Impact of resilience on health in older adults: a cross-sectional analysis from the International Mobility in Aging Study (IMIAS)

Autor: Siu Yu Zoe Lau, Juliana Fernandes de Souza Barbosa, Ricardo Oliveira Guerra, Susan P. Phillips
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Gerontology
Male
Aging
Cross-sectional study
Health Status
Geriatric Medicine
Cohort Studies
0302 clinical medicine
Adverse Childhood Experiences
Ethnicity
030212 general & internal medicine
Longitudinal Studies
Child
Depression (differential diagnoses)
media_common
Geriatrics
Depression
General Medicine
Resilience
Psychological
Albania
Income
Female
Psychological resilience
Brazil
medicine.medical_specialty
Canada
media_common.quotation_subject
education
Primary care
Colombia
preventive medicine
03 medical and health sciences
primary care
Diagnostic Self Evaluation
Sex Factors
medicine
Humans
Geriatric Assessment
Preventive healthcare
Aged
International mobility
business.industry
Research
Cross-Sectional Studies
Socioeconomic Factors
Sample size determination
business
030217 neurology & neurosurgery
Stress
Psychological
Zdroj: BMJ Open
ISSN: 2044-6055
Popis: ObjectivesSelf-rated health (SRH) is a predictor of objective health measures, including mortality and morbidity. The link between resilience and SRH among the elderly is unclear. We aim to examine whether resilience aligns with SRH and, secondarily, whether resilience can override the negative health consequences of adverse childhood experiences (ACE).Design and settingWe use 2012, 2014 and 2016 data from the International Mobility in Aging Study, a longitudinal cohort study that collects survey and biophysical data from Albania, Brazil, Colombia and Canada. The main independent variables were resilience and ACE (social and economic).ParticipantsCommunity-dwelling 65–74 year olds (in 2012) were recruited through primary care registers. The sample size of the study was 1506.Primary outcomeThe outcome measure was SRH.ResultsWe found that sex, site, economic ACE, current income sufficiency, current depressive symptoms, current physical function and current resilience were associated with current SRH. In regression analyses, we showed that the association between ACE and SRH disappeared once factors such as sex, site, income, depression, physical health and resilience were considered.ConclusionsThe association between resilience and health poses a compelling argument for building resilience throughout life.
Databáze: OpenAIRE
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