{"title":"(Healthy) Aging Patterns in Europe: A Multistate Health Transition Approach.","authors":"Aïda Solé-Auró, Jordi Gumà","doi":"10.1007/s12062-022-09403-4","DOIUrl":null,"url":null,"abstract":"<p><p>We explore patterns and determinants of health transition probabilities by combining outcomes of morbidity and mortality to examine different aging patterns across Europe, and to ascertain how individual socio-demographic characteristics modify these patterns. We use panel data from the Survey of Health, Ageing and Retirement in Europe (2004- 2017) for 76,536 individuals aged 50 + in 20 European countries who participated in at least two waves. All transition probabilities were calculated applying a multistate analytical approach. Our findings show significant gender, education, and cohort differences in health transition probabilities and marked cross-country group differences. Central and Northern European countries present lower probabilities of health deterioration than Southern and, especially, Eastern European countries. Having a high level of education, living in Central Europe, and being younger are associated with lower probabilities of health deterioration and, if any, a higher probability of being restored to good health. We found less evidence of differences when transitions end in death. Our study contributes to this line of research by implementing a multistate approach using European harmonized panel dataset, to examine the effects of birth cohort, educational attainment and gender differences on health transitions. Our findings point to the need to consider the specific influence of individual factors in the aging process in different transitions according to the context and with reference to specific vulnerable groups. In the context of aging societies, such a consideration is both essential and policy relevant.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s12062-022-09403-4.</p>","PeriodicalId":45874,"journal":{"name":"Journal of Population Ageing","volume":"16 1","pages":"179-201"},"PeriodicalIF":1.3000,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9702679/pdf/","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Population Ageing","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s12062-022-09403-4","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"GERONTOLOGY","Score":null,"Total":0}
引用次数: 1
Abstract
We explore patterns and determinants of health transition probabilities by combining outcomes of morbidity and mortality to examine different aging patterns across Europe, and to ascertain how individual socio-demographic characteristics modify these patterns. We use panel data from the Survey of Health, Ageing and Retirement in Europe (2004- 2017) for 76,536 individuals aged 50 + in 20 European countries who participated in at least two waves. All transition probabilities were calculated applying a multistate analytical approach. Our findings show significant gender, education, and cohort differences in health transition probabilities and marked cross-country group differences. Central and Northern European countries present lower probabilities of health deterioration than Southern and, especially, Eastern European countries. Having a high level of education, living in Central Europe, and being younger are associated with lower probabilities of health deterioration and, if any, a higher probability of being restored to good health. We found less evidence of differences when transitions end in death. Our study contributes to this line of research by implementing a multistate approach using European harmonized panel dataset, to examine the effects of birth cohort, educational attainment and gender differences on health transitions. Our findings point to the need to consider the specific influence of individual factors in the aging process in different transitions according to the context and with reference to specific vulnerable groups. In the context of aging societies, such a consideration is both essential and policy relevant.
Supplementary information: The online version contains supplementary material available at 10.1007/s12062-022-09403-4.
期刊介绍:
The Journal of Population Ageing examines the broad questions arising from global population ageing. It provides a forum for international cross-disciplinary debate on population ageing, focusing on theoretical and empirical research and methodological innovation and development.
This interdisciplinary journal publishes editorials, original peer reviewed articles, and subject and literature reviews. It offers high quality research of interest to those working in the fields of demography, bio-demography, development studies, area studies, sociology, geography, history, social gerontology, economics, and social and health policy.