ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2018
Determinants of Health Trajectories in England and the United States: An Approach to Identify Different Patterns of Healthy Aging.
Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.
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Who cites it
29 citing papers in PubMed.
- Heterogeneity and the determinants of multidimensional health transition among Chinese middle-aged and older people: a person-centered approach.Frontiers in medicine · 2025Article
- Transitions in intrinsic capacity among community-dwelling older people and their associated factors: a multistate modelling analysis.The journal of nutrition, health & aging · 2024Article
- Article
- Are adverse childhood experiences associated with trajectories of healthy aging? Evidence from China.SSM - population health · 2023Article
- Socio-economic status and trajectories of a novel multidimensional metric of Active and Healthy Ageing: the English Longitudinal Study of Ageing.Scientific reports · 2023Article
- Differences in determinants of active aging between older Brazilian and English adults: ELSI-Brazil and ELSA.Cadernos de saude publica · 2023Article
- Trajectories of Intrinsic Capacity: Determinants and Associations with Disability.The journal of nutrition, health & aging · 2023Article
- Exploring Social Determinants of Health in Healthy Aging Among Older Adults: A Qualitative Study.Progress in community health partnerships : research, education, and action · 2023Article
- Assessing Healthy Aging Score and Its Association With All-Cause Mortality: Findings From the China Health and Retirement Longitudinal Study.Innovation in aging · 2023Article
- Global, regional, and national burden of diseases and injuries for adults 70 years and older: systematic analysis for the Global Burden of Disease 2019 Study.BMJ (Clinical research ed.) · 2022Article
- Associations between trajectories of social participation and functional ability among older adults: Results from the China Health and Retirement Longitudinal Study.Frontiers in public health · 2022Article
- Development and Validation of a Multidimensional Population-Based Healthy Aging Scale: Results From the China Health and Retirement Longitudinal Study.Frontiers in medicine · 2022Article
- Development of a common scale for measuring healthy ageing across the world: results from the ATHLOS consortium.International journal of epidemiology · 2021Article
- The role of ageing in the wish to be dead: disentangling age, period and cohort effects in suicide ideation in European population.Epidemiology and psychiatric sciences · 2021Article
- Projecting health-ageing trajectories in Europe using a dynamic microsimulation model.Scientific reports · 2021Article
- Article
- Using grip strength to compute physical health-adjusted old age dependency ratios.SSM - population health · 2020Article
- Trajectories of Short Physical Performance Battery Are Strongly Associated with Future Major Mobility Disability: Results from the LIFE Study.Journal of clinical medicine · 2020Article
- The impact of physical activity on healthy ageing trajectories: evidence from eight cohort studies.The international journal of behavioral nutrition and physical activity · 2020Article
- Development of a Combined Sensory-Cognitive Measure Based on the Common Cause Hypothesis: Heterogeneous Trajectories and Associated Risk Factors.The Gerontologist · 2020Article
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Authors and funding
9 authors.
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Abstract
Background: Aging is a multidimensional process with a remarkable interindividual variability. This study is focused on identifying groups of population with similar aging patterns, and to define the health trajectories of these groups. Sociodemographic and health determinants of these trajectories are also identified. Methods: Data from the English Longitudinal Study of Aging (ELSA) and the Health and Retirement Study (HRS) were used. A set of self-reported health items and measured tests were used to generate a latent health metric by means of a Bayesian multilevel IRT model, assessing the ability of the metric to predict mortality. Then, a Growth Mixture Model (GMM) was conducted in each study to identify latent classes and assess health trajectories. Kaplan-Meier survival curves were obtained for each class and a multinomial logistic regression was used to identify determinants of these trajectories. Results: The health score generated showed an adequate ability to predict mortality over 10 years in ELSA (AUC = 0.74; 95% CI: 0.72, 0.75) and HRS (AUC = 0.74; 95% CI: 0.73, 0.75). By means of GMM, four latent classes were identified in ELSA and five in HRS. Chronic conditions, no qualification and low level of household wealth were associated to the classes which showed a higher mortality in both studies. Conclusion: The method based on the creation of a common metric of health and the use of GMM to identify similar patterns of aging, allows for the comparison of trajectories of health across longitudinal surveys. Multimorbidity, educational level, and household wealth could be considered as determinants associated to these trajectories.
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