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Demographic and socioeconomic inequalities for self-rated health and happiness in elderly: the situation for Turkey regarding World Values Survey between 1990 and 2013.

Titulo Demographic and socioeconomic inequalities for self-rated health and happiness in elderly: the situation for Turkey regarding World Values Survey between 1990 and 2013.
Autoría Ergin I, Mandiracioglu A.
Fuente Arch Gerontol Geriatr. 2015 Sep-Oct;61(2):224-30. doi: 10.1016/j.archger.2015.06.011. Epub 2015 Jun 25.
Resumen PURPOSE: To define the socioeconomic and demographic determinants for self-rated health and happiness for Turkish elderly (≥60) using the World Values Survey (WVS) database. METHODS: WVS data for Turkey covering 23 years (1990-2013) with five separate cross-sections (1990, 1996, 2001, 2007, 2013) were pooled for analysis (n=870). Dependent variables were self-rated health (SRH) and perception of happiness.Their relation with age, sex, number of children, marital status, income, education, employment status and class perception were evaluated. Chi-square and logistic regression analysis were used. Regression coefficients and their standard errors were derived to calculate odds ratios. RESULTS: Mean age was 66.96±5.78 (60-91), 58.16% were male and 76.32% were married. The majority (61.10%) was at lowest income level and 80.60% had education attainment at primary level or below. Very happy/quite happy were 81.77% while only 46.59% perceived their health as very good/good. The crisis year (2001) increased the risk of bad self-rated health 4.4 times, being a women 2.0 times, while being a widow had a 2.3-fold, low-income 3.0-fold effect. The odds for unhappy status was increased 4.3 times at low-income levels and 8.4 times for the divorced/separate living partners. Happiness state improved after crisis period. CONCLUSION: SRH and happiness of Turkish elderly bare demographic and socioeconomic inequalities. The inexistence of a partner, being a women, low-income level and major threats for it, like economic crisis, are important drivers for elderly health and happiness. To improve well-being of elderly, better social policies for income is essential and at economic crisis times, support policies should be prioritized for vulnerable groups, including elderly.
URL www.ncbi.nlm.nih.gov/pubmed/26153553
Tipo de documento Artículo cientifico
Impacto en el sistema sanitario --
Impacto en la salud Salud - General