2023, Number 5
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salud publica mex 2023; 65 (5)
Living arrangements and socioeconomicbased health disparities in Mexico
Huffman-Espinosa C, García-Ramos C
Language: English
References: 30
Page: 446-455
PDF size: 713.94 Kb.
ABSTRACT
Objective. To investigate the role living arrangements play
in the co-dynamics of socioeconomic position and health in
the latter part of life.
Materials and methods. Based on
longitudinal data from the Mexican Health and Aging Study
(MHAS), latent class analysis (LCA) and locally weighted regressions,
in this article we estimate age trajectories to examine
the degree to which wealth and health-related outcomes
correlate with typical living arrangement dynamics.
Results.
Main results suggest a complex dynamic relationship between
living arrangements and social inequalities in health, with
important differences by sex, unlike mortality trends as they
appear to diverge with differences in wealth regardless of
household structure.
Conclusions. Our methodological
approach provides new insights regarding the likely effect
household structure play when analyzing the dynamics of
social inequality. To date, this is the first longitudinal analysis
to offer this kind of empirical evidence for the region.
REFERENCES
Rehnberg J. What levels the association between income and mortalityin later life: Age or health decline? J Gerontol B. 2020;75(2):426-35. https://doi.org/10.1093/geronb/gbz082
Montes de Oca V, Garay S, Rico B, García SJ. Living arrangements andaging in Mexico: Changes in households, poverty and regions, 1992-2009.Int J Soc Sci Stud. 2014;2(4):61. https://doi.org/10.11114/ijsss.v2i4.453
Hughes ME, Waite LJ. Health in household context: Living arrangementsand health in late middle age. J Health Soc Behav. 2002;43(1):1-21. https://doi.org/10.2307/3090242
Pérez-Amador J, Brenes G. Una transición en edades avanzadas: cambiosen los arreglos residenciales de adultos mayores en siete ciudadeslatinoamericanas. Estudios Demográficos y Urbanos. 2006;21(3):625-61.https://doi.org/10.24201/edu.v21i3.1243
Nava-Bolaños I, Ham-Chande R, Ramírez-López BP. Seguridadeconómica y vejez en México. RELAP. 2016;10(19):169-90. https://doi.org/10.31406/relap2016.v10.i2.n19.8
Montes de Oca V, Hebrero-Martínez M. Eventos cruciales y ciclosfamiliares avanzados: el efecto del envejecimiento en los hogares deMéxico. Papeles de Poblac. 2006;12(50):97-116 [cited June 2023]. Availablefrom: https://rppoblacion.uaemex.mx/article/ view/8650
Kim J, Durden E. Socioeconomic status and age trajectories ofhealth. Soc Sci Med. 2007;65(12):2489-502. https://doi.org/10.1016/j.socscimed.2007.07.022
Acciai F. The age pattern of social inequalities in health at older ages:Are common measures of socio-economic status interchangeable? PublicHealth. 2018;157:135-41. https://doi.org/10.1016/j.puhe.2018.01.002
Ullmann H, Maldonado-Valera C, Nieves-Rico M. La evolución delas estructuras familiares en américa latina, 1990-2010: Los retos de lapobreza, la vulnerabilidad y el cuidado. Santiago de Chile: CEPAL-UNICEF,2014 [cited June 19, 2023]. Available from: https://repositorio.cepal.org/bitstream/handle/ 11362/36717/1/S2014182_es.pdf
Huffman C, Regules-García R, Vargas-Chanes D. Living arrangementdynamics of older adults in Mexico: latent class analysis in an acceleratedlongitudinal design. Demographic Res. 2019;41:1401-36. https://doi.org/10.4054/DemRes.2019.41.50
Wong R, González-González C, Michaels-Obregon A, Orozco-Rocha K.Estudios poblacionales longitudinales: el potencial del Estudio Nacional deSalud y Envejecimiento en México (Enasem). In: Montes de Oca-Zavala V,Nava-Bolaños I, eds. Población y envejecimiento: pasado, presente y futuroen la investigación sociodemográfica. Mexico: UNAM, 2017, 2:57-82.
Mexican Health and Aging Study. The Mexican Health and Aging Studywebsite. Mexico: MHAS, 2022 [cited June 2023]. Available from: http://mhasweb.org/
Bell RQ. Convergence: An accelerated longitudinal approach. ChildDev.1953;24(2):145-52. https://doi.org/10.2307/1126345
García-Peña C, Ramírez-Aldana R, Parra-Rodríguez L, Gómez-VerjanJC, Pérez-Zepeda MU, Gutiérrez-Robledo LM. Network analysis of frailtyand aging: Empirical data from the Mexican Health and Aging Study. ExpGerontol. 2019;128:110747. https://doi.org/10.1016/j.exger.2019.110747
Pérez-Zepeda MU, García-Peña C, Carrillo-Vega MF. Individual andcumulative association of commonly used biomarkers on frailty: A crosssectionalanalysis of the Mexican Health and Aging Study. Aging Clin ExpRes. 2019;31(10):1429-34. https://doi.org/10.1007/s40520-019-01127-4
Wong R, Orozco-Rocha K, Zhang D, Michaels-Obregon A, González-González C. Imputation of non-response on economic variables in theMexican Health and Aging Study (MHAS/ENASEM) 2012. MHAS/ENASEM,2016 [cited June 2023]. Available from: https://mhasweb.org/Resources/DOCUMENTS/2012/Imputations/Imputation_of_Non_Reponse_on_Economic_Variables_in_the_MHAS_ENASEM_2012.pdf
Cleveland WS, Devlin SJ. Locally weighted regression: An approach toregression analysis by local fitting. JASA. 1988;83(403):596-610. https://doi.org/10.1080/01621459.1988.10478639
Cain KC, Harlow SD, Little RJ, Nan B, Yosef M, Taffe JR, Elliott MR.Bias due to left truncation and left censoring in longitudinal studies ofdevelopmental and disease processes. Am J Epidemiol. 2011;173(9):1078-84. https://doi.org/10.1093/aje/kwq481
Mina-Valdés A. Ley de mortalidad mexicana. Funciones desupervivencia. Estudios Demográficos y Urbanos. 2006;21(2):431-56.https://doi.org/10.24201/edu.v21i2.1255
Zaninotto P, Sacker A, Head J. Relationship between wealth andage trajectories of walking speed among older adults: Evidence fromthe English longitudinal study of ageing. J Gerontol A Biom Sci Med Sci.2013;68(12):1525-31. https://doi.org/10.1093/gerona/glt058
Bracke P, Delaruelle K, Dereuddre R, Van de Velde S. Depressionin women and men, cumulative disadvantage and gender inequalityin 29 European countries. Soc Sci Med. 2020;267:113354. https://doi.org/10.1016/j.socscimed.2020.113354
Torres JM, Wong R. Childhood poverty and depressive symptomsfor older adults in Mexico: A life-course analysis. J Cross-Cult Gerontol.2013;28(3):317-37. https://doi.org/10.1007/s10823-013-9198-1
Semyonov M, Lewin-Epstein N, Maskileyson D. Where wealth mat tersmore for health: The wealth-health gradient in 16 countries. Soc Sci Med.2013;81:10-7. https://doi.org/10.1016/j.socscimed.2013.01.010
Winchester-Brown J, Liang J, Krause N, Akiyama H, Sugisawa H, FukayaT. Transitions in living arrangements among elders in Japan: Does healthmake a difference? J Gerontol B Psychol Sci Soc Sci. 2002;57(4):S209-20.https://doi.org/10.1093/geronb/57.4.S209
Young H, Grundy E. Living arrangements, health and well-being. In:Stillwell J, Coast E, Kneale D, eds. Fertility, living arrangements, care andmobility, volume 1 of Understanding Population Trends and Processes.New York: Springer Dordrecht, 2009; 127-50. https://doi.org/10.1007/978-1-4020-9682-2
Antman FM. Adult child migration and the health of elderly parentsleft behind in Mexico. Am Econ Rev. 2010;100(2):205-08. https://doi.org/10.1257/aer.100.2.205
Downer B, González-González C, Goldman N, Pebley AR, Wong R.The effect of adult children living in the United States on the likelihoodof cognitive impairment for older parents living in Mexico. Ethn Health.2018;23(1):57-71. https://doi.org/10.1080/13557858.2016.1246430
Triano-Enríquez M. Reciprocidad diferida en el tiempo: análisis de losrecursos de los hogares dona y envejecidos. In: González de la Rocha M,editor. Procesos domésticos y vulnerabilidad. Perspectivas antropológicasde los hogares con oportunidades. Mexico: CIESAS, 2006;5:277-342.
Monserud MA, Wong R. Depressive symptoms among older Mexicans:The role of widowhood, gender, and social integration. Res Aging.2015;37(8):856-86. https://doi.org/10.1177/0164027514568104
Beckett M. Converging health inequalities in later life-an artifact ofmortality selection? J Health Soc Behav. 2000;41(1):106-19. https://doi.org/10.2307/2676363