(Healthy) aging patterns in Europe: a multistate health transition approach

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  • dc.contributor.author Solé Auró, Aïda
  • dc.contributor.author Gumà, Jordi
  • dc.date.accessioned 2023-05-19T06:07:45Z
  • dc.date.available 2023-05-19T06:07:45Z
  • dc.date.issued 2023
  • dc.description.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.
  • dc.description.sponsorship This study was conducted as part of the project “Prevention is better than cure when ageing is behind the door: interplay between social determinants of health in Spain (INTERSOCHEALTH)” (RTI2018-099875-J-I00 -MCIU/AEI/FEDER, UE- PI: Jordi Gumà) funded by FEDER, the Spanish Ministry of Science, Innovation and Universities and the Spanish Agency of Research. Financial support was also received from the Catalan Government under the CERCA Program and the FACTAGE, PCIN-2015-249 project.
  • dc.format.mimetype application/pdf
  • dc.identifier.citation Solé‑Auró A, Gumà J. (Healthy) aging patterns in Europe: a multistate health transition approach. J Popul Ageing. 2023;16(1):179-201. DOI: 10.1007/s12062-022-09403-4
  • dc.identifier.doi http://dx.doi.org/10.1007/s12062-022-09403-4
  • dc.identifier.issn 1874-7884
  • dc.identifier.uri http://hdl.handle.net/10230/56903
  • dc.language.iso eng
  • dc.publisher Springer
  • dc.relation.ispartof Journal of Population Ageing. 2023;16(1):179-201.
  • dc.relation.projectID info:eu-repo/grantAgreement/ES/2PE/RTI2018-099875-J-I00
  • dc.rights © The Author(s) 2022. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licen ses/by/4.0/
  • dc.rights.accessRights info:eu-repo/semantics/openAccess
  • dc.rights.uri http://creativecommons.org/licenses/by/4.0/
  • dc.subject.keyword Health transitions
  • dc.subject.keyword Aging patterns
  • dc.subject.keyword Education
  • dc.subject.keyword Gender
  • dc.subject.keyword Panel data
  • dc.subject.keyword Europe
  • dc.title (Healthy) aging patterns in Europe: a multistate health transition approach
  • dc.type info:eu-repo/semantics/article
  • dc.type.version info:eu-repo/semantics/publishedVersion

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