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Resilience, Accelerated Aging, and Persistently Poor Health: Diverse Trajectories of Health in Malawi

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  • Cung Truong Hoang
  • Iliana V. Kohler
  • Vikesh Amin
  • Jere R. Behrman
  • Hans‐Peter Kohler

Abstract

Individuals age at vastly different rates resulting in significant within‐population heterogeneity in health and aging outcomes. This diversity in health and aging trajectories has rarely been investigated among low‐income aging populations that have experienced substantial hardships throughout their lifecourses. Utilizing 2006–2019 data from the Malawi Longitudinal Study of Families and Health and estimating group‐based trajectory models, our analyses identified three distinct lifecourse health trajectories: (1) comparatively good initial mental and physical health that persisted throughout the lifecourse (“resilient aging”), (2) relatively good initial mental and physical health that started to deteriorate during mid‐adulthood (“accelerated aging”), and (3) poor initial mental and physical health that further declined over the lifecourse (“aging with persistently poor health”). For both physical and mental health, men were more likely to enjoy resilient aging than women. Predictors other than gender of trajectory membership sometimes confirmed, and sometimes contradicted, hypotheses derived from high‐income country studies. Our analyses highlight the long arm of early life conditions and gender in determining aging trajectories and show that a nontrivial subpopulation is characterized by aging with persistently poor health. The study uncovers widening gaps in health outcomes between those who age with resilience and those who experience accelerated aging.

Suggested Citation

  • Cung Truong Hoang & Iliana V. Kohler & Vikesh Amin & Jere R. Behrman & Hans‐Peter Kohler, 2023. "Resilience, Accelerated Aging, and Persistently Poor Health: Diverse Trajectories of Health in Malawi," Population and Development Review, The Population Council, Inc., vol. 49(4), pages 771-800, December.
  • Handle: RePEc:bla:popdev:v:49:y:2023:i:4:p:771-800
    DOI: 10.1111/padr.12590
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    References listed on IDEAS

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    1. Mullahy John, 2015. "Multivariate Fractional Regression Estimation of Econometric Share Models," Journal of Econometric Methods, De Gruyter, vol. 4(1), pages 71-100, January.
    2. Simons, Ronald L. & Lei, Man-Kit & Klopack, Eric & Beach, Steven R.H. & Gibbons, Frederick X. & Philibert, Robert A., 2021. "The effects of social adversity, discrimination, and health risk behaviors on the accelerated aging of African Americans: Further support for the weathering hypothesis," Social Science & Medicine, Elsevier, vol. 282(C).
    3. Morgan E. Levine & Eileen M. Crimmins, 2018. "Is 60 the New 50? Examining Changes in Biological Age Over the Past Two Decades," Demography, Springer;Population Association of America (PAA), vol. 55(2), pages 387-402, April.
    4. Bob Baulch & John Hoddinott, 2000. "Economic mobility and poverty dynamics in developing countries," Journal of Development Studies, Taylor & Francis Journals, vol. 36(6), pages 1-24.
    5. Amelia M. Haviland & Bobby L. Jones & Daniel S. Nagin, 2011. "Group-based Trajectory Modeling Extended to Account for Nonrandom Participant Attrition," Sociological Methods & Research, , vol. 40(2), pages 367-390, May.
    6. Iliana V. Kohler & Collin F. Payne & Chiwoza Bandawe & Hans-Peter Kohler, 2017. "The Demography of Mental Health Among Mature Adults in a Low-Income, High-HIV-Prevalence Context," Demography, Springer;Population Association of America (PAA), vol. 54(4), pages 1529-1558, August.
    7. Tomasz Wrycza & Annette Baudisch, 2014. "The pace of aging: Intrinsic time scales in demography," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 30(57), pages 1571-1590.
    8. Collin Payne & Hans-Peter Kohler, 2017. "The population-level impact of public-sector antiretroviral therapy rollout on adult mortality in rural Malawi," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 36(37), pages 1081-1108.
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