Impact of resilience on health in older adults: a cross-sectional analysis from the International Mobility in Aging Study (IMIAS).

Lau, Siu Yu Zoe; Guerra, Ricardo Oliveira; Barbosa, Juliana Fernandes de Souza; Phillips, Susan P

Lau, Siu Yu Zoe; Guerra, Ricardo Oliveira; Barbosa, Juliana Fernandes de Souza; Phillips, Susan P.

Afiliação

Lau SYZ; School of Medicine, Queen's University, Kingston, Ontario, Canada.
Guerra RO; Department of Physical Therapy, Federal University of Rio Grande do Norte, Natal, Brazil.
Barbosa JFS; Department of Physical Therapy, Federal University of Rio Grande do Norte, Natal, Brazil.
Phillips SP; Centre for Studies in Primary Care, Queen's University, Kingston, Ontario, Canada.

BMJ Open ; 8(11): e023779, 2018 11 28.

Article em En | MEDLINE | ID: mdl-30498045

RESUMO

OBJECTIVES: Self-rated health (SRH) is a predictor of objective health measures, including mortality and morbidity. The link between resilience and SRH among the elderly is unclear. We aim to examine whether resilience aligns with SRH and, secondarily, whether resilience can override the negative health consequences of adverse childhood experiences (ACE). DESIGN AND SETTING: We use 2012, 2014 and 2016 data from the International Mobility in Aging Study, a longitudinal cohort study that collects survey and biophysical data from Albania, Brazil, Colombia and Canada. The main independent variables were resilience and ACE (social and economic). PARTICIPANTS: Community-dwelling 65-74 year olds (in 2012) were recruited through primary care registers. The sample size of the study was 1506. PRIMARY OUTCOME: The outcome measure was SRH. RESULTS: We found that sex, site, economic ACE, current income sufficiency, current depressive symptoms, current physical function and current resilience were associated with current SRH. In regression analyses, we showed that the association between ACE and SRH disappeared once factors such as sex, site, income, depression, physical health and resilience were considered. CONCLUSIONS: The association between resilience and health poses a compelling argument for building resilience throughout life.

Assuntos

Experiências Adversas da Infância; Envelhecimento/psicologia; Autoavaliação Diagnóstica; Avaliação Geriátrica; Nível de Saúde; Resiliência Psicológica; Idoso; Albânia; Brasil; Canadá; Criança; Estudos de Coortes; Colômbia; Estudos Transversais; Depressão/complicações; Etnicidade; Feminino; Humanos; Renda; Estudos Longitudinais; Masculino; Fatores Sexuais; Fatores Socioeconômicos; Estresse Psicológico/etnologia; Estresse Psicológico/etiologia

Palavras-chave

geriatric medicine; preventive medicine; primary care

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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Envelhecimento / Avaliação Geriátrica / Nível de Saúde / Resiliência Psicológica / Autoavaliação Diagnóstica / Experiências Adversas da Infância Tipo de estudo: Diagnostic_studies / Etiology_studies / Incidence_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Aspecto: Determinantes_sociais_saude / Equity_inequality / Patient_preference Limite: Aged / Child / Female / Humans / Male País/Região como assunto: America do norte / America do sul / Brasil / Colombia / Europa Idioma: En Revista: BMJ Open Ano de publicação: 2018 Tipo de documento: Article País de afiliação: Canadá País de publicação: Reino Unido

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