IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v17y2019i1p211-d302634.html
   My bibliography  Save this article

A Study of Frailty, Mortality, and Health Depreciation Factors in Older Adults

Author

Listed:
  • Jwu-Rong Lin

    (Department of International Business, Tung Hai University, No.1727, Sec.4, Taiwan Boulevard, Xitun District, Taichung 40704, Taiwan)

  • Erin Hui-Chuan Kao

    (Department of International Business, Tung Hai University, No.1727, Sec.4, Taiwan Boulevard, Xitun District, Taichung 40704, Taiwan)

  • Shuo-Chun Weng

    (Institute of Clinical Medicine, National Yang-Ming University, No. 155, Section 2, Linong St, Beitou District, Taipei City 112, Taiwan
    Center for Geriatrics and Gerontology, Division of Nephrology, Department of Internal Medicine, No. 1650, Section 4, Taiwan Boulevard, Xitun District, Taichung 40705, Taiwan)

  • Ellen Rouyer

    (Department of International Business, Tung Hai University, No.1727, Sec.4, Taiwan Boulevard, Xitun District, Taichung 40704, Taiwan)

Abstract

This study used 23 factors (eight interval variables and 15 dummy variables) as proxies for health depreciation. We used 1248 older adults from the Center for Geriatrics and Gerontology of Taichung Veterans General Hospital (Taiwan) to examine the association among frailty, health depreciation, and mortality in older adults. This study found that a significant positive correlation existed between frailty and mortality in older adults. Further, we applied a recursive bivariate probit model to examine the association between health depreciation factors, frailty, and mortality. Our results showed that health depreciation factors, such as Charlson’s comorbidity index, diabetes and hyperlipidemia, significantly increased older adults’ frailty; in contrast, albumin and mini nutritional assessment significantly decreased older adults’ frailty. Through the frailty regression, we confirmed not only that health depreciation factors significantly influenced mortality, but also that creatinine, myocardial infarction, and malignant tumors could directly and significantly increase older adults’ mortality.

Suggested Citation

  • Jwu-Rong Lin & Erin Hui-Chuan Kao & Shuo-Chun Weng & Ellen Rouyer, 2019. "A Study of Frailty, Mortality, and Health Depreciation Factors in Older Adults," IJERPH, MDPI, vol. 17(1), pages 1-11, December.
  • Handle: RePEc:gam:jijerp:v:17:y:2019:i:1:p:211-:d:302634
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/17/1/211/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/17/1/211/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Tian, Wei-Hua & Chen, Chin-Shyan & Liu, Tsai-Ching, 2010. "The demand for preventive care services and its relationship with inpatient services," Health Policy, Elsevier, vol. 94(2), pages 164-174, February.
    2. Michael Grossman, 1999. "The Human Capital Model of the Demand for Health," NBER Working Papers 7078, National Bureau of Economic Research, Inc.
    3. Kris Knox & Eric Blankmeyer & J. Stutzman, 1999. "Relative economic efficiency in Texas nursing facilities: A profit function analysis," Journal of Economics and Finance, Springer;Academy of Economics and Finance, vol. 23(3), pages 199-213, September.
    4. Chen, Chin-Shyan & Liu, Tsai-Ching & Lin, Herng-Ching & Tian, Wei-Hua, 2007. "The effect of Taiwan's National Health Insurance on infants' preventive care use and inpatient care use," Health Policy, Elsevier, vol. 80(3), pages 432-443, March.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Chun-Chih Chen & Yen-Ju Lin & Ying-Tzu Lin, 2013. "Awareness and utilization of preventive care services among the elderly under National Health Insurance," International Journal of Health Economics and Management, Springer, vol. 13(3), pages 247-260, December.
    2. Martine AUDIBERT & Jacky MATHONNAT & Aurore PELISSIER & Xiao Xian HUANG & Anning MA & Ningshan CHEN, 2011. "Curative Activities of Township Hospitals in Weifang Prefecture, China: An Analysis of Environmental and Supply-Side Determinants," Working Papers 201130, CERDI.
    3. Martine AUDIBERT & Jacky MATHONNAT & Aurore PELISSIER & Xiao Xian HUANG & Anning MA & Ningshan CHEN, 2011. "Curative Activities of Township Hospitals in Weifang Prefecture, China: An Analysis of Environmental and Supply-Side Determinants," Working Papers 201130, CERDI.
    4. Chen, Chin-Shyan & Peng, Yu-I & Lee, Ping-Chang & Liu, Tsai-Ching, 2015. "The effectiveness of preventive care at reducing curative care risk for the Taiwanese elderly under National Health Insurance," Health Policy, Elsevier, vol. 119(6), pages 787-793.
    5. Yuri Reina-Aranza, 2015. "Violencia de pareja y estado de salud de la mujer en Colombia," Documentos de Trabajo Sobre Economía Regional y Urbana 13964, Banco de la República, Economía Regional.
    6. Carolina Navarro & Luis Ayala & José Labeaga, 2010. "Housing deprivation and health status: evidence from Spain," Empirical Economics, Springer, vol. 38(3), pages 555-582, June.
    7. Colm Harmon & Claire Finn, 2006. "A dynamic model of demand for private health insurance in Ireland," Open Access publications 10197/666, School of Economics, University College Dublin.
    8. Liljas, Bengt, 2000. "Insurance and imperfect financial markets in Grossman's demand for health model -- a reply to Tabata and Ohkusa," Journal of Health Economics, Elsevier, vol. 19(5), pages 821-827, September.
    9. Ayhan KULOĞLU & Eyyup ECEVİT, 2017. "The Relationship Between Health Development Index And Financial Development Index: Evidence From High Income Countries," Journal of Research in Economics, Politics & Finance, Ersan ERSOY, vol. 2(2), pages 83-95.
    10. Olimpia NEAGU, 2012. "Measuring the Effects of Human Capital on Growth in the Case of Romania," Economics and Applied Informatics, "Dunarea de Jos" University of Galati, Faculty of Economics and Business Administration, issue 1, pages 83-92.
    11. Rama Pal, 2012. "Measuring incidence of catastrophic out-of-pocket health expenditure: with application to India," International Journal of Health Economics and Management, Springer, vol. 12(1), pages 63-85, March.
    12. Graham, Liam & Oswald, Andrew J., 2010. "Hedonic capital, adaptation and resilience," Journal of Economic Behavior & Organization, Elsevier, vol. 76(2), pages 372-384, November.
    13. Jay Pan & Xiaoyan Lei & Gordon G. Liu, 2016. "Health Insurance and Health Status: Exploring the Causal Effect from a Policy Intervention," Health Economics, John Wiley & Sons, Ltd., vol. 25(11), pages 1389-1402, November.
    14. Andrés Solimano, 2006. "The International Mobility of Talent and its Impact on Global Development," WIDER Working Paper Series DP2006-08, World Institute for Development Economic Research (UNU-WIDER).
    15. Adriana Lleras-Muney, 2005. "The Relationship Between Education and Adult Mortality in the United States," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 72(1), pages 189-221.
    16. Zhang, Xiaohui & Zhao, Xueyan & Harris, Anthony, 2009. "Chronic diseases and labour force participation in Australia," Journal of Health Economics, Elsevier, vol. 28(1), pages 91-108, January.
    17. Roman Mennicken & Boris Augurzky & Heinz Rothgang & Jürgen Wasem, 2014. "Explaining differences in remuneration rates of nursing homes in Germany," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 15(4), pages 401-410, May.
    18. Nikolina Dukic Samarzija & Andrea Arbula Blecich & Luka Samarzija, 2018. "The Paradigm Of Patient-Centered Care In The Public Health Decision-Making," Economic Thought and Practice, Department of Economics and Business, University of Dubrovnik, vol. 27(2), pages 503-516, december.
    19. Cai, Lixin, 2010. "The relationship between health and labour force participation: Evidence from a panel data simultaneous equation model," Labour Economics, Elsevier, vol. 17(1), pages 77-90, January.
    20. Graham, Liam & Oswald, Andrew J., 2006. "Hedonic Capital," The Warwick Economics Research Paper Series (TWERPS) 745, University of Warwick, Department of Economics.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:17:y:2019:i:1:p:211-:d:302634. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.