Life course indices for social determinants of self-rated health trajectory in Korean elderly

Jiae Lee, Sung Il Cho, Heeran Chun, Kyunghee Jung-Choi, Minah Kang, Soong Nang Jang

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

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.

Original languageEnglish
Pages (from-to)186-194
Number of pages9
JournalArchives of Gerontology and Geriatrics
Volume70
DOIs
StatePublished - 1 May 2017

Bibliographical note

Publisher Copyright:
© 2017 Elsevier B.V.

Keywords

  • Health trajectory
  • Life course
  • Self-rated health
  • Social determinants
  • Socioeconomic position

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