ArticlePloS one2021
The contribution of social participation to differences in life expectancy and healthy years among the older population: A comparison between Chile, Costa Rica and Spain.
Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Educational inequalities in dementia-related mortality using a multiple cause of death approach and their contribution to life expectancy differences in Spain.Scientific reports · 2025Article
- Effect of happiness and functional disability on older people's survival.Cadernos de saude publica · 2025Article
- Gender differences in advanced activities of daily living: evidence from the longitudinal study of health and aging in Mexico 2012-2018.Frontiers in aging · 2025Article
- Inequalities in Disability-Free and Disabling Multimorbid Life Expectancy in Costa Rica, Mexico, and the United States.The journals of gerontology. Series B, Psychological sciences and social sciences · 2024Article
- Social relationships and their association with the functional capacity of older Chilean adults: longitudinal evidence.BMC geriatrics · 2024Article
- Ethnic differences in disability-free life expectancy and disabled life expectancy in older adults in Chile.BMC geriatrics · 2024Article
- Article
- Physical exercise and cognition in older adults, a scientific approach scanty reported in Latin America and Caribbean populations.Frontiers in sports and active living · 2024Article
- Both religious and secular ethics to achieve both happiness and health: Panel data results based on a dynamic theoretical model.PloS one · 2024Article
- Being actively engaged in life in old age: determinants, temporal trends, and prognostic value.Aging clinical and experimental research · 2023Article
- Life expectancy among older adults with or without frailty in China: multistate modelling of a national longitudinal cohort study.BMC medicine · 2023Article
- Subjective well-being patterns in older men and women without someone to confide in: a latent class analysis approach.Frontiers in public health · 2023Article
- The Effect of Public Healthcare Expenditure on the Reduction in Mortality Rates Caused by Unhealthy Habits among the Population.Healthcare (Basel, Switzerland) · 2022Article
- Analysis of Scientometric Indicators in Publications Associated with Healthy Aging in the World, Period 2011-2020.International journal of environmental research and public health · 2022Article
- Emotional State, Life Satisfaction and Worries Regarding COVID-19 in Spanish and Chilean Adolescents during Spring 2020.Scandinavian journal of child and adolescent psychiatry and psychology · 2022Article
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Authors and funding
4 authors.
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No grant is acknowledged in the PubMed record.
Abstract
We study the health trajectories of the population aged over 60, comparing between one European and two Latin American countries (Spain, Chile and Costa Rica) which have similar longevity patterns. Our focus is on functional limitation and mortality risks, considering differences by gender, education and social participation. Data come from national panel surveys (EPS, CRELES, SHARE). Multistate modelling is used to estimate transition probabilities between two health states: healthy to unhealthy, unhealthy to healthy as well as the transition to death from healthy or unhealthy states, to estimate the duration of stay in a specific state (computing healthy and unhealthy life expectancies) and the effect of the selected covariates. Results show that older Costa Ricans have the smallest gender gap in life expectancy but women have a lower healthy life expectancy compared to those in Chile and Spain. Participation in social activities leads to higher healthy life expectancy among the elderly in Costa Rica and Spain, whilst there were no relevant educational differences observed in longevity in the analysed countries. To conclude: despite the different patterns observed in health transitions and survival across the three countries, social participation is associated with greater health and longevity among people of old age, with little effect coming from educational attainment. Public policies should therefore be aimed at reducing unhealthy life years and dependency at advanced ages by promoting more engagement in social activities, especially among vulnerable groups who are more likely to experience impairment from a younger age.
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