Social Stratification and Trajectories of Functional Status among Older Taiwanese

Jersey Liang, Chia-Ning Wang, Hui-Chuan Hsu, Xiao Xu, Hui-Sheng Lin, Yu-Hsuan Lin

研究成果: 雜誌貢獻文章

摘要

Objectives: With a person-centered approach, this research aims to depict distinct courses of functional disability among older Taiwanese and to ascertain disparities in the probabilities of experiencing these trajectories. Methods: Data was derived from a sample of 3,975 Taiwanese aged 60 and over, initially surveyed in 1989 and subsequently surveyed in 1993, 1996, 1999, and 2003. Group based, semi-parametric mixture models (Proc Traj) were employed to identify distinct trajectories of functional status. Results: Four major trajectories were identified: (1) excellent functional health (48.2%), (2) moderate increase in disability (35.5%), (3) accelerated increase in disability (10.7%), and (4) persistent severe disability (5.6%). Older age, female gender and lower education were associated with greater odds for poor functional trajectories. In addition, there were some ethnic differences, which could be explained by education. Conclusion: Distinct trajectories of functional health paralleling successful, usual, and pathological aging exist among older Taiwanese. The social stratification of functional trajectories among older Taiwanese resembles those observed among older Americans.
原文英語
頁(從 - 到)65-94
頁數30
期刊健康與社會
1
發行號1
DOIs
出版狀態已發佈 - 2013

指紋

Education
Health
Research

引用此文

Social Stratification and Trajectories of Functional Status among Older Taiwanese. / Liang, Jersey; Wang, Chia-Ning; Hsu, Hui-Chuan; Xu, Xiao; Lin, Hui-Sheng; Lin, Yu-Hsuan.

於: 健康與社會, 卷 1, 編號 1, 2013, p. 65-94.

研究成果: 雜誌貢獻文章

Liang, Jersey ; Wang, Chia-Ning ; Hsu, Hui-Chuan ; Xu, Xiao ; Lin, Hui-Sheng ; Lin, Yu-Hsuan. / Social Stratification and Trajectories of Functional Status among Older Taiwanese. 於: 健康與社會. 2013 ; 卷 1, 編號 1. 頁 65-94.
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abstract = "Objectives: With a person-centered approach, this research aims to depict distinct courses of functional disability among older Taiwanese and to ascertain disparities in the probabilities of experiencing these trajectories. Methods: Data was derived from a sample of 3,975 Taiwanese aged 60 and over, initially surveyed in 1989 and subsequently surveyed in 1993, 1996, 1999, and 2003. Group based, semi-parametric mixture models (Proc Traj) were employed to identify distinct trajectories of functional status. Results: Four major trajectories were identified: (1) excellent functional health (48.2{\%}), (2) moderate increase in disability (35.5{\%}), (3) accelerated increase in disability (10.7{\%}), and (4) persistent severe disability (5.6{\%}). Older age, female gender and lower education were associated with greater odds for poor functional trajectories. In addition, there were some ethnic differences, which could be explained by education. Conclusion: Distinct trajectories of functional health paralleling successful, usual, and pathological aging exist among older Taiwanese. The social stratification of functional trajectories among older Taiwanese resembles those observed among older Americans.",
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AU - Lin, Hui-Sheng

AU - Lin, Yu-Hsuan

PY - 2013

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N2 - Objectives: With a person-centered approach, this research aims to depict distinct courses of functional disability among older Taiwanese and to ascertain disparities in the probabilities of experiencing these trajectories. Methods: Data was derived from a sample of 3,975 Taiwanese aged 60 and over, initially surveyed in 1989 and subsequently surveyed in 1993, 1996, 1999, and 2003. Group based, semi-parametric mixture models (Proc Traj) were employed to identify distinct trajectories of functional status. Results: Four major trajectories were identified: (1) excellent functional health (48.2%), (2) moderate increase in disability (35.5%), (3) accelerated increase in disability (10.7%), and (4) persistent severe disability (5.6%). Older age, female gender and lower education were associated with greater odds for poor functional trajectories. In addition, there were some ethnic differences, which could be explained by education. Conclusion: Distinct trajectories of functional health paralleling successful, usual, and pathological aging exist among older Taiwanese. The social stratification of functional trajectories among older Taiwanese resembles those observed among older Americans.

AB - Objectives: With a person-centered approach, this research aims to depict distinct courses of functional disability among older Taiwanese and to ascertain disparities in the probabilities of experiencing these trajectories. Methods: Data was derived from a sample of 3,975 Taiwanese aged 60 and over, initially surveyed in 1989 and subsequently surveyed in 1993, 1996, 1999, and 2003. Group based, semi-parametric mixture models (Proc Traj) were employed to identify distinct trajectories of functional status. Results: Four major trajectories were identified: (1) excellent functional health (48.2%), (2) moderate increase in disability (35.5%), (3) accelerated increase in disability (10.7%), and (4) persistent severe disability (5.6%). Older age, female gender and lower education were associated with greater odds for poor functional trajectories. In addition, there were some ethnic differences, which could be explained by education. Conclusion: Distinct trajectories of functional health paralleling successful, usual, and pathological aging exist among older Taiwanese. The social stratification of functional trajectories among older Taiwanese resembles those observed among older Americans.

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