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Instituto Nacional de Salud Pública

2012, Número 5

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salud publica mex 2012; 54 (5)


Adultos mayores en un régimen epidemiológico mixto de enfermedades infecciosas y crónicas

Samper-Ternent R, Michaels-Obregon A, Wong R, Palloni A

Idioma: Ingles.
Referencias bibliográficas: 35
Paginas: 487-495
Archivo PDF: 319.92 Kb.


RESUMEN

Objetivo. Analizar el impacto del régimen epidemiológico mixto presente en México sobre la salud de los adultos mayores. Material y métodos. Participaron adultos mayores de la Encuesta Nacional de Salud y Envejecimiento en México (n=12 207). Se usaron regresiones logísticas para evaluar la relación entre autorreporte de salud (ARS) y variables como enfermedades infecciosas y crónicas. Se analizó el cambio en ARS mediante análisis multinomiales. Resultados. Edad, estatus socioeconómico, pobre ARS y tipo de enfermedad aumentan el riesgo de pobre ARS en el futuro. La razón de probabilidades de pobre ARS fue más alta para individuos con ambos tipos de enfermedad (OR 2.63, SE 0.24), seguida por aquellos con crónicas (OR 1.86; SE 0.12) y aquellos con infecciosas (OR 1.55; SE 0.25). Conclusión. El régimen mixto presente en México afecta a los adultos mayores. En países como México, es prematuro dejar de lado el impacto de las enfermedades infecciosas para enfocarse únicamente en prevenir las crónicas.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. Omran AR. The epidemiologic transition. A theory of the epidemiology of population change. Milbank Mem Fund Q 1971;49:509-538.

  2. Chen F, Yang Y, Liu G. Social Change and Socioeconomic Disparities in Health over the Life Course in China: A Cohort Analysis. Am Sociol Rev, 2010;75:126-150.

  3. Riley JC, Alter G. The epidemiologic transition and morbidity. Ann Demogr Hist (Paris) 1989:199-213.

  4. Wilmoth JR, Horiuchi S. Rectangularization revisited: variability of age at death within human populations. Demography 1999;36: 475-495.

  5. Gaziano JM. Fifth phase of the epidemiologic transition: the age of obesity and inactivity. JAMA 2010;303:275-276.

  6. Cubillos-Garzon LA, Casas JP, Morillo CA, Bautista LE. Congestive heart failure in Latin America: the next epidemic. Am Heart J 2004;147:412-417.

  7. Palloni A, Pinto-Aguirre G, Pelaez M. Demographic and health conditions of ageing in Latin America and the Caribbean. Int J Epidemiol 2002;31:762-771.

  8. Arredondo A. Costs and financial consequences of the changing epidemiological profile in Mexico. Health Policy 1997;42:39-48.

  9. Chandola T, Jenkinson C. Validating self-rated health in different ethnic groups. Ethn Health 2000;5:151-159.

  10. Idler EL, Kasl SV. Self-ratings of health: do they also predict change in functional ability? J Gerontol B Psychol Sci Soc Sci 1995;50:S344-S353.

  11. Mexican Health and Aging Study (2009). [Electronic version]. [Retrieved: 8-12-2011]. Available from: www.mhas.pop.upenn.edu

  12. Wong R, Espinoza M, Palloni A. Mexican older adults with a wide socioeconomic perspective: health and aging. Salud Publica Mex 2007;49 Suppl 4: S436-S447.

  13. McGee DL, Liao Y, Cao G, Cooper RS. Self-reported health status and mortality in a multiethnic US cohort. Am J Epidemiol 1999;149, 41-46.

  14. Wong R, Pelaez M, Palloni A. [Self-reported general health in older adults in Latin America and the Caribbean: Usefulness of the indicator]. Rev Panam Salud Publica 2005;17:323-332.

  15. Ciftci EE, Bago d’Uva T, van Doorslaer E, van Lenthe FJ. Self-percieved Health and Longevity: Do Dynamics Matter? (2009). [Retrieved: 8-12-2011]. Available from: http://www.york.ac.uk/res/herc/documents/wp/09_31.pdf

  16. Wong R, Espinoza M. Imputation of Non-Response on Economic Variables in the Mexican Health and Aging Study. MHAS/ENSAME 2003.

  17. O’Donell O, van Doorslaer E, Wagstaff A, Lindelow M. Measurement of Living Standards. In: Analyzing Health Equity Using Household Survey Data: A Guide to Techniques and Their Implementation. 2008: The World Bank: 69-82.

  18. Wong R, Espinoza-Higgins M. Income and assets of the population of middle and old age in Mexico. Papeles de Población 2003;37:129-166.

  19. Filmer D, Pritchett LH. Estimating wealth effects without expenditure data - Or tears: An application to educational enrollments in states of India. Demography 2001;38:115-132.

  20. Johnson D. Two-wave Panel Analysis: Comparing Statistical Methods for Studying the Effects of Transitions. J Marriage Fam 2005;67:1061-1075.

  21. Cott CA, Gignac MA, Badley EM. Determinants of self rated health for Canadians with chronic disease and disability. J Epid Comm Health 1999;53:731-736.

  22. Mathers CD, Vos ET, Stevenson CE, Begg SJ. The burden of disease and injury in Australia. Bull World Health Organ 2001;79:1076-1084.

  23. Gonzalez CA, Ham-Chande R. Funcionalidad y salud: una tipología del envejecimiento en México [Functional status and health: a typology of aging in Mexico]. Salud Publica Mex 2007;49:S448-S458.

  24. Kuri-Morales P, Emberson J, Alegre-Diaz J, Tapia-Conyer R, Collins R, Peto R, et al. The prevalence of chronic diseases and major disease risk factors at different ages among 150,000 men and women living in Mexico City: cross-sectional analyses of a prospective study. BMC Public Health 2009;9:9.

  25. Sawhney R, Sehl M, Naeim A. Physiologic aspects of aging: impact on cancer management and decision making. Part I. Cancer J 2005;11:449-460.

  26. Sehl M, Sawhney R, Naeim A. Physiologic aspects of aging: impact on cancer management and decision making. Part II. Cancer J 2005;11:461-473.

  27. Lipsitz LA. Physiological complexity, aging, and the path to frailty. Sci Aging Knowledge Environ 2004;e16.

  28. Rockwood K, Mitnitski A. Frailty in relation to the accumulation of deficits. J Gerontol A Biol Sci Med Sci 2007;62, 722-727.

  29. Ben-Shlomo Y, Kuh D. A life course approach to chronic disease epidemiology: conceptual models, empirical challenges and interdisciplinary perspectives. Int J Epidemiol 2002;31:285-293.

  30. Hall AJ, Yee LJ, Thomas SL. Life course epidemiology and infectious diseases. Int J Epidemiol 2002;31:300-301.

  31. Andrew MK, Mitnitski AB, Rockwood K. Social vulnerability, frailty and mortality in elderly people. PLoS One 2008;3:e2232.

  32. Song X, Mitnitski A, Rockwood K. Prevalence and 10-year outcomes of frailty in older adults in relation to deficit accumulation. J Am Geriatr Soc 2010;58:681-687.

  33. House JS, Kessler RC, Herzog AR. Age, socioeconomic status, and health. Milbank Quarterly 1990;68:383-411.

  34. Feinstein JS. The relationship between socioeconomic status and health: A review of the literature. Milbank Quarterly 1993;71:279-322.

  35. Okura Y, Urban LH, Mahoney DW, Jacobsen SJ, Rodeheffer RJ. Agreement between self-report questionnaires and medical record data was substantial for diabetes, hypertension, myocardial infarction and stroke but not for heart failure. J Clin Epidemiol 2004;57:1096-1103.




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