Aging and Health Status of Elderly in Latin America and the Caribbean: Preliminary Findings
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Aging in Latin America and the Caribbean will not proceed along known paths already followed by more developed countries. In particular, the health profile of the future elderly population is less predictable due to factors associated with their demographic past that may haunt them for a long time and make them more vulnerable, even if economic and institutional conditions turn out to be better than what they are likely to be. This paper answers a set of questions regarding the nature and determinants of health status among the elderly in Latin America and the Caribbean using SABE (Survey on Health and Well-Being of Elders), a cross-sectional representative sample of over 10,000 elderly aged 60 and above in private homes in seven major cities in Latin America and the Caribbean. We examine health outcomes such as self-reported health, functional limitations–Activities of Daily Living (ADL’s) and Instrumental Activities of Daily Living (IADL’s), obesity (ratio of weight in kilograms to the square of height in centimeters), and self-reported chronic conditions (including diabetes). The findings include: (a) Countries differ in self-reported health but exhibit much less differences in terms of functional limitations. The number of chronic conditions increase with age and is higher among females than among males; (b) On average SABE countries display levels of self-reported diabetes (and obesity) that are as high if not higher than those found in the US; (c) There is evidence, albeit weaker than expected, suggesting deteriorated health and functional status in the region; (d) There is important evidence pointing toward rather strong inequalities (by education and income) in selected health outcomes. Preliminary findings from SABE confirm that Latin America and the Caribbean display peculiarities in the health profile of elderly, particularly with regard to diabetes and obesity. It is important that new policy initiatives begin to seriously target the region’s elderly, especially with an emphasis on the prevention and treatment of diabetes and obesity.
- Albala, C., Kain, J., Burrows, R., & Diaz, E. (2000). Obesidad: Un desafio pendiente. Santiago, Chile: Editorial Universitaria, Universidad de Chile.
- Albala, C., Lebrao, M. L., Leon Diaz, E. M., Ham-Chande, R., Hennis, A. J., Palloni, A., et al. (2005). The health, well-being and aging (SABE) study: Sample method and profile of the studied population. Pan American Journal of Public Health, 17(5/6), 307–322.
- Barker, D. J. P. (1998). Mothers, babies and health in later life (2nd Edition). Edinburgh: Churchill Livingstone.
- Barrientos, A. (1997). The changing face of pensions in Latin America: Design and prospects of individual capitalization pension plans. Social Policy & Administration, 31(4), 336–353 (December). CrossRef
- Beckett, M., Weinstein, M., Goldman, N., & Yu-Hsuan, L. (2000). Do health interview surveys yield reliable data on chronic illness among older respondents? American Journal of Epidemiology, 151(3), 315–323.
- Cynader, Max S. (1994). Mechanisms of brain development and their role in health and well-being. Daedalus, 123(4), 155–165.
- Devos, S. (1990). Extended family living among older people in six Latin American countries. Journal of Gerontology, 45(3), S87–S94.
- Devos, S., & Palloni, A. (2002). Living arrangements of elderly people around the world. University of Wisconsin-Madison: Center for Demography & Ecology.
- Elo, I. T., & Preston, S. H. (1992). Effects of early-life conditions on adult mortality: A review. Population Index, 58(2), 186–212. CrossRef
- Frenk, J., Frejka, T., Bobadilla, J. L., Stern, C., & Sepulveda, J. (1991). Elements for a theory of the health transition. Health Transition Review, 1(1), 21–38.
- Goldman, N., I-Fen, L., Weinstein, M., & Yu-Hsung, L. (2002). Evaluating the quality of self-reports on hypertension and diabetes. Princeton University: Office of Population Research.
- Hales, C. N., & Barker, D. J. P. (1992). Type 2 (non-insulin-dependent) diabetes mellitus: The thrifty phenotype hypothesis. Diabetologia, 35, 595–601. CrossRef
- Hales, C. N., Barker, D. J. P., Clark, P. M. S., Cox, L. J., Fall, C., & et al. (1991). Fetal and infant growth and impaired glucose tolerance at age 64. British Medical Journal, 303, 1019–1022. CrossRef
- Hauser, R. M., & Willis, R. J. (2005). http://hrsonline.isr.umich.edu/papers/background/PDR30suppHAUSER.pdf. This is an electronic version of an article published in Aging, Health, and Public Policy: Demographic and Economic Perspectives, a supplement to Population and Development Review Volume 30. New York: Population Council, 2005.
- Health and Retirement Study, HRS Core (Final) (v 1.0) public use dataset (2002). Produced and distributed by the University of Michigan with funding from the National Institute of Aging, (U01 AGO 9740), Ann Arbor, Michigan.
- Hertzman, C. (1994). The lifelong impact of childhood experiences: A population health perspective, Daedalus.
- Idler, E. L., & Benyamini, Y. (1997). Self-rated health and mortality: A review of twenty-seven community studies. Journal of Health and Social Behavior, 38, 21–37. CrossRef
- Idler, E. L., & Kasl, S. (1991). Health perceptions and survival: Do global evaluations of health status really predict mortality? Journal of Gerontology, 46(2), S55–S65.
- Idler, E. L., & Kasl, S. V. (1995). Self-ratings of health: Do they also predict change in functional ability? Journal of Gerontology, 50B(6), S344–S353.
- Kinsella, K., & Velkoff, V. (2001). An Aging World. US Government Printing Office, Washington, District of Columbia: US Bureau of the Census.
- Klinsberg, B. (2000). America Latina: Una region en riesgo, pobreza, inequidad e institucionalidad social. Inter American Development Bank.
- Kuh, D., & Ben-Shlomo, Y. (eds). (2004). A life course approach to chronic disease epidemiology. Oxford: Oxford University Press.
- Lithell, H. O., McKeigue, P. M., Berglund, L., Mohsen, R., Lithell, U. B., & Leon, D. A. (1996). Relation of size at birth to non-insulin dependent diabetes and insulin concentrations in men aged 50–60 years. British Medical Journal, 312, 406–410.
- Manton, K. G., Stallard, E., & Cordel, R. (1997). Changes in age dependence of mortality and disability: Cohort and other determinants. Demography, 34(1), 135–157. CrossRef
- Mesa-Lago, C. (1994). Changing social security in Latin America: Toward alleviating the costs of economic reform. Boulder and London: Lynne Rienner.
- Omran, A. R. (1982). Epidemiologic transition. In International Encyclopedia of Population (pp. 172–83). New York: Free Press.
- Palloni, A. (2001). Living arrangements of older persons. United Nations Population Bulletin 42/43.
- Palloni, A., & Guend, H. (2005). Stature prediction equations for elderly Hispanics by gender and ethnic background developed from SABE data. Journal of Gerontology: Medical Sciences, 60(6), 804–810.
- Palloni, A., & McEniry, M. (2004). Health status of elderly people in Latin America. Madison, Wisconsin: Center for Demography and Ecology, University of Wisconsin. Working paper.
- Palloni, A., & Pelaez, M. (2002). Survey of health and well-being of elders. Washington, District of Columbia: Pan American Health Organization. Final Report.
- Palloni, A., McEniry, M., Guend, H., Davila, A. L., Garcia, A., Mattei, H., & Sanchez, M. (2004). Health among Puerto Ricans: Analysis of a new data set. Center for Demography and Ecology. University of Wisconsin-Madison.
- Palloni, A., Pinto, G., & Pelaez, M. (2002). Demographic and health conditions of ageing in Latin America. International Journal of Epidemiology, 31, 762–771. CrossRef
- Palloni, A., Soldo, B., & Wong, R. (2003). The accuracy of self reported anthropometric measures and self reported diabetes in nationally representative samples of older adults in Mexico. Paper presented at the Population Association of America Minneapolis, Minnesota. May 1–3.
- Palloni, A., & Wyrick, R. (1981). Mortality decline in Latin America: Changes in the structures of causes of deaths, 1950–1975. Social Biology, 28(3–4), 187–216.
- Popkin, B. M. (1993). Nutritional patterns and transition. Population Development Review, 19, 138–157. CrossRef
- Preston, S. H. (1976). Mortality patterns in national populations with special reference to recorded causes of death. New York: Academic.
- Ruggles, S. (1996). Living arrangements of the elderly in America. In Tamara K. Hareven (ed), Aging and generational relations over the life course: A historical and cross-cultural perspective (pp. 254–271). New York: Walter de Gruyter.
- SABE. Salud y Bienestar en el Adulto Mayor, SABE, version No 1, restricted circulation data set (2003). Produced and distributed by the Pan American Health Organization (PAHO) and the Center for Demography and Health of Aging (CDHA) with the support of the National Institute of Aging, R03 AG15673.
- Schaffer, R. H. (2000). The early experience assumption: Past, present, and future. International Journal of Behavioral Development, 24(1), 5–14. CrossRef
- Schechter, S., Beatty, P., & Willis, G. B. (1998). Asking survey respondents about health status: Judgment and response issues. In N. Schwarz, D. Park, B. Knauper, & S. Sudman, (eds), Cognition, Aging, and Self-Reports. Ann Arbor, Michigan: Taylor and Francis.
- Sen, A. (2002). Perception versus observation. BMJ, (324), 859–860.
- Servais, M. A. (2004). Overivew of HRS public data files for cross-sectional and longitudinal analysis. Survey Research Center, Institute for Social Research, University of Michigan, Ann Arbor.
- Smith, J. (1994). Measuring health and economic status of older adults in developing countries. Gerontologist, 34(4), 491–496.
- Smith, L. A, Branch, L. G., & Scherr, P. A. (1990). Short-term variability of measures of physical function in older people. Journal of American Geriatric Society, 38, 993–998.
- Soldo, B. J., & Hill, M. (1995). Family structure and transfer measures in the health and retirement study: Background and overview. Journal of Human Resources, Supplement, 108–137.
- Stump, T. E., Clark, D. O., Johnson, R. J., & Wolinsky, F. D. (1977). The structure of health status among Hispanic, African American, and white older adults. Journals of Gerontology, 52B, 49–60 (Special Issue).
- United Nations (2000). United Nations demographic yearbook. United Nations, New York: Department of Social and Economic Affairs, Table 7.
- Vaupel, J., Manton, K., & Stallard, E. (1979). The impact of heterogeneity in individual frailty on the dynamics of mortality. Demography, 16(3), 439–454. CrossRef
- Wallace, R. B. H. A. R. (1995). Overview of the health measures in health and retirement study. Journal of Human Resources, Supplement, 84–107.
- Wray, L. A., Herzog, A. R., & Park, D. C. (1996). Physical health, mental health, and function among older adults. Paper presented at the Annual Meetings of the Gerontological Society of America, November, Washington, District of Columbia.
- Wray, L. A., & Lynch, J. W. (1998). The role of cognitive ability in links between disease severity and functional ability in middle-aged adults. Paper presented at the Annual Meetings of the Gerontological Society of America, November, Philadelphia.
- Aging and Health Status of Elderly in Latin America and the Caribbean: Preliminary Findings
Journal of Cross-Cultural Gerontology
Volume 22, Issue 3 , pp 263-285
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- 1. Center for Demography and Ecology, University of Wisconsin-Madison, Madison, WI, USA
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- 2. Center for Demography of Health and Aging (CDHA), University of Wisconsin-Madison, Madison, WI, USA