TAILIEUCHUNG - Determinants of General Health Status and Specific Diseases of Elderly Women and Men: A Longitudinal Analysis for Western and Eastern Germany

This working paper focuses on the relevance of social, socioeconomic and behavioural factors on health status and mortality in a longitudinal setting and in a life-course perspective. First, we identify those factors which determine the health status of people aged 60+ in Germany. Based on this, our second aim is to find factors which determine transitions from good general health status, or from the absence of specific diseases, to a bad general health status or the presence of specific diseases. Therefore, the most important age-dependent and age-related diseases will be analysed separately as well as combined to multimorbidity. Although many. | VIENNA INSTITUTE OF DEMOGRAPHY Working Papers 5 2009 Christian Wegner and Marc Luy Determinants of General Health Status and Specific Diseases of Elderly Women and Men A Longitudinal Analysis for Western and Eastern Germany Institute of Demography Vienna Institute of Demography Austrian Academy of Sciences Wohllebengasse 12-14 A-1040 Vienna Austria E-Mail vid@ Website vid Austrian Academy of Sciences Abstract We used the panel data of the German Life Expectancy Survey LES for analysing the impact of specific life conditions on the gender-specific health outcome of respondents aged 60 at follow-up over a period of 13 years for western Germany and 7 years for eastern Germany respectively. For western Germany we extended the analysis by additional information about life course experiences with unemployment smoking behaviour reproduction history and migration background. We analysed self-rated general health as well as the self-reported absence and prevalence of specific diseases which are directly related to the main causes of death and disabilities. Moreover we analysed death and attrition as competing risks at follow-up in order to control for selection effects to the health outcome. The analysis was separated by sex to account for gender-specific life conditions. The results confirm existing knowledge regarding socioeconomic differences and offer insights into the influence of health lifestyles in particular sports activity and smoking history. Further associations were found between the earlier presence of diseases and the health condition at follow-up. Gender differences in health outcomes are partly explained by the higher mortality of males and the higher number of non-respondents among females. The study extends the knowledge about risk factors for health in Germany by a longitudinal approach and emphasises the importance of earlier life stage intervention to reduce disease-specific risk factors. Keywords Health subjective health .

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