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Measuring Resilient Aging in Different Populations of Older Adults
Transcript of Measuring Resilient Aging in Different Populations of Older Adults
in Different Populations
Many older adults do well
The traditional aging research paradigm is missing
"The process of effectively negotiating, adapting to, or managing significant sources of stress or trauma. Assets and resources within the individual, their life and environment facilitate this capacity for adaptation and ‘bouncing back’ in the face of adversity”.(Windle, 2011)
Health and Retirement
Mexican Health and Aging
Prospective Nationally Representative Longitudinal Study of adults 50 years and older
Cover health status, cognitive status, employment status, job history, family structure, transfers, housing conditions
Both include some anthropometric measures
HRS started in 1992 and is still collecting data every 2 years; MHAS started in 2001, had a follow-up interview in 2003 and is now in the field collecting new data.
HRS oversampled African Americans, Hispanics and residents in Florida; MHAS oversampled high migration states.
Weights in HRS are post-stratified to the March CPS according to birth cohort, gender and race/ethnicity; MHAS weights were stratified based on birth cohort, household composition and place of residence.
Results of Cross-National
Comparison on Resilience
Domains and variables
No one to
Three Adverse Events
Adverse Event Prediction
WHO Healthy Aging
Health and long-term care systems
Strengthen evidence base and research
Healthy Aging over the life course
Vaccination and infection prevention
Support to informal care-giving
Geriatric and gerontological capacity building
5/6 medical conditions
More ADL disability
More IADL disability
More mobility disability
Less friends close by
Less people to count on
Lower cognitive score
More depressive symptoms
Prevalence at baseline of Components
Translating Findings to
Timing of Event
Type of Event
Sample Size from Both Studies
Predictors of Resilience
in Both Studies
Resilience is a useful concept to understand how older adults cope with adverse events.
Resilience is highly prevalent in both developing and developed countries and should therefore become a more important focus of aging research.
Analyzing older adults with a comprehensive approach enhances our ability to understand older adult health.
Conceptual Model of Resilience
Cross-national comparisons allow us to better understand how populations in different contexts experience distinct aging paths.
Cross-national comparisons provide useful information on how older adult health will change as developing countries move through the different stages of the epidemiological transition.
The life-course approach provides useful information to better understand mechanisms and pathways that determine health in older adults.
Changing the aging research paradigm that mainly focuses on disease, disability and mortality will help us understand positive aspects of aging, allowing us to develop interventions to promote recovery and improve quality of life among older adults.