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Verschuiving van de ervaren gezondheid van 55-64-jarigen tussen 1992/’93 en 2002/’03. Verklarende factoren

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Tijdschrift voor Gerontologie en Geriatrie

Shift in the self-perceived health of 55-64-year olds between 1992 and 2002

Objective: Self-perceived health describes how a person perceives his or her own health. It is a widely used measure of health status. The aim of this study is to investigate the stability of self-perceived health between 1992/ ’93 and 2002/’03 of men and women aged 55-64 and to what extent a possible shift can be explained by demographic factors, lifestyle factors and objective health. Methods: Data of two age-, sex- and region-stratified samples are used from the Longitudinal Aging Study Amsterdam (LASA), an ongoing cohort study in a population-based sample of older persons in the Netherlands. Self-perceived health is defined by the answer to the following

question: How would you rate your health in general? with possible answers: 1 = excellent, 2 = good, 3 = fair, 4 = sometimes good/sometimes poor and 5 = poor. In the analyses, answers 4 and 5 are combined because of the small number of answers in the category ‘poor’. The difference in self-perceived health between the two cohorts is tested using the ?_-test. Multinomial regression analyses are used to examine which cohort and/or period factors are responsible for the cohort difference. Results: The youngest cohort rated more excellent and poor health than the oldest, and less good and fair health. The youngest cohort had a higher prevalence of chronic illness, functional limitation and depressive symptoms, which negatively affected self-perceived health. The cohort and period factors do not significantly contribute to the explanation of the cohort difference. Conclusion: There is a small shift in self-perceived health over time. In comparison with the oldest cohort the self-perceived health of the youngest improved, taken the deteriorated objective health of the youngest cohort into account.

Samenvatting

Doel van dit onderzoek is na te gaan of er een verschil bestaat in ervaren gezondheid van 55-64-jarigen tussen 1992/’93 en 2002/’03 en in hoeverre het verschil is toe te schrijven aan demografische factoren, leefstijlfactoren en objectieve gezondheid. Er is gebruik gemaakt van data van de Longitudinal Aging Study Amsterdam (LASA). Het onderzoek omvat twee aselect getrokken steekproeven in 1992/’93 (oudste cohort) en 2002/’03 (jongste cohort), gestratificeerd naar sekse, leeftijd en verwachte sterfte na 5 jaar. Beschrijvende analyses wijzen uit dat het percentage respondenten dat de gezondheid als ‘zeer goed’ èn als ‘slecht’ ervaart in het jongste cohort hoger is dan in het oudste cohort. Het percentage dat de gezondheid als ‘goed’ en als ‘gaat wel’ ervaart is lager. Multinomiale regressieanalyses wijzen uit dat met name de slechtere objectieve gezondheid in het jongste cohort de oorzaak is van de toename in de als slecht ervaren gezondheid. De cohort- en periodefactoren zoals opleidingsniveau, het hebben van een betaalde baan en leefstijlfactoren verklaren de verschuiving in ervaren gezondheid tussen de cohorten nauwelijks. Geconcludeerd kan worden dat er een kleine verschuiving is in de ervaren gezondheid. Gegeven de slechtere objectieve gezondheidstoestand van het jongste cohort is de ervaren gezondheid verbeterd.

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    K. van de Kamp

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  1. K. van de Kamp
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  2. A. W. Braam
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  3. D. J. H. Deeg
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EMGO Instituut, VU medisch centrum, Amsterdam

EMGO Instituut, VU medisch centrum, Amsterdam

EMGO Instituut, VU medisch centrum, Amsterdam

drs. Karline van de Kamp, VU medisch centrum, EMGO-instituut, LASA.Van der Boechorststraat 7, 1081 BT Amsterdam.T: 020-4449329.

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van de Kamp, K., Braam, A.W. & Deeg, D.J.H. Verschuiving van de ervaren gezondheid van 55-64-jarigen tussen 1992/’93 en 2002/’03. Verklarende factoren. GEEG 39, 181–192 (2008). https://doi.org/10.1007/BF03078152

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