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DIFFERENCES IN DETERMINANTS OF ACTIVE AGING BETWEEN OLDER BRAZILIAN AND ENGLISH ADULTS: ELSI-BRAZIL AND ELSA
Diferencias en los determinantes del envejecimiento activo entre personas mayores brasileñas e inglesas: ELSI-Brasil y ELSA
Aging
Population Dynamics
Health Promotion
Health of the Elderly
Titulo alternativo
Diferenças nos determinantes do envelhecimento ativo entre idosos brasileiros e ingleses: ELSI-Brasil e ELSADiferencias en los determinantes del envejecimiento activo entre personas mayores brasileñas e inglesas: ELSI-Brasil y ELSA
Autor
Afiliación
Universidade Federal de Minas Gerais. Belo Horizonte, MG, Brasil
Universidade Federal de Minas Gerais. Belo Horizonte, MG, Brasil.
Universidade Federal de Minas Gerais. Belo Horizonte, MG, Brasil.
University College London. London, U.K.
Universidade Federal de Minas Gerais. Belo Horizonte, MG, Brasil/Fundação Oswaldo Cruz. Instituto René Rachou. Belo Horizonte, MG, Brasil.
Universidade Federal de Minas Gerais. Belo Horizonte, MG, Brasil.
Universidade Federal de Minas Gerais. Belo Horizonte, MG, Brasil
Universidade Federal de Minas Gerais. Belo Horizonte, MG, Brasil.
Universidade Federal de Minas Gerais. Belo Horizonte, MG, Brasil.
University College London. London, U.K.
Universidade Federal de Minas Gerais. Belo Horizonte, MG, Brasil/Fundação Oswaldo Cruz. Instituto René Rachou. Belo Horizonte, MG, Brasil.
Universidade Federal de Minas Gerais. Belo Horizonte, MG, Brasil.
Universidade Federal de Minas Gerais. Belo Horizonte, MG, Brasil
Resumen en ingles
This study aimed to investigate differences in determinants of active aging between older Brazilian and English adults and to verify the association of behavioral, personal, and social determinants with physical health. This cross-sectional study was based on the ELSI-Brazil (2015-2016) and ELSA (2016-2017) cohorts. Active aging determinants included behavior (smoking, sedentary lifestyle, and poor sleep quality), personal (cognitive function and life satisfaction), and social determinants (education, loneliness, and volunteering), according to the World Health Organization. Physical health included activities limitation and multimorbidity. We estimated age- and sex-adjusted prevalence for each indicator and mean score, and used the negative binomial regression for statistical analysis. We included 16,642 participants, 9,409 from Brazil and 7,233 from England. Overall, all active aging determinants were worse in Brazil than in England, except for life satisfaction (no difference). The most remarkable difference was found for social determinants score in Brazil (mean difference of 0.18; p < 0.05), mainly due to a significantly lower education level in Brazil (70.6%; 95% confidence interval - 95%CI: 69.7-71.5) than England (37.1%; 95%CI: 35.1-39.1). All determinants (behavioral, personal, and social) were associated with health in Brazil and in England. However, the behavioral domain was stronger associated with health in England (coefficient = 2.76; 95%CI: 2.46-3.10) than in Brazil (coefficient = 1.38; 95%CI: 1.26-1.50; p < 0.001). Older English adults beneficiate more from healthier behaviors than Brazilians, which depend more on social policies.
Palabras clave en ingles
Healthy AgingAging
Population Dynamics
Health Promotion
Health of the Elderly
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