IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v17y2020i20p7387-d425875.html
   My bibliography  Save this article

Instrumental Activities of Daily Living (iADL) Limitations in Europe: An Assessment of SHARE Data

Author

Listed:
  • Diana Portela

    (Agrupamento de Centros de Saúde (ACES) Entre Douro e Vouga I—Feira Arouca, Faculdade de Medicina da Universidade do Porto, 4200-450 Porto, Portugal)

  • Marta Almada

    (Applied Molecular Biosciences Unit (UCIBIO) Requimte (Rede de Química e Tecnologia), Porto4Ageing, Faculdade de Farmácia da Universidade do Porto, 4050-047 Porto, Portugal)

  • Luís Midão

    (Applied Molecular Biosciences Unit (UCIBIO) Requimte (Rede de Química e Tecnologia), Porto4Ageing, Faculdade de Farmácia da Universidade do Porto, 4050-047 Porto, Portugal)

  • Elísio Costa

    (Applied Molecular Biosciences Unit (UCIBIO) Requimte (Rede de Química e Tecnologia), Porto4Ageing, Faculdade de Farmácia da Universidade do Porto, 4050-047 Porto, Portugal
    Laboratory of Biochemistry, Department of Biological Sciences, University of Porto, 4050-313 Porto, Portugal)

Abstract

This study aims to evaluate the instrumental activities of daily living (iADLs) limitations in Europe and its association with socio-demographic characteristics, economic parameters and physical and mental health status. We used data from the wave 6 of SHARE database. Individuals were classified as having either none or one or more limitations on iADLs. Participants aged 65 or more years who answered all questions for the variables included in this work were selected. A total of 54.8% of participants were female and had a mean age of 74.37 (SD = 7.08) years. A global prevalence of 1 or more iADLs in Europe was shown to be 23.8% and more prevalent in women than in men (27.1% vs. 17.6%) and in people aged 85 years or more (51.5%). Older age, female gender, lower education, physical inactivity, frailty, having two or more chronic diseases, presence of depression, polypharmacy, poor self-perception of health and lower network satisfaction were found to be factors associated with the presence of 1 or more iADLs limitation. This study highlights the burden of iADLs limitations at the European level. These are based on a multidimensional biopsychosocial model and are associated with both health conditions and environmental factors. This intersection between the physical and social world underscores its potential as a health indicator and can, to some extent, explain some of the pronounced differences seen among European countries. Different inter-tasks can also stress different dimensions of health indicators in distinct and specific groups of individuals. Minimizing the impact of iADL limitations can improve the quality and sustainability of public health systems.

Suggested Citation

  • Diana Portela & Marta Almada & Luís Midão & Elísio Costa, 2020. "Instrumental Activities of Daily Living (iADL) Limitations in Europe: An Assessment of SHARE Data," IJERPH, MDPI, vol. 17(20), pages 1-15, October.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:20:p:7387-:d:425875
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/17/20/7387/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/17/20/7387/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Lynch, J. W. & Kaplan, G. A. & Salonen, J. T., 1997. "Why do poor people behave poorly? Variation in adult health behaviours and psychosocial characteristics by stages of the socioeconomic lifecourse," Social Science & Medicine, Elsevier, vol. 44(6), pages 809-819, March.
    2. Kitty S. Chan & Judith D. Kasper & Jason Brandt & Liliana E. Pezzin, 2012. "Measurement Equivalence in ADL and IADL Difficulty Across International Surveys of Aging: Findings From the HRS, SHARE, and ELSA," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 67(1), pages 121-132.
    3. Stuck, Andreas E. & Walthert, Jutta M. & Nikolaus, Thorsten & Büla, Christophe J. & Hohmann, Christoph & Beck, John C., 1999. "Risk factors for functional status decline in community-living elderly people: a systematic literature review," Social Science & Medicine, Elsevier, vol. 48(4), pages 445-469, February.
    4. Bruno Arpino & Jordi Gumà & Albert Julià, 2018. "Early-life conditions and health at older ages: The mediating role of educational attainment, family and employment trajectories," PLOS ONE, Public Library of Science, vol. 13(4), pages 1-17, April.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Giovanni Cerullo & Teodora Figueiredo & Constantino Coelho & Cláudia Silva Campos & António Videira-Silva & Joana Carrilho & Luís Midão & Elísio Costa, 2024. "Palliative Care in the Ageing European Population: A Cross-Country Comparison," IJERPH, MDPI, vol. 21(1), pages 1-23, January.
    2. Urška Smrke & Nejc Plohl & Izidor Mlakar, 2022. "Aging Adults’ Motivation to Use Embodied Conversational Agents in Instrumental Activities of Daily Living: Results of Latent Profile Analysis," IJERPH, MDPI, vol. 19(4), pages 1-11, February.
    3. Qian, Yuting & Chen, Shanquan & Lin, Zhuoer & Yu, Zexuan & Wang, Mengxiao & Hou, Xiaohui & Chen, Xi, 2023. "The Growing Gap of Unmet Need: Assessing the Demand for, and Supply of, Home-Based Support for Older Adults with Disabilities in 31 Countries," IZA Discussion Papers 16411, Institute of Labor Economics (IZA).
    4. Lara Lusa & Marianne Huebner, 2021. "Organizing and Analyzing Data from the SHARE Study with an Application to Age and Sex Differences in Depressive Symptoms," IJERPH, MDPI, vol. 18(18), pages 1-20, September.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. André Hajek & Hans-Helmut König, 2016. "Longitudinal Predictors of Functional Impairment in Older Adults in Europe – Evidence from the Survey of Health, Ageing and Retirement in Europe," PLOS ONE, Public Library of Science, vol. 11(1), pages 1-12, January.
    2. Daniel Nettle, 2010. "Why Are There Social Gradients in Preventative Health Behavior? A Perspective from Behavioral Ecology," PLOS ONE, Public Library of Science, vol. 5(10), pages 1-6, October.
    3. Ruth Hancock & Marcello Morciano & Stephen Pudney & Francesca Zantomio, 2015. "Do household surveys give a coherent view of disability benefit targeting?: a multisurvey latent variable analysis for the older population in Great Britain," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 178(4), pages 815-836, October.
    4. Dalton, Patricio S. & Nhung, Nguyen & Rüschenpöhler, Julius, 2020. "Worries of the poor: The impact of financial burden on the risk attitudes of micro-entrepreneurs," Journal of Economic Psychology, Elsevier, vol. 79(C).
    5. Clarke, Philippa & Ailshire, Jennifer A. & Lantz, Paula, 2009. "Urban built environments and trajectories of mobility disability: Findings from a national sample of community-dwelling American adults (1986-2001)," Social Science & Medicine, Elsevier, vol. 69(6), pages 964-970, September.
    6. Aue, Katja & Roosen, Jutta, 2010. "Poverty and health behaviour: Comparing socioeconomic status and a combined poverty indicator as a determinant of health behaviour," 115th Joint EAAE/AAEA Seminar, September 15-17, 2010, Freising-Weihenstephan, Germany 116401, European Association of Agricultural Economists.
    7. Valéria Teresa Saraiva Lino & Nádia Cristina Pinheiro Rodrigues & Mônica Kramer de Noronha Andrade & Inês Nascimento de Carvalho Reis & Lucília Almeida Elias Lopes & Soraya Atie, 2019. "Association between visual problems, insufficient emotional support and urinary incontinence with disability in elderly people living in a poor district in Rio de Janeiro, Brazil: A six-year follow-up," PLOS ONE, Public Library of Science, vol. 14(5), pages 1-12, May.
    8. Chen, Duan-Rung & Wen, Tzai-Hung, 2010. "Socio-spatial patterns of neighborhood effects on adult obesity in Taiwan: A multi-level model," Social Science & Medicine, Elsevier, vol. 70(6), pages 823-833, March.
    9. Missinne, Sarah & Colman, Elien & Bracke, Piet, 2013. "Spousal influence on mammography screening: A life course perspective," Social Science & Medicine, Elsevier, vol. 98(C), pages 63-70.
    10. Shoham, David A. & Vupputuri, Suma & Kaufman, Jay S. & Kshirsagar, Abhijit V. & Diez Roux, Ana V. & Coresh, Josef & Heiss, Gerardo, 2008. "Kidney disease and the cumulative burden of life course socioeconomic conditions: The Atherosclerosis Risk in Communities (ARIC) Study," Social Science & Medicine, Elsevier, vol. 67(8), pages 1311-1320, October.
    11. McNeill, Lorna Haughton & Kreuter, Matthew W. & Subramanian, S.V., 2006. "Social Environment and Physical activity: A review of concepts and evidence," Social Science & Medicine, Elsevier, vol. 63(4), pages 1011-1022, August.
    12. Escarce, José J. & Rocco, Lorenzo, 2018. "Immigration and the Health of Older Natives in Western Europe," GLO Discussion Paper Series 228, Global Labor Organization (GLO).
    13. Yuji Kanejima & Kazuhiro P. Izawa & Masahiro Kitamura & Kodai Ishihara & Asami Ogura & Ikko Kubo & Hitomi Nagashima & Hideto Tawa & Daisuke Matsumoto & Ikki Shimizu, 2022. "Health Literacy Is Associated with Activities of Daily Living of Patients Participating in Cardiac Rehabilitation: A Multicenter Clinical Study," IJERPH, MDPI, vol. 19(24), pages 1-10, December.
    14. Escarce, José J. & Rocco, Lorenzo, 2021. "Effect of immigration on depression among older natives in Western Europe," The Journal of the Economics of Ageing, Elsevier, vol. 20(C).
    15. Vander Ploeg, Kerry A. & Maximova, Katerina & McGavock, Jonathan & Davis, Wendy & Veugelers, Paul, 2014. "Do school-based physical activity interventions increase or reduce inequalities in health?," Social Science & Medicine, Elsevier, vol. 112(C), pages 80-87.
    16. Mathieu Ichou & Matthew Wallace, 2019. "The Healthy Immigrant Effect: The role of educational selectivity in the good health of migrants," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 40(4), pages 61-94.
    17. Fogel, Robert W., 2009. "Forecasting the cost of U.S. Health Care in 2040," Journal of Policy Modeling, Elsevier, vol. 31(4), pages 482-488, July.
    18. Tonje Holte Stea & Herolinda Shatri & Siri Håvås Haugland & Annette Løvheim Kleppang, 2022. "Association between Self-Reported Childhood Difficulties and Obesity and Health-Related Behaviors in Adulthood—A Cross-Sectional Study among 28,047 Adults from the General Population," IJERPH, MDPI, vol. 19(3), pages 1-13, January.
    19. Mihaela Angelova, 2024. "Changes in Determinants of Life Satisfaction of People Aged 50 and Over before and after the Outbreak of COVID-19," Economic Studies journal, Bulgarian Academy of Sciences - Economic Research Institute, issue 2, pages 114-138.
    20. Davidson, Rosemary & Kitzinger, Jenny & Hunt, Kate, 2006. "The wealthy get healthy, the poor get poorly? Lay perceptions of health inequalities," Social Science & Medicine, Elsevier, vol. 62(9), pages 2171-2182, May.

    More about this item

    Keywords

    iADLs; SHARE; ageing; public health;
    All these keywords.

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:17:y:2020:i:20:p:7387-:d:425875. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.