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Prevalence and related factors of Active and Healthy Ageing in Europe according to two models: Results from the Survey of Health, Ageing and Retirement in Europe (SHARE)

Author

Listed:
  • Cristina Bosch-Farré
  • Josep Garre-Olmo
  • Anna Bonmatí-Tomàs
  • Maria Carme Malagón-Aguilera
  • Sandra Gelabert-Vilella
  • Concepció Fuentes-Pumarola
  • Dolors Juvinyà-Canal

Abstract

Background: Active and Healthy Ageing (AHA) is the process of optimizing opportunities related to health, participation, and safety in order to improve quality of life. The approach most often used to measure AHA is Rowe and Kahn’s Satisfactory Ageing model. Nonetheless, this model has limitations. One of the strategic objectives of the WHO Global Strategy and Action Plan (2016) is to improve Healthy Ageing measurement. Our objectives were to compare two models of assessing AHA and further compare the results by country and sociodemographic variables. Methods: This was a cross-sectional, observational analysis of a representative sample of the general population aged 50 years and older in Europe. The data analysed were obtained by the Study of Health, Ageing and Retirement in Europe (SHARE). The dependent variable was AHA and its dimensions, measured using the Rowe and Kahn AHA model (AHA-B) and the authors’ model based on the WHO definition (AHA-BPS). A descriptive analysis and multivariate models of binary logistical regression were developed. Results: The sample consisted of 52,641 participants (mean age 65.24 years [SD = 10.18; Range = 50–104], 53.2% women). Healthy Ageing prevalence in the AHA-B model was 23.5% (95%CI = 23.1%-23.9%). In the AHA-BPS model, this prevalence was 38.9%. In both models, significant variations were observed between countries, and were distributed along a north-western to south-eastern gradient. The sociodemographic variables associated with the absence of AHA were advanced age, female sex, death of spouse, low educational level, lack of employment, and low financial status. Comparing the two models, the strength of association between absence of AHA and advanced age (85 years and older) was four times greater in the AHA-B model. Conclusions: Our results showing differences between these two models provide evidence that the AHA-BPS model does not penalize older age and is more likely to characterize AHA from a health promotion perspective.

Suggested Citation

  • Cristina Bosch-Farré & Josep Garre-Olmo & Anna Bonmatí-Tomàs & Maria Carme Malagón-Aguilera & Sandra Gelabert-Vilella & Concepció Fuentes-Pumarola & Dolors Juvinyà-Canal, 2018. "Prevalence and related factors of Active and Healthy Ageing in Europe according to two models: Results from the Survey of Health, Ageing and Retirement in Europe (SHARE)," PLOS ONE, Public Library of Science, vol. 13(10), pages 1-19, October.
    • Handle: RePEc:plo:pone00:0206353
    DOI: 10.1371/journal.pone.0206353
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    References listed on IDEAS

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    1. Karsten Hank, 2011. "How "Successful" Do Older Europeans Age? Findings From SHARE," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 66(2), pages 230-236.
    2. Sara J. McLaughlin & Cathleen M Connell & Steven G. Heeringa & Lydia W. Li & J. Scott Roberts, 2010. "Successful Aging in the United States: Prevalence Estimates From a National Sample of Older Adults," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 65(2), pages 216-226.
    3. Howard Litwin, 2010. "Social Networks and Well-being: A Comparison of Older People in Mediterranean and Non-Mediterranean Countries," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 65(5), pages 599-608.
    4. Ana Cristina Paulo & Adriana Sampaio & Nadine Correia Santos & Patrício Soares Costa & Pedro Cunha & Joseph Zihl & João Cerqueira & Joana Almeida Palha & Nuno Sousa, 2011. "Patterns of Cognitive Performance in Healthy Ageing in Northern Portugal: A Cross-Sectional Analysis," PLOS ONE, Public Library of Science, vol. 6(9), pages 1-9, September.
    5. Márcia Lorena Chaves & Ana Luiza Camozzato & Cláudio Laks Eizirik & Jeffrey Kaye, 2009. "Predictors of Normal and Successful Aging Among Urban-Dwelling Elderly Brazilians," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 64(5), pages 597-602.
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