TAILIEUCHUNG - Historical and current predictors of self-reported health status among elderly persons in Barbados

In the early theoretical models, the level of stress of caregivers was seen as a risk factor that linked elder abuse with care of an elderly relative (36, 37). While the popular image of abuse depicts a dependent victim and an overstressed caregiver, there is growing evidence that neither of these factors properly accounts for cases of abuse. Although researchers do not deny the component of stress, they tend now to look at it in a wider context in which the quality of the overall relationship is a causal factor (30, 34, 38). Some of the studies involving caregiver stress, Alzheimer disease and elder abuse suggest that the nature of the relationship between. | Investigación original Original research Historical and current predictors of self-reported health status among elderly persons in Barbados Ian R. Hambleton 1 Kadene Clarke 1 Hedy L. Broome 2 Henry S. Fraser 2 3 Farley Brathwaite 4 and Anselm J. Hennis2 3 Suggested citation Hambleton IR Clarke K Broome HL Fraser HS Brathwaite F Hennis AJ. Historical and current predictors of self-reported health status among elderly persons in Barbados. Rev Panam Salud Publica. 2005 17 5 6 342-52. ABSTRACT Objective. To understand the relative contribution of past events and of current experiences as determinants of health status among the elderly in the Caribbean nation of Barbados in order to help develop timely public health interventions for that population. Methods. The information for this prevalence study was collected in Barbados between December 1999 and June 2000 as part of the SABE project a multicenter survey in seven urban areas of Latin America and the Caribbean that evaluated determinants of health and well-being in elderly populations persons 60 and older . We used ordinal logistic regression to model determinants of self-reported health status and we assessed the relative contribution of historical socioeconomic indicators and of three current modifiable predictor groups current socioeconomic indicators lifestyle risk factors and disease indicators using simple measures of association and model fit. Results. Historical determinants of health status accounted for of the variation in reported health status and this was reduced to when mediating current experiences were considered. Current socioeconomic indicators accounted for of the variation in reported health status lifestyle risk factors for and current disease indicators for . Conclusions. Past socioeconomic experience influenced self-reported health status in elderly Barbadians. Over half of this influence from past events was mediated through current socioeconomic lifestyle and disease .

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