Study of Determinants of Self-Assessed Health of Elderly People in Tehran Using Generalized Structural Equation Model
Background and Objectives: Considering the growing trend of aging in Iran, it is necessary to study the factors affecting the health of elderly people. The main purpose of this study was to investigate demographic, social, and economic determinants of self-assessed health of elderly people in Tehran...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | fas |
| Published: |
Tehran University of Medical Sciences
2022-05-01
|
| Series: | مجله اپیدمیولوژی ایران |
| Subjects: | |
| Online Access: | http://irje.tums.ac.ir/article-1-6686-en.html |
| _version_ | 1828313438316658688 |
|---|---|
| author | A Bagheri M Saadati N Zanjari A Shabak |
| author_facet | A Bagheri M Saadati N Zanjari A Shabak |
| author_sort | A Bagheri |
| collection | DOAJ |
| description | Background and Objectives: Considering the growing trend of aging in Iran, it is necessary to study the factors affecting the health of elderly people. The main purpose of this study was to investigate demographic, social, and economic determinants of self-assessed health of elderly people in Tehran using generalized structural equation model (GSEM).
Methods: The data of the present study was obtained from a cross-sectional study in which 598 elderly people aged 60 years and over were selected from 22 districts of Tehran in 20151394 using stratified multi-stage sampling method and a researcher-made questionnaire was completed for them. The reliability of the questionnaire was also confirmed using and time consistency. To study the determinants of self-assessed health of elderly people, WLSMV and ULSMV estimators of GSEM were compared in Mplus (7.3).
Results: Based on the goodness-of-fit indices, the ULSMV estimator was selected to evaluate factors affecting the self-assessed health of elderly people (RMSEA=0.02, CFI=0.951 and TLI=0.962). The self-assessed health ranks of married and employed elderly people were higher than single (P-value=0.022) and unemployed (P-value=0.048) ones, respectively. An increase in spirituality (P-value=0.016), physical and mental health (P-value=0.001), and health-oriented behavior (P-value=0.016) increased the standard score of self-assessed health of elderly people. Physical and mental health played a complete mediating role in relationships of gender (P-value=0.014), marital status (P-value=0.040), education level (P-value=0.039), self-reported socio-economic status (good/ P-value=0.013 and middle/P-value=0.017) and number of diseases (P-value=0.001) with self-assessed health of elderly people.
Conclusion: According to the results, for policy-making in the field of geritrics, special attention should be paid to structural variables like gender, marital status, education level, and self-reported socio-economic status in addition to physical and mental health. |
| first_indexed | 2024-04-13T16:30:53Z |
| format | Article |
| id | doaj.art-c3a62bd66e684259b345c54160eedbfd |
| institution | Directory Open Access Journal |
| issn | 1735-7489 2228-7507 |
| language | fas |
| last_indexed | 2024-04-13T16:30:53Z |
| publishDate | 2022-05-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | مجله اپیدمیولوژی ایران |
| spelling | doaj.art-c3a62bd66e684259b345c54160eedbfd2022-12-22T02:39:35ZfasTehran University of Medical Sciencesمجله اپیدمیولوژی ایران1735-74892228-75072022-05-011814558Study of Determinants of Self-Assessed Health of Elderly People in Tehran Using Generalized Structural Equation ModelA Bagheri0M Saadati1N Zanjari2A Shabak3 Associate Professor of Applied Statistics, National Institute for Population Research, Tehran, Iran Associate Professor of Biostatistics, National Institute for Population Research, Tehran, Iran Assistant Professor of Iranian Research Centre on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran Assistant Professor of Applied Statistics, Data Processing and Information Research Group, Statistics Research Institute, Tehran, Iran Background and Objectives: Considering the growing trend of aging in Iran, it is necessary to study the factors affecting the health of elderly people. The main purpose of this study was to investigate demographic, social, and economic determinants of self-assessed health of elderly people in Tehran using generalized structural equation model (GSEM). Methods: The data of the present study was obtained from a cross-sectional study in which 598 elderly people aged 60 years and over were selected from 22 districts of Tehran in 20151394 using stratified multi-stage sampling method and a researcher-made questionnaire was completed for them. The reliability of the questionnaire was also confirmed using and time consistency. To study the determinants of self-assessed health of elderly people, WLSMV and ULSMV estimators of GSEM were compared in Mplus (7.3). Results: Based on the goodness-of-fit indices, the ULSMV estimator was selected to evaluate factors affecting the self-assessed health of elderly people (RMSEA=0.02, CFI=0.951 and TLI=0.962). The self-assessed health ranks of married and employed elderly people were higher than single (P-value=0.022) and unemployed (P-value=0.048) ones, respectively. An increase in spirituality (P-value=0.016), physical and mental health (P-value=0.001), and health-oriented behavior (P-value=0.016) increased the standard score of self-assessed health of elderly people. Physical and mental health played a complete mediating role in relationships of gender (P-value=0.014), marital status (P-value=0.040), education level (P-value=0.039), self-reported socio-economic status (good/ P-value=0.013 and middle/P-value=0.017) and number of diseases (P-value=0.001) with self-assessed health of elderly people. Conclusion: According to the results, for policy-making in the field of geritrics, special attention should be paid to structural variables like gender, marital status, education level, and self-reported socio-economic status in addition to physical and mental health.http://irje.tums.ac.ir/article-1-6686-en.htmlself-assessed health of elderliesgeneralized structural equation modelphysical and mental healthtehran |
| spellingShingle | A Bagheri M Saadati N Zanjari A Shabak Study of Determinants of Self-Assessed Health of Elderly People in Tehran Using Generalized Structural Equation Model مجله اپیدمیولوژی ایران self-assessed health of elderlies generalized structural equation model physical and mental health tehran |
| title | Study of Determinants of Self-Assessed Health of Elderly People in Tehran Using Generalized Structural Equation Model |
| title_full | Study of Determinants of Self-Assessed Health of Elderly People in Tehran Using Generalized Structural Equation Model |
| title_fullStr | Study of Determinants of Self-Assessed Health of Elderly People in Tehran Using Generalized Structural Equation Model |
| title_full_unstemmed | Study of Determinants of Self-Assessed Health of Elderly People in Tehran Using Generalized Structural Equation Model |
| title_short | Study of Determinants of Self-Assessed Health of Elderly People in Tehran Using Generalized Structural Equation Model |
| title_sort | study of determinants of self assessed health of elderly people in tehran using generalized structural equation model |
| topic | self-assessed health of elderlies generalized structural equation model physical and mental health tehran |
| url | http://irje.tums.ac.ir/article-1-6686-en.html |
| work_keys_str_mv | AT abagheri studyofdeterminantsofselfassessedhealthofelderlypeopleintehranusinggeneralizedstructuralequationmodel AT msaadati studyofdeterminantsofselfassessedhealthofelderlypeopleintehranusinggeneralizedstructuralequationmodel AT nzanjari studyofdeterminantsofselfassessedhealthofelderlypeopleintehranusinggeneralizedstructuralequationmodel AT ashabak studyofdeterminantsofselfassessedhealthofelderlypeopleintehranusinggeneralizedstructuralequationmodel |