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

Author

Listed:
  • Alba Ayala

    (Department of Statistics, University Carlos III of Madrid, 28903 Getafe, Spain
    Health Service Research Network on Chronic Diseases (REDISSEC), 28029 Madrid, Spain
    University Institute of Gender Studies, University Carlos III of Madrid, 28903 Getafe, Spain)

  • Carmen Rodríguez-Blázquez

    (National Epidemiology Centre, Carlos III Institute of Health, 28029 Madrid, Spain
    Network Center for Biomedical Research in Neurodegenerative Diseases (CIBERNED), 28031 Madrid, Spain)

  • Amaia Calderón-Larrañaga

    (Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, 17165 Stockholm, Sweden)

  • Giorgi Beridze

    (Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, 17165 Stockholm, Sweden)

  • Laetitia Teixeira

    (Institute of Biomedical Sciences Abel Salazar, University of Porto, 4050-313 Porto, Portugal
    Center for Health Technology and Services Research (CINTESIS), 4200-450 Porto, Portugal)

  • Lia Araújo

    (Center for Health Technology and Services Research (CINTESIS), 4200-450 Porto, Portugal
    School of Education, Polytechnic Institute of Viseu, 3504-501 Porto, Portugal)

  • Fermina Rojo-Pérez

    (Institute of Economics, Geography and Demography, Spanish National Research Council (IEGD-CSIC), 28037 Madrid, Spain)

  • Gloria Fernández-Mayoralas

    (Institute of Economics, Geography and Demography, Spanish National Research Council (IEGD-CSIC), 28037 Madrid, Spain)

  • Vicente Rodríguez-Rodríguez

    (Institute of Economics, Geography and Demography, Spanish National Research Council (IEGD-CSIC), 28037 Madrid, Spain)

  • Víctor Quirós-González

    (Dirección de Planificación, Hospital Universitario 12 de Octubre, 28041 Madrid, Spain)

  • Vanessa Zorrilla-Muñoz

    (University Institute of Gender Studies, University Carlos III of Madrid, 28903 Getafe, Spain)

  • María Silveria Agulló-Tomás

    (University Institute of Gender Studies, University Carlos III of Madrid, 28903 Getafe, Spain)

  • Oscar Ribeiro

    (Center for Health Technology and Services Research (CINTESIS), 4200-450 Porto, Portugal
    Department of Education and Psychology, University of Aveiro, 3810-193 Aveiro, Portugal)

  • Maria João Forjaz

    (Health Service Research Network on Chronic Diseases (REDISSEC), 28029 Madrid, Spain
    National Epidemiology Centre, Carlos III Institute of Health, 28029 Madrid, Spain)

Abstract

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 (β = 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 (β = 0.099, p < 0.001), functional ability (β = 0.044, p = 0.023), and cognitive and sensory ability (β = 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.

Suggested Citation

  • Alba Ayala & Carmen Rodríguez-Blázquez & Amaia Calderón-Larrañaga & Giorgi Beridze & Laetitia Teixeira & Lia Araújo & Fermina Rojo-Pérez & Gloria Fernández-Mayoralas & Vicente Rodríguez-Rodríguez & Ví, 2021. "Influence of Active and Healthy Ageing on Quality of Life Changes: Insights from the Comparison of Three European Countries," IJERPH, MDPI, vol. 18(8), pages 1-13, April.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:8:p:4152-:d:536149
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    References listed on IDEAS

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    1. Joana Bernardo & João Apóstolo & Ricardo Loureiro & Elaine Santana & Nilufer Korkmaz Yaylagul & Carina Dantas & Filipa Ventura & Filipa Margarida Duque & Nina Jøranson & Minna Zechner & Willeke van St, 2022. "eHealth Platforms to Promote Autonomous Life and Active Aging: A Scoping Review," IJERPH, MDPI, vol. 19(23), pages 1-20, November.
    2. Rafael Llorens-Ortega & Carmen Bertran-Noguer & Dolors Juvinyà-Canals & Josep Garre-Olmo & Cristina Bosch-Farré, 2024. "Influence of social determinants of health in the evolution of the quality of life of older adults in Europe: A comparative analysis between men and women," Palgrave Communications, Palgrave Macmillan, vol. 11(1), pages 1-13, December.

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