1 - 2017/5/1
N2 - Objectives This study investigated the self-rated health trajectories of the Korean older population and revealed life-course factors that affect the trajectories over the life course. Methods Around 1000 older adults were randomly allocated by stratified multi-stage sampling based on the population census, and underwent face-to-face interviews. Self-rated health status, socioeconomic variables over the life course, and demographic variables were included in the analysis. A group-based trajectory model was used to investigate the association between self-rated health and explanatory variables. Results The enrolled men and women were divided into three groups by trajectory analysis, which showed marked differences in self-rated health trajectories from childhood to senescence. Among older men, those who experienced skipping meals in childhood and those with chronic disease conditions were more likely to be in the lower trajectory groups. Compared to the older men, the likelihood of being in the lower trajectory groups in older women was increased by experience of skipping meals, lower household income, housekeeping labor, receiving Basic Livelihood Security and chronic disease conditions. Conclusion Various self-rated health trajectories of the Korean older population were identified, and differed according to socioeconomic variables during their life course. Therefore, socioeconomic variables during the life course should be monitored, and health policies directed at the elderly should focus on initial health status from the perspective of a life-course approach.
AB - Objectives This study investigated the self-rated health trajectories of the Korean older population and revealed life-course factors that affect the trajectories over the life course. Methods Around 1000 older adults were randomly allocated by stratified multi-stage sampling based on the population census, and underwent face-to-face interviews. Self-rated health status, socioeconomic variables over the life course, and demographic variables were included in the analysis. A group-based trajectory model was used to investigate the association between self-rated health and explanatory variables. Results The enrolled men and women were divided into three groups by trajectory analysis, which showed marked differences in self-rated health trajectories from childhood to senescence. Among older men, those who experienced skipping meals in childhood and those with chronic disease conditions were more likely to be in the lower trajectory groups. Compared to the older men, the likelihood of being in the lower trajectory groups in older women was increased by experience of skipping meals, lower household income, housekeeping labor, receiving Basic Livelihood Security and chronic disease conditions. Conclusion Various self-rated health trajectories of the Korean older population were identified, and differed according to socioeconomic variables during their life course. Therefore, socioeconomic variables during the life course should be monitored, and health policies directed at the elderly should focus on initial health status from the perspective of a life-course approach.
KW - Health trajectory
KW - Life course
KW - Self-rated health
KW - Social determinants
KW - Socioeconomic position
UR - http://www.scopus.com/inward/record.url?scp=85012014039&partnerID=8YFLogxK
U2 - 10.1016/j.archger.2017.02.003
DO - 10.1016/j.archger.2017.02.003
M3 - Article
C2 - 28192754
AN - SCOPUS:85012014039
SN - 0167-4943
VL - 70
SP - 186
EP - 194
JO - Archives of Gerontology and Geriatrics
JF - Archives of Gerontology and Geriatrics
ER -