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Socioeconomic circumstances, health behaviours and functional limitations in older persons in four Central and Eastern European populations

Objectives: to investigate functional limitations and their association with socioeconomic factors in four Central and Eastern European populations. Methods: a cross-sectional study of random population samples in Novosibirsk (Russia), Krakow (Poland), Kaunas (Lithuania) and six Czech towns particip...

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Autores principales: Doryńska, Agnieszka, Pająk, Andrzej, Kubinova, Ruzena, Malyutina, Sofia, Tamosiunas, Abdonas, Pikhart, Hynek, Peasey, Anne, Nikitin, Yuri, Marmot, Michael, Bobak, Martin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3476830/
https://www.ncbi.nlm.nih.gov/pubmed/22923605
http://dx.doi.org/10.1093/ageing/afs114
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author Doryńska, Agnieszka
Pająk, Andrzej
Kubinova, Ruzena
Malyutina, Sofia
Tamosiunas, Abdonas
Pikhart, Hynek
Peasey, Anne
Nikitin, Yuri
Marmot, Michael
Bobak, Martin
author_facet Doryńska, Agnieszka
Pająk, Andrzej
Kubinova, Ruzena
Malyutina, Sofia
Tamosiunas, Abdonas
Pikhart, Hynek
Peasey, Anne
Nikitin, Yuri
Marmot, Michael
Bobak, Martin
author_sort Doryńska, Agnieszka
collection PubMed
description Objectives: to investigate functional limitations and their association with socioeconomic factors in four Central and Eastern European populations. Methods: a cross-sectional study of random population samples in Novosibirsk (Russia), Krakow (Poland), Kaunas (Lithuania) and six Czech towns participating in the HAPIEE study. Functional limitations (classified into tertiles of the SF-36 physical functioning subscale), socioeconomic circumstances and health behaviours were available for 34,431 subjects aged 45–69 years. Results: the proportion of subjects in the worst tertile of the functional limitations score (≤80% of the maximum score) ranged from 21% of the men in Kaunas to 48% in Krakow women. In multivariate ordered logistic regression, functional limitations were strongly inversely associated with education and positively with material deprivation and with being economically inactive. Functional limitations were more common in male smokers and less common in alcohol drinkers. Socioeconomic characteristics explained some of the differences in functional limitations between populations. Health behaviours explained some of the differences between social groups in both genders and between populations in women. Conclusion: unexpectedly, functional limitations were not most common in the sample from Russia, the country with the highest mortality rates. All socioeconomic measures were strongly associated with functional limitations and made some contribution towards explaining differences in limitations between populations.
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spelling pubmed-34768302012-10-19 Socioeconomic circumstances, health behaviours and functional limitations in older persons in four Central and Eastern European populations Doryńska, Agnieszka Pająk, Andrzej Kubinova, Ruzena Malyutina, Sofia Tamosiunas, Abdonas Pikhart, Hynek Peasey, Anne Nikitin, Yuri Marmot, Michael Bobak, Martin Age Ageing Research Papers Objectives: to investigate functional limitations and their association with socioeconomic factors in four Central and Eastern European populations. Methods: a cross-sectional study of random population samples in Novosibirsk (Russia), Krakow (Poland), Kaunas (Lithuania) and six Czech towns participating in the HAPIEE study. Functional limitations (classified into tertiles of the SF-36 physical functioning subscale), socioeconomic circumstances and health behaviours were available for 34,431 subjects aged 45–69 years. Results: the proportion of subjects in the worst tertile of the functional limitations score (≤80% of the maximum score) ranged from 21% of the men in Kaunas to 48% in Krakow women. In multivariate ordered logistic regression, functional limitations were strongly inversely associated with education and positively with material deprivation and with being economically inactive. Functional limitations were more common in male smokers and less common in alcohol drinkers. Socioeconomic characteristics explained some of the differences in functional limitations between populations. Health behaviours explained some of the differences between social groups in both genders and between populations in women. Conclusion: unexpectedly, functional limitations were not most common in the sample from Russia, the country with the highest mortality rates. All socioeconomic measures were strongly associated with functional limitations and made some contribution towards explaining differences in limitations between populations. Oxford University Press 2012-11 2012-08-23 /pmc/articles/PMC3476830/ /pubmed/22923605 http://dx.doi.org/10.1093/ageing/afs114 Text en © The Author 2012. Published by Oxford University Press on behalf of the British Geriatrics Society. http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Papers
Doryńska, Agnieszka
Pająk, Andrzej
Kubinova, Ruzena
Malyutina, Sofia
Tamosiunas, Abdonas
Pikhart, Hynek
Peasey, Anne
Nikitin, Yuri
Marmot, Michael
Bobak, Martin
Socioeconomic circumstances, health behaviours and functional limitations in older persons in four Central and Eastern European populations
title Socioeconomic circumstances, health behaviours and functional limitations in older persons in four Central and Eastern European populations
title_full Socioeconomic circumstances, health behaviours and functional limitations in older persons in four Central and Eastern European populations
title_fullStr Socioeconomic circumstances, health behaviours and functional limitations in older persons in four Central and Eastern European populations
title_full_unstemmed Socioeconomic circumstances, health behaviours and functional limitations in older persons in four Central and Eastern European populations
title_short Socioeconomic circumstances, health behaviours and functional limitations in older persons in four Central and Eastern European populations
title_sort socioeconomic circumstances, health behaviours and functional limitations in older persons in four central and eastern european populations
topic Research Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3476830/
https://www.ncbi.nlm.nih.gov/pubmed/22923605
http://dx.doi.org/10.1093/ageing/afs114
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