Socio-economic status and trajectories of a novel multidimensional metric of Active and Healthy Ageing: the English Longitudinal Study of Ageing
Abstract Healthy ageing research largely has a unidimensional focus on physical health, negating the importance of psychosocial factors in the maintenance of a good quality-of-life. In this cohort study, we aimed to identify trajectories of a new multidimensional metric of Active and Healthy Ageing...
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2023-04-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-023-33371-0 |
| _version_ | 1797846031835070464 |
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| author | Olivia S. Malkowski Ricky Kanabar Max J. Western |
| author_facet | Olivia S. Malkowski Ricky Kanabar Max J. Western |
| author_sort | Olivia S. Malkowski |
| collection | DOAJ |
| description | Abstract Healthy ageing research largely has a unidimensional focus on physical health, negating the importance of psychosocial factors in the maintenance of a good quality-of-life. In this cohort study, we aimed to identify trajectories of a new multidimensional metric of Active and Healthy Ageing (AHA), including their associations with socio-economic variables. A latent AHA metric was created for 14,755 participants across eight waves of data (collected between 2004 and 2019) from the English Longitudinal Study of Ageing (ELSA), using Bayesian Multilevel Item Response Theory (MLIRT). Then, Growth Mixture Modelling (GMM) was employed to identify sub-groups of individuals with similar trajectories of AHA, and multinomial logistic regression examined associations of these trajectories with socio-economic variables: education, occupational class, and wealth. Three latent classes of AHA trajectories were suggested. Participants in higher quintiles of the wealth distribution had decreased odds of being in the groups with consistently moderate AHA scores (i.e., ‘moderate-stable’), or the steepest deterioration (i.e., ‘decliners’), compared to the ‘high-stable’ group. Education and occupational class were not consistently associated with AHA trajectories. Our findings reiterate the need for more holistic measures of AHA and prevention strategies targeted at limiting socio-economic disparities in older adults’ quality-of-life. |
| first_indexed | 2024-04-09T17:48:29Z |
| format | Article |
| id | doaj.art-b049834cd65147048fb872b89370ad56 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-04-09T17:48:29Z |
| publishDate | 2023-04-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-b049834cd65147048fb872b89370ad562023-04-16T11:10:43ZengNature PortfolioScientific Reports2045-23222023-04-0113111310.1038/s41598-023-33371-0Socio-economic status and trajectories of a novel multidimensional metric of Active and Healthy Ageing: the English Longitudinal Study of AgeingOlivia S. Malkowski0Ricky Kanabar1Max J. Western2Centre for Motivation and Health Behaviour Change, Department for Health, University of BathDepartment of Social and Policy Sciences, University of BathCentre for Motivation and Health Behaviour Change, Department for Health, University of BathAbstract Healthy ageing research largely has a unidimensional focus on physical health, negating the importance of psychosocial factors in the maintenance of a good quality-of-life. In this cohort study, we aimed to identify trajectories of a new multidimensional metric of Active and Healthy Ageing (AHA), including their associations with socio-economic variables. A latent AHA metric was created for 14,755 participants across eight waves of data (collected between 2004 and 2019) from the English Longitudinal Study of Ageing (ELSA), using Bayesian Multilevel Item Response Theory (MLIRT). Then, Growth Mixture Modelling (GMM) was employed to identify sub-groups of individuals with similar trajectories of AHA, and multinomial logistic regression examined associations of these trajectories with socio-economic variables: education, occupational class, and wealth. Three latent classes of AHA trajectories were suggested. Participants in higher quintiles of the wealth distribution had decreased odds of being in the groups with consistently moderate AHA scores (i.e., ‘moderate-stable’), or the steepest deterioration (i.e., ‘decliners’), compared to the ‘high-stable’ group. Education and occupational class were not consistently associated with AHA trajectories. Our findings reiterate the need for more holistic measures of AHA and prevention strategies targeted at limiting socio-economic disparities in older adults’ quality-of-life.https://doi.org/10.1038/s41598-023-33371-0 |
| spellingShingle | Olivia S. Malkowski Ricky Kanabar Max J. Western Socio-economic status and trajectories of a novel multidimensional metric of Active and Healthy Ageing: the English Longitudinal Study of Ageing Scientific Reports |
| title | Socio-economic status and trajectories of a novel multidimensional metric of Active and Healthy Ageing: the English Longitudinal Study of Ageing |
| title_full | Socio-economic status and trajectories of a novel multidimensional metric of Active and Healthy Ageing: the English Longitudinal Study of Ageing |
| title_fullStr | Socio-economic status and trajectories of a novel multidimensional metric of Active and Healthy Ageing: the English Longitudinal Study of Ageing |
| title_full_unstemmed | Socio-economic status and trajectories of a novel multidimensional metric of Active and Healthy Ageing: the English Longitudinal Study of Ageing |
| title_short | Socio-economic status and trajectories of a novel multidimensional metric of Active and Healthy Ageing: the English Longitudinal Study of Ageing |
| title_sort | socio economic status and trajectories of a novel multidimensional metric of active and healthy ageing the english longitudinal study of ageing |
| url | https://doi.org/10.1038/s41598-023-33371-0 |
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