Predictors of decline in self-reported health : addressing non-ignorable dropout in longitudinal studies of ageing

Autor: Minna Genbäck, Elena Stanghellini, Nawi Ng, Xavier de Luna
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Gerontology
medicine.medical_specialty
Longitudinal study
Health (social science)
Population
education
Chronic disease
03 medical and health sciences
Grip strength
Health problems
0302 clinical medicine
medicine
Sannolikhetsteori och statistik
Gerontologi
medicinsk/hälsovetenskaplig inriktning

030212 general & internal medicine
Gerontology
specialising in Medical and Health Sciences

Longitudinal studies Dropout Sensitivity analysis Chronic disease Body mass index SHARE
Probability Theory and Statistics
Dropout (neural networks)
Body mass index
Original Investigation
education.field_of_study
030505 public health
Public health
Longitudinal studies
Dropout
Public Health
Global Health
Social Medicine and Epidemiology

medicine.disease
Obesity
3. Good health
Folkhälsovetenskap
global hälsa
socialmedicin och epidemiologi

SHARE
Geriatrics and Gerontology
0305 other medical science
Psychology
Sensitivity analysis
Demography
Zdroj: European Journal of Ageing
Popis: Predictors of decline in health in older populations have been investigated in multiple studies before. Most longitudinal studies of aging, however, assume that dropout at follow-up is ignorable (missing at random) given a set of observed characteristics at baseline. The objective of this study was to address non-ignorable dropout in investigating predictors of declining self-reported health (SRH) in older populations (50 years or older) in Sweden, the Netherlands, and Italy. We used the SHARE panel survey, and since only 2895 out of the original 5657 participants in the survey 2004 were followed up in 2013, we studied whether the results were sensitive to the expectation that those dropping out have a higher proportion of decliners in SRH. We found that older age and a greater number of chronic diseases were positively associated with a decline in self-reported health in the three countries studies here. Maximum grip strength was associated with decline in self-reported health in Sweden and Italy, and self-reported limitations in normal activities due to health problems were associated with decline in self-reported health in Sweden. These results were not sensitive to non-ignorable dropout. On the other hand, although obesity was associated with decline in a complete case analysis, this result was not confirmed when performing a sensitivity analysis to non-ignorable dropout. The findings, thereby, contribute to the literature in understanding the robustness of longitudinal study results to non-ignorable dropout while considering three different population samples in Europe. Electronic supplementary material The online version of this article (10.1007/s10433-017-0448-x) contains supplementary material, which is available to authorized users.
Databáze: OpenAIRE