How indicators of socioeconomic status relate to physical functioning of older adults in three Asian societies

In developed countries, socioeconomic status has been identified as one of the most important demographic and social determinants of older adult health. The relationship has not been well studied or contrasted across much of the developing world. Yet, with population aging occurring rapidly in much of Asia, understanding the factors that distinguish between those in better and worse health becomes important. To this end, the current study has two main aims. It first examines the degree to which two measures commonly used to indicate socioeconomic status, education and income, relate to the physical functioning of older adults in three Asian societies—Taiwan, Thailand, and the Philippines. These three societies are all experiencing population aging, although to varying degrees. They are also characterized by differences in levels of national economic development, a factor that may influence the extent to which health care is available for those in varying socioeconomic positions. Second, the study explores the degree to which these associations are consistent across the three settings. The study results in both expected and unexpected findings. Socioeconomic status indicators are linked to health, but inconsistently across the three settings. Associations are strongest in Taiwan, weaker in Thailand, and almost nonexistent in the Philippines. This leads to questions regarding the universality of the relationship. The paper concludes with a discussion of the possible reasons that socioeconomic status may not influence the health of older adults in consistent ways across different societies, including the effect that economic development can have on health outcomes

Labor force participation in later life: Evidence from a cross-sectional study in Thailand

<p>Abstract</p> <p>Background</p> <p>The labor force participation rate is an important indicator of the state of the labor market and a major input into the economy's potential for creating goods and services. The objectives of this paper are to examine the prevalence of labor force participation among older people in Thailand and to investigate the factors affecting this participation.</p> <p>Methods</p> <p>The data for this study were drawn from the '2007 Survey of Older Persons' in Thailand. Bivariate analysis was used to identify the factors associated with labor force participation. The variables were further examined using multivariate analysis in order to identify the significant predictors of the likelihood of older people participating in the labor force, after controlling for other variables.</p> <p>Results</p> <p>Overall, 30,427 elderly people aged 60 or above were interviewed. More than a third (35%) of all respondents had participated in the labor force during the seven days preceding the survey. Respondents who were female (OR = 0.56), those who were older (OR = 0.47 for 70-79 and 0.21 for 80+ years), those who were widowed/divorced (OR = 0.85), those who were living with their children (OR = 0.69), those whose family income was relatively low, and those who worked in government sectors (OR = 0.33) were less likely to participate in the labor force than were their counterparts. On the other hand, those who lived in urban areas (OR = 1.2), those who had a low level of education (OR, secondary level 1.8, primary 2.4, and no schooling 2.5), those who were the head of the household (OR = 1.9), and those who were in debt (OR = 2.3) were more likely be involved in the labor force than their comparison groups. Furthermore, respondents who experienced greater difficulty in daily living, those who suffered from more chronic diseases, and those who assessed their health as poor were less likely to participate in the labor force than their counterparts.</p> <p>Conclusion</p> <p>Labor force participation in their advanced years is not uncommon among the Thai elderly. The results suggest that improving the health status of the elderly is necessary in order to encourage their employment. By doing so, the country can fulfill the labor shortage and further improve the economic condition of the nation. The results of this study also suggest that for policies encouraging employment among older persons to succeed, special focus on the rural elderly is necessary.</p

Thai elderly who do not coreside with their children

In this paper, data from a nationally representative survey of elderly Thais living in private households are analyzed. The analysis focuses on situations of the 756 elderly who do not coreside with an adult child. Only a minority of those elderly who do not coreside with an adult child were childless. The majority have at least one noncoresident child with whom they could potentially live. Daily contact with children for elderly who live alone was not significantly different from that of elderly who live with their children, suggesting that households that are classified as being separate may in fact function as single households or that at least one non-coresident child may live in very close proximity to the elderly person. Differences between urban and rural elderly in terms of type of support received from non-coresident children as well as likelihood of living near a non-coresident child are discussed.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/42996/1/10823_2004_Article_BF00972063.pd

Distance to health services influences insecticide-treated net possession and use among six to 59 month-old children in Malawi

<p>Abstract</p> <p>Background</p> <p>Health ministries and providers are rapidly scaling up insecticide-treated nets (ITN) distribution to control malaria, yet possession and proper use typically remain below targeted levels. In Malawi, health facilities (HFs) are currently the principal points of ITN distribution, making it important to understand how access to these ITN sources affects ownership, possession, and use. The authors evaluated the association between proximity to HFs and ITN possession or use among Malawian children six to 59 months of age.</p> <p>Methods</p> <p>A household malaria survey undertaken in eight districts of Malawi during 2007 was used to characterize ITN possession and use. The location of each respondent's household was geocoded as was those of Ministry of Health (MoH) HFs and other health centres. Euclidean distance from each household to the nearest HF was calculated. Patterns of net possession and use were determined through descriptive methods. The authors then analysed the significance of distance and ITN possession/use through standard statistical tests, including logistic regression.</p> <p>Results</p> <p>Median distance to HFs was greater among households that did not possess ITNs and did not use an ITN the previous evening. Descriptive statistical methods confirmed a pattern of decreasing ITN possession and use with increasing distance from HFs. Logistic regression showed the same statistically significant association of distance to HFs, even when controlling for age and gender of the child, ratio of nets to children in household, community net possession and use, and household material wealth.</p> <p>Conclusions</p> <p>Strategies that exclusively distribute ITNs through HFs are likely to be less effective in increasing possession and use in communities that are more distant from those health services. Health providers should look towards community-based distribution services that take ITNs directly to community members to more effectively scale up ITN possession and regular use aimed at protecting children from malaria.</p

How indicators of socioeconomic status relate to physical functioning of older adults in three Asian societies

The relationship between socioeconomic status and physical functioning is tested among older adults in Taiwan, Thailand, and the Philippines. Socioeconomic indicators are limited to education and income, and these are linked to several measures of functioning that are constructed using four specific items-having difficulties crouching, climbing stairs, lifting things, and walking. Depending on the outcome measure, samples are treated separately or pooled. Education is found to be associated with functional health in Taiwan but is a weaker predictor in Thailand and the Philippines. Income has strong associations in Taiwan and Thailand and only a moderate association in the Philippines. Interaction effects based on pooled data confirm that differences in associations exist across settings. These results lead to questions about the universality of the relationship. Explanations for differential effects are discussed, including the impact of national levels of development on health outcomes