Health of Immigrants in European countries.

The health of older immigrants can have important consequences for needed social support and demands placed on health systems. This paper examines health differences between immigrants and the nativeborn populations aged 50 years and older in 11 European countries. We examine differences in functional ability, disability, disease presence and behavioral risk factors, for immigrants and non-immigrants using data from the Survey of Health, Aging and Retirement in Europe (SHARE) database. Among the 11 European countries, migrants generally have worse health than the native population. In these countries, there is a little evidence of the “healthy migrant” at ages 50 years and over. In general, it appears that growing numbers of immigrants may portend more health problems in the population in subsequent years.Immigrants, Mortality, Health, Disability,SHARE.

Exploring the role of family ties on life satisfaction in later life in Europe

We analyzed the relationship between family ties and the life satisfaction of people between the ages of 50 and 85 years in 13 European countries. We aim at determining the effects of partnership (being currently in a partnership) and parenthood (having remained childless). We use individual-level data from the sixth wave of the Survey of Health, Ageing and Retirement in Europe (SHARE). The analyses are restricted to respondents who are partnered or who have ever been married. We apply a multivariate analysis to examine the association of life satisfaction with family ties for men and for women. We add controls for age groups and education level, and we pay special attention to the role of individuals' network size. Our findings indicate that in all countries, having no partner has the strongest and most negative association with life satisfaction. However, there was no clear association between not having children and life satisfaction across countries. We also find an important role of some protector variables, such as having a strong network which, in most countries, significantly increase one's life satisfaction. We find that there is a relationship between individuals’ family situation and life satisfaction, but it is restricted to being in a partnership. The protection factor of having a partner improves one's life satisfaction at older ages much more than protection by having children. This finding can reduce the concern about the long run implications of increasing childlessness among younger cohorts as it is not necessarily associated to a higher risk of low life satisfaction.Wir analysieren den Zusammenhang von familiären Bindungen und der Lebenszufriedenheit von Menschen im Alter von 50 bis 85 Jahren in 13 europäischen Ländern. Ziel ist die Erforschung der Auswirkung von Partnerschaft (derzeit in einer Partnerschaft) und Elternschaft (kinderlos geblieben). Wir verwenden Daten auf individueller Ebene aus der sechsten Welle des Survey of Health, Ageing and Retirement in Europe (SHARE). Die Analysen sind auf Befragte beschränkt, die in einer Partnerschaft leben oder schon einmal verheiratet waren. Wir verwenden eine multivariate Analyse, um den Zusammenhang zwischen Lebenszufriedenheit und familiären Bindungen für Männer und Frauen zu untersuchen. Wir fügen Kontrollvariablen für Altersgruppen und Bildungsgrad hinzu, und wir sind besonders an der Rolle, die die Größe des Netzwerkes spielt, interessiert. Unsere Ergebnisse zeigen, dass Partnerlosigkeit in allen Ländern einen starken negativen Zusammenhang zur Lebenszufriedenheit aufweist. Zwischen Kinderlosigkeit und Lebenszufriedenheit gibt es dagegen im Ländervergleich keinen eindeutigen Zusammenhang. Man kann erkennen, dass auch einige protektive Merkmale, wie z.B. ein starkes Netzwerk, in den meisten Ländern eine wichtige Rolle für die Erhöhung der Lebenszufriedenheit spielen. Wir stellen fest, dass es einen Zusammenhang gibt zwischen der individuellen familiären Situation und der Lebenszufriedenheit, der sich jedoch weitgehend auf das Leben in einer Partnerschaft beschränkt. Der Schutzfaktor Partnerschaft steigert die Lebenszufriedenheit im hohen Lebensalter deutlich mehr als der Schutz durch das Vorhandensein von Kindern. Diese Erkenntnis kann die Sorge um die langfristigen Auswirkungen der zunehmenden Kinderlosigkeit in jüngeren Kohorten verringern, da diese nicht unbedingt mit einem höheren Risiko einer geringen Lebenszufriedenheit verbunden ist

Health care utilization among immigrants and native-born populations in 11 European countries. Results from the Survey of Health, Ageing and Retirement in Europe

Objective: This study examines health care utilization of immigrants relative to the native-born populations aged 50 years and older in eleven European countries. Methods. We analyzed data from the Survey of Health Aging and Retirement in Europe (SHARE) from 2004 for a sample of 27,444 individuals in 11 European countries. Negative Binomial regression was conducted to examine the difference in number of doctor visits, visits to General Practitioners (GPs), and hospital stays between immigrants and the native-born individuals. Results: We find evidence those immigrants above age 50 use health services on average more than the native-born populations with the same characteristics. Our models show immigrants have between 6% and 27% more expected visits to the doctor, GP or hospital stays when compared to native-born populations in a number of European countries. Discussion: Elderly immigrant populations might be using health services more intensively due to cultural reasons.count data, physician services, immigration.

Are we living longer but less healthy? Trends in mortality and morbidity in Catalonia (Spain), 1994-2011

Evidence on trends in prevalence of disease and disability can clarify whether countries are experiencing a compression or expansion of morbidity. An expansion of morbidity as indicated by disease have appeared in Europe and other developed regions. It is likely that better treatment, preventive measures and increases in education levels have contributed to the declines in mortality and increments in life expectancy. This paper examines whether there has been an expansion of morbidity in Catalonia (Spain). It uses trends in mortality and morbidity from major causes of death and links of these with survival to provide estimates of life expectancy with and without diseases and functioning loss. We use a repeated cross-sectional health survey carried out in 1994 and 2011 for measures of morbidity; mortality information comes from the Spanish National Statistics Institute. Our findings show that at age 65 the percentage of life with disease increased from 52% to 70% for men, and from 56% to 72% for women; the expectation of life unable to function increased from 24% to 30% for men and 40% to 47% for women between 1994 and 2011. These changes were attributable to increases in the prevalences of diseases and moderate functional limitation. Overall, we find an expansion of morbidity along the period. Increasing survival among people with diseases can lead to a higher prevalence of diseases in the older population. Higher prevalence of health problems can lead to greater pressure on the health care system and a growing burden of disease for individuals

Is the educational health gap increasing for women? Results from Catalonia (Spain)

Health expectancies vary worldwide according to socioeconomic status (SES). The lower SES usually show health disadvantage and the higher SES a health advantage compared to the average. The educational level of individuals is strongly linked to their SES

Happiness and life expectancy by main occupational position among older workers : who will live longer and happy?

The authors acknowledge funding from the Spanish Ministry of Science, Innovation and Universities, National R&D&I Pan QUALYLIFE (PID2019-111666RJ-I00) and GLOBFAM (RTI2018-096730-B-I00); and support from CERCA Programme, Generalitat de Catalunya, and the DemoSoc Research Group.Current concerns about aging populations are being translated into legislations to postpone the statutory age at retirement. However, if this is done without considering inequalities in longevity across occupational groups, some may face higher vulnerabilities than others. We examine differences in life expectancy and happiness by occupational position for the Spanish population aged 50 and over. We use happiness as a measure of subjective wellbeing, and compute life expectancy and happy life expectancy by sex and main occupation. Age-specific death rates are calculated using administrative data, and happiness prevalence comes from the European Social Survey. We show that both men and women in managerial positions were advantaged in terms of life expectancy, but only men record more years with happiness. In addition, women in routine jobs were the ones who could expect to live shorter and unhappier. Postponing the statutory age at retirement without considering these differences could be detrimental to women's wellbeing and health

Ageing and health-related quality of life: evidence from Catalonia (Spain) [WP-IR]

Reaching advanced old age is more common now than ever. The sustained growth in longevity raises questions about why some people can feel in good quality of life until the last stages, while others seem to accuse the natural deterioration to a larger extent. The self-perceived quality of life has a subjective component, but is also mediated by some easily measurable factors such as sociodemography, health, functioning and lifestyles

Health care utilization among immigrants and native-born populations in 11 European countries. Results from the Survey of Health, Ageing and Retirement in Europe

Objective: This study examines health care utilization of immigrants relative to the native-born populations aged 50 years and older in eleven European countries. Methods: We analyzed data from the Survey of Health Aging and Retirement in Europe (SHARE) from 2004 for a sample of 27,444 individuals. Negative Binomial regression was conducted to examine the difference in number of doctor visits, visits to General Practitioners (GPs), and hospital stays between immigrants and the native-born. Results: We find evidence those immigrants above age 50 use health services on average more than the native-born populations with the same characteristics. Our models show immigrants have between 6% and 27% more expected visits to the doctor, GP or hospital stays when compared to native-born populations in a number of European countries. Discussion: Elderly immigrant populations might be using health services more intensively due to cultural reasons.count data, physician services, immigration

Feeling good in old age: factors explaining health-related quality of life

Background Sustained growth in longevity raises questions as to why some individuals report a good quality of life in older ages, while others seem to suffer more markedly the effects of natural deterioration. Health-related quality of life (HRQL) is mediated by several easily measurable factors, including socio-demographics, morbidity, functional status and lifestyles. This study seeks to further our knowledge of these factors in order to outline a profile of the population at greater risk of poor ageing, and to identify those attributes that might be modified during younger stages of the life course. Methods We use nationally representative data for Catalonia (Spain) to explain the HRQL of the population aged 80-plus. Cross-sectional data from 2011 to 2016 were provided by an official face-to-face survey. HRQL was measured using EQ-VAS - the EuroQol-5D visual analogue scale - which summarizes current self-perceived health. Multivariate linear regression was used to identify variables influencing the EQ-VAS score. Results Sociodemographic factors, including being older, female, poorly educated and belonging to a low social class, were related with poor HRQL at advanced ages. The presence of severe mobility problems, pain/discomfort, and anxiety/depression were highly correlated to the HRQL of the elderly, while problems of self-care and with usual activities had a weaker association. Conclusions Encouraging the young to stay in education, as well as to adopt healthier lifestyles across the lifespan, might ensure better HRQL when individuals reach old age. More multidisciplinary research is required to understand the multifaceted nature of quality of life in the oldest-old population

Health of Immigrants in European countries

The health of older immigrants can have important consequences for needed social support and demands placed on health systems. This paper examines health differences between immigrants and the nativeborn populations aged 50 years and older in 11 European countries. We examine differences in functional ability, disability, disease presence and behavioral risk factors, for immigrants and non-immigrants using data from the Survey of Health, Aging and Retirement in Europe (SHARE) database. Among the 11 European countries, migrants generally have worse health than the native population. In these countries, there is a little evidence of the “healthy migrant” at ages 50 years and over. In general, it appears that growing numbers of immigrants may portend more health problems in the population in subsequent years