Age, time, and cohort effects on functional status and self-rated health in elderly men

被引:70
作者
Hoeymans, N [1 ]
Feskens, EJM [1 ]
vandenBos, GAM [1 ]
Kromhout, D [1 ]
机构
[1] UNIV AMSTERDAM,ACAD MED CTR,INST SOCIAL MED,NL-1105 AZ AMSTERDAM,NETHERLANDS
关键词
D O I
10.2105/AJPH.87.10.1620
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objectives. This study investigated age-related changes in functional status and self-rated health in elderly men, taking into account changes over time and differences between birth cohorts. Methods. The Zutphen Elderly Study is a longitudinal study of men born in the Netherlands between 1900 and 1920. Functional status and self-rated health were measured in 513 men in 1990, in 381 men in 1993, and in 340 men in 1995. Age, time, and cohort effects were analyzed in a mixed longitudinal model. Results. Longitudinal analyses showed that during 5 years of follow-up, the proportion of men without disabilities decreased from 53% to 39%, whereas the percentage who rated themselves as healthy decreased from 50% to 35%. Cross-sectional analyses confirmed changes in functional status, suggesting an age effect. Time-series analyses confirmed changes in self-rated health, suggesting a time effect. No birth-cohort effects were found. Conclusions. Functional status deteriorates with age, whereas self-rated health is not related to age in men aged 70 years and older. The observed 5-year decline in self-rated health seemed to be due to a secular trend.
引用
收藏
页码:1620 / 1625
页数:6
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