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Trajectory of functional status among older Taiwanese: Gender and age variations

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

Abstract

Current findings on gender and age differences in health trajectories in later life are equivocal and largely based upon data derived from Western developed nations. This study examines gender and age variations in the trajectory of functional status among older adults in Taiwan, a non-Western newly industrialized society. Data came from a sample of some 3500 Taiwanese aged 60 and over, initially surveyed in 1989 and subsequently followed in 1993, 1996, 1999, and 2003. Hierarchical linear models with time-varying covariates were employed in depicting the dynamics of functional status across gender and age. Women and the old-old experienced higher levels of disability and rates of increase than their male and young-old counterparts. Moreover, older women bore a disproportionately larger burden of disability. There are therefore significant gender and age variations in the trajectory of functional status among older Taiwanese. These findings provide evidence for the generalizability of prior observations to a non-Western society.

Suggested Citation

  • Liang, Jersey & Wang, Chia-Ning & Xu, Xiao & Hsu, Hui-Chuan & Lin, Hui-Shen & Lin, Yu-Hsuan, 2010. "Trajectory of functional status among older Taiwanese: Gender and age variations," Social Science & Medicine, Elsevier, vol. 71(6), pages 1208-1217, September.
    • Handle: RePEc:eee:socmed:v:71:y:2010:i:6:p:1208-1217
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    1. Miles G. Taylor & Scott M. Lynch, 2004. "Trajectories of Impairment, Social Support, and Depressive Symptoms in Later Life," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 59(4), pages 238-246.
    2. Jersey Liang & Xiao Xu & Joan M. Bennett & Wen Ye & Ana R. Quiñones, 2010. "Ethnicity and Changing Functional Health in Middle and Late Life: A Person-Centered Approach," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 65(4), pages 470-481.
    3. Arber, Sara & Cooper, Helen, 1999. "Gender differences in health in later life: the new paradox?," Social Science & Medicine, Elsevier, vol. 48(1), pages 61-76, January.
    4. Zachary Zimmer & Xian Liu & Albert Hermalin & Yi-Li Chuang, 1998. "Educational attainment and transitions in functional status among older Taiwanese," Demography, Springer;Population Association of America (PAA), vol. 35(3), pages 361-375, August.
    5. Eileen Crimmins & Yasuhiko Saito, 2000. "Change in the Prevalence of Diseases Among Older Americans: 1984-1994," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 3(9).
    6. Carlos F. Mendes de Leon & Deborah T. Gold & Thomas A. Glass & Lori Kaplan & Linda K. George, 2001. "Disability as a Function of Social Networks and Support in Elderly African Americans and Whites," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 56(3), pages 179-190.
    7. Macintyre, Sally & Hunt, Kate & Sweeting, Helen, 1996. "Gender differences in health: Are things really as simple as they seem?," Social Science & Medicine, Elsevier, vol. 42(4), pages 617-624, February.
    8. Freedman, V.A. & Martin, L.G., 2000. "Contribution of chronic conditions to aggregate changes in old-age functioning," American Journal of Public Health, American Public Health Association, vol. 90(11), pages 1755-1760.
    9. Seplaki, Christopher L. & Goldman, Noreen & Weinstein, Maxine & Lin, Yu-Hsuan, 2006. "Before and after the 1999 Chi-Chi earthquake: Traumatic events and depressive symptoms in an older population," Social Science & Medicine, Elsevier, vol. 62(12), pages 3121-3132, June.
    10. Mor, V. & Wilcox, V. & Rakowski, W. & Hiris, J., 1994. "Functional transitions among the elderly: Patterns, predictors, and related hospital use," American Journal of Public Health, American Public Health Association, vol. 84(8), pages 1274-1280.
    11. Beckett, Megan & Goldman, Noreen & Weinstein, Maxine & Lin, I-Fen & Chuang, Yi-Li, 2002. "Social environment, life challenge, and health among the elderly in Taiwan," Social Science & Medicine, Elsevier, vol. 55(2), pages 191-209, July.
    12. Zachary Zimmer & Albert I. Hermalin & Hui-Sheng Lin, 2002. "Whose Education Counts? The Added Impact of Adult-Child Education on Physical Functioning of Older Taiwanese," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 57(1), pages 23-32.
    13. Kim, Jinyoung & Durden, Emily, 2007. "Socioeconomic status and age trajectories of health," Social Science & Medicine, Elsevier, vol. 65(12), pages 2489-2502, December.
    14. Jersey Liang & Joan M. Bennett & Benjamin A. Shaw & Ana R. Quiñones & Wen Ye & Xiao Xu & Mary Beth Ofstedal, 2008. "Gender Differences in Functional Status in Middle and Older Age: Are There Any Age Variations?," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 63(5), pages 282-292.
    15. Carlos F. Mendes de Leon & Lisa L. Barnes & Julia L. Bienias & Kimberly A. Skarupski & Denis A. Evans, 2005. "Racial Disparities in Disability: Recent Evidence From Self-Reported and Performance-Based Disability Measures in a Population-Based Study of Older Adults," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 60(5), pages 263-271.
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    2. Pruchno, Rachel & Wilson-Genderson, Maureen & Heid, Allison R. & Cartwright, Francine P., 2021. "Effects of peri-traumatic stress experienced during Hurricane Sandy on functional limitation trajectories for older men and women," Social Science & Medicine, Elsevier, vol. 281(C).

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