Trends in functional limitations among middle-aged and older adults in the Asia-Pacific: survey evidence from 778,507 observations across six countriesResearch in context
Summary: Background: There are few studies comparing health status trends among middle-aged and older adults in countries currently experiencing a rapid demographic and economic transition in the Asia-Pacific, relative to their high-income regional counterparts. This study investigates trends in fu...
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| Format: | Article |
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Elsevier
2025-01-01
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| Series: | The Lancet Regional Health. Western Pacific |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S266660652400261X |
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| author | Marie Ishida Sumit Kane Teralynn Ludwick Victoria Fan Ajay Mahal |
| author_facet | Marie Ishida Sumit Kane Teralynn Ludwick Victoria Fan Ajay Mahal |
| author_sort | Marie Ishida |
| collection | DOAJ |
| description | Summary: Background: There are few studies comparing health status trends among middle-aged and older adults in countries currently experiencing a rapid demographic and economic transition in the Asia-Pacific, relative to their high-income regional counterparts. This study investigates trends in functional limitations among individuals aged 45 years and above in six major Asia-Pacific countries, ranging from middle- to high-income, from 2001 to 2019 and examines disparities across socioeconomic and demographic sub-groups. Methods: Data on 778,507 individuals from seven surveys in three high-income countries (Australia, Japan, South Korea) and three middle-income countries (China, Indonesia, and India) were used. Activities of daily living (ADL), instrumental activities of daily living (IADL), and mobility measures served as indicators of functional limitations. Age-standardized prevalence was used to assess prevalence trends in functional limitations and their distribution across sex and age. Multivariate linear probability models were used to examine whether the patterns still hold when controlling for birth cohorts and socioeconomic and demographic factors. Findings: People aged 45 years and above in Australia, Japan, and South Korea experienced declines in functional limitations, whereas increases were observed in India and Indonesia. The findings for China were unclear and varied depending on the indicator. Changes in prevalence of functional limitations over time were more pronounced among people aged over 60 years. Higher prevalence of functional limitations was observed for respondents with lower education and among those are not currently married across countries. Interpretation: Study findings highlight the potential for cross-national learning to address functional limitations among older populations in low- and middle-income countries. Funding: Not applicable. |
| format | Article |
| id | doaj-art-481b3e077ace4686b0f101aac304dfb3 |
| institution | Kabale University |
| issn | 2666-6065 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | The Lancet Regional Health. Western Pacific |
| spelling | doaj-art-481b3e077ace4686b0f101aac304dfb32024-12-23T04:19:36ZengElsevierThe Lancet Regional Health. Western Pacific2666-60652025-01-0154101267Trends in functional limitations among middle-aged and older adults in the Asia-Pacific: survey evidence from 778,507 observations across six countriesResearch in contextMarie Ishida0Sumit Kane1Teralynn Ludwick2Victoria Fan3Ajay Mahal4Nossal Institute for Global Health, School of Population and Global Health, The University of Melbourne, 32 Lincoln Square, Carlton, 3053, Australia; Corresponding author.Nossal Institute for Global Health, School of Population and Global Health, The University of Melbourne, 32 Lincoln Square, Carlton, 3053, AustraliaCenter for Epidemiology and Biostatistics, School of Population and Global Health, The University of Melbourne, 207 Bouverie Street, Carlton, 3053, AustraliaCenter for Global Development, Washington, DC, USANossal Institute for Global Health, School of Population and Global Health, The University of Melbourne, 32 Lincoln Square, Carlton, 3053, AustraliaSummary: Background: There are few studies comparing health status trends among middle-aged and older adults in countries currently experiencing a rapid demographic and economic transition in the Asia-Pacific, relative to their high-income regional counterparts. This study investigates trends in functional limitations among individuals aged 45 years and above in six major Asia-Pacific countries, ranging from middle- to high-income, from 2001 to 2019 and examines disparities across socioeconomic and demographic sub-groups. Methods: Data on 778,507 individuals from seven surveys in three high-income countries (Australia, Japan, South Korea) and three middle-income countries (China, Indonesia, and India) were used. Activities of daily living (ADL), instrumental activities of daily living (IADL), and mobility measures served as indicators of functional limitations. Age-standardized prevalence was used to assess prevalence trends in functional limitations and their distribution across sex and age. Multivariate linear probability models were used to examine whether the patterns still hold when controlling for birth cohorts and socioeconomic and demographic factors. Findings: People aged 45 years and above in Australia, Japan, and South Korea experienced declines in functional limitations, whereas increases were observed in India and Indonesia. The findings for China were unclear and varied depending on the indicator. Changes in prevalence of functional limitations over time were more pronounced among people aged over 60 years. Higher prevalence of functional limitations was observed for respondents with lower education and among those are not currently married across countries. Interpretation: Study findings highlight the potential for cross-national learning to address functional limitations among older populations in low- and middle-income countries. Funding: Not applicable.http://www.sciencedirect.com/science/article/pii/S266660652400261XPopulation ageingFunctional limitationsAsia-PacificADLDisability |
| spellingShingle | Marie Ishida Sumit Kane Teralynn Ludwick Victoria Fan Ajay Mahal Trends in functional limitations among middle-aged and older adults in the Asia-Pacific: survey evidence from 778,507 observations across six countriesResearch in context The Lancet Regional Health. Western Pacific Population ageing Functional limitations Asia-Pacific ADL Disability |
| title | Trends in functional limitations among middle-aged and older adults in the Asia-Pacific: survey evidence from 778,507 observations across six countriesResearch in context |
| title_full | Trends in functional limitations among middle-aged and older adults in the Asia-Pacific: survey evidence from 778,507 observations across six countriesResearch in context |
| title_fullStr | Trends in functional limitations among middle-aged and older adults in the Asia-Pacific: survey evidence from 778,507 observations across six countriesResearch in context |
| title_full_unstemmed | Trends in functional limitations among middle-aged and older adults in the Asia-Pacific: survey evidence from 778,507 observations across six countriesResearch in context |
| title_short | Trends in functional limitations among middle-aged and older adults in the Asia-Pacific: survey evidence from 778,507 observations across six countriesResearch in context |
| title_sort | trends in functional limitations among middle aged and older adults in the asia pacific survey evidence from 778 507 observations across six countriesresearch in context |
| topic | Population ageing Functional limitations Asia-Pacific ADL Disability |
| url | http://www.sciencedirect.com/science/article/pii/S266660652400261X |
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