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Influence of Active and Healthy Ageing on Quality of Life Changes : Insights from the Comparison of Three European Countries

Ayala, Alba (author)
Karolinska Institutet
Rodríguez-Blázquez, Carmen (author)
Calderón-Larrañaga, Amaia (author)
Stockholms universitet,Centrum för forskning om äldre och åldrande (ARC), (tills m KI)
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Beridze, Giorgi (author)
Karolinska Institutet,Stockholms universitet,Centrum för forskning om äldre och åldrande (ARC), (tills m KI)
Teixeira, Laetitia (author)
Araújo, Lia (author)
Rojo-Pérez, Fermina (author)
Fernández-Mayoralas, Gloria (author)
Rodríguez-Rodríguez, Vicente (author)
Quirós-González, Víctor (author)
Zorrilla-Muñoz, Vanessa (author)
Agulló-Tomás, María Silveria (author)
Ribeiro, Oscar (author)
Forjaz, Maria João (author)
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 (creator_code:org_t)
2021-04-14
2021
English.
In: International Journal of Environmental Research and Public Health. - : MDPI AG. - 1661-7827 .- 1660-4601. ; 18:8
Related links:
https://doi.org/10.3...
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https://www.mdpi.com...
https://urn.kb.se/re...
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  • Journal article (peer-reviewed)
Abstract Subject headings
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  • This study aimed to analyze the determinants of quality of life (QoL) in older people in three European countries (Portugal, Spain and Sweden). A sample of 7589 participants in waves 4 (2011) and 6 (2015) of the Survey on Health, Aging, and Retirement in Europe (SHARE) project, aged 50 and over and living in Portugal, Spain and Sweden, was included. The CASP-12 scale was used to measure QoL. A principal component analysis was performed to group preselected variables related to active and healthy ageing into the dimensions of health, social participation, and lifelong learning. A linear regression model was built using the change in CASP-12 scores over the 4-year follow-up as the dependent variable, including the interactions between country and each independent variable in the model. After four years, the average QoL increased in Portugal (difference = 0.8, p < 0.001), decreased in Spain (-0.8, p < 0.001), and remained constant in Sweden (0.1, p = 0.408). A significant country-participation component interaction (p = 0.039) was found. In Spain, a higher participation (beta = 0.031, p = 0.002) was related to a higher QoL improvement at 4 years, but not in Sweden or Portugal. Physical health and emotional components (beta = 0.099, p < 0.001), functional ability (beta = 0.044, p = 0.023), and cognitive and sensory ability (beta = 0.021, p = 0.026) were associated with QoL changes over time in all countries. The country-specific associations between health, social participation and QoL should be taken into account when developing public health policies to promote QoL among European older people.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)

Keyword

quality of life
aging
participation
cross-national
longitudinal
SHARE project

Publication and Content Type

ref (subject category)
art (subject category)

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