Does hospitalisation impact the successful ageing of community‐dwelling older adults?: A propensity score matching analysis using the Korean national survey data

Author(s):  
Ji Yeon Lee ◽  
Bora Kim ◽  
Kyung Hee Lee ◽  
Chang Gi Park
2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 137-138
Author(s):  
Ji Yeon Lee ◽  
Bora Kim ◽  
Kyung Hee Lee ◽  
Changgi Park

Abstract Hospitalization experience can be an obstructive factor to successful aging. Although older adults who had hospitalization experience has been considered to have poor health status and low participation in one’s life, it is not obviously evident whether hospitalization itself affects successful aging. This study aimed to investigate whether three components of successful aging (i.e., diseases and disease-related complications, physical and mental functions, and engagement with life) were different in community-dwelling older adults who had hospitalization experience for the past one year compared to the counterpart older adults without hospitalization experience. A secondary data analysis was performed using a nationally representative survey data in Korea. A total of 1,812 who had hospitalization experience were matched to 1,812 control counterpart using propensity score matching. Sampling weight of the survey was considered for all statistical analysis. The community-dwelling older adults with hospitalization experience were less likely to be aging successfully than the older adults without hospitalization experience. The older adults with hospitalization experience had more chronic illnesses and malnourishment; they had more impairment in physical function and depressive symptoms; they were less active in working, social activities, and traveling. However, there were no differences in cognitive function and religious activities between the groups. In conclusion, the community-dwelling older adults who had hospitalization experience have poor health status and less engagement in one’s life in general after matching covariates using propensity score matching analysis. Therefore, more attention and assist are needed to the community-dwelling older adults with hospitalization experience to facilitate successful aging.


Author(s):  
Jinheum Kim ◽  
Eunjeong Cha

Owing to a growing older adult population, dementia is emerging as an important health issue. Given that maintaining cognitive functions is crucial for the prevention of dementia, this study aimed to identify the predictors of cognitive function in community-dwelling older adults, through a secondary data analysis of the 2017 National Survey of Older Koreans. A total of 9836 participants were classified into three age groups—young-old (65–74 years), old-old (75–84 years), and oldest-old (≥85 years)—and were separately analyzed using multiple linear regression models. The final model explained 28.0%, 35.0%, and 37.0% of variance in cognitive function in the three age groups, respectively. The most potent predictors of cognitive function in the young-old were electronic device-based activities, instrumental activities of daily living (IADL), and nutrition management; the predictors for the old-old group were electronic device-based activities, IADL, and dementia screening, and those for the oldest-old group were frequency of contact with acquaintances, traveling, and religion. Thus, age group-specific interventions are needed to effectively promote cognitive function among older adults. Digital literacy education, use of community-based elderly welfare programs, opportunities for social interactions, and physical activities can help older adults in maintaining a functional status and muscle strengthening.


2021 ◽  
Author(s):  
Xinlin Chen ◽  
Dai Su ◽  
Xinlan Chen ◽  
Yingchun Chen

Abstract Background The strategy of successful ageing is an important means to deal with the challenges of the current ageing society. This paper aims to explore the effects of different intensities of physical activity on the successful ageing of the elderly. Methods Our data were from wave 4 of the China Health and Retirement Longitudinal Survey (CHARLS), involving 9,026 residents aged 60 years and older. The intensity of physical activity was divided into three levels: vigorous, moderate and mild. The concept of successful ageing adopted a four-dimensional model of life satisfaction added to the theoretical model of Rowe and Kahn's. Propensity score matching (PSM) with controlling nine confounding factors were used to analyse the effects of different intensities of physical activity. Results The percentage of successful ageing was 1.88% among all subjects. Among them, 30.26%, 29.57% and 29.40% of the elderly often participated in vigorous, moderate and mild physical activity, respectively. The results of PSM showed that participation in moderate activity increased the probability of successful ageing of the elderly by 0.76–0.78% (P < 0.001), while participation in vigorous and mild physical activity had no significant effect on successful ageing (P > 0.05). Conclusion Moderate-intensity physical activity was most beneficial to the successful ageing of the elderly and should be promoted in the elderly population.


Author(s):  
Andrew Henley ◽  
Meng Song

This article integrates internationalisation, and specifically exporting, into a conceptualisation of how innovation production leads to productivity performance in microbusinesses employing fewer than 10 people. Innovation production is reframed for the microbusiness context by focusing on knowledge acquisition and formalisation rather than on research and development (R&D) activity. Propensity score matching analysis is used to investigate British microbusiness survey data. It finds a causal process in which innovation promotes exporting activity. This in turn leads to improved productivity. In contrast to research on larger businesses, this study finds no direct link between innovation production and productivity. These findings are robust to various checks for potential endogeneity arising from feedback into innovation from internationalisation and from self-selection of high productivity firms into exporting.


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