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“In the mood for ageing”: determinants of subjective well-being in older men and women of the population-based KORA-Age study

BACKGROUND: To investigate risk factors associated with low subjective well-being (SWB) in men and women (≥65 years) separately with a special focus on emotional distress. METHODS: A cross-sectional analysis was conducted among 3602 participants (50.6% women) aged 65-90 years (mean age 72.8 years, S...

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Autores principales: Lukaschek, Karoline, Vanajan, Anushiya, Johar, Hamimatunnisa, Weiland, Nina, Ladwig, Karl-Heinz
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5474017/
https://www.ncbi.nlm.nih.gov/pubmed/28622764
http://dx.doi.org/10.1186/s12877-017-0513-5
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author Lukaschek, Karoline
Vanajan, Anushiya
Johar, Hamimatunnisa
Weiland, Nina
Ladwig, Karl-Heinz
author_facet Lukaschek, Karoline
Vanajan, Anushiya
Johar, Hamimatunnisa
Weiland, Nina
Ladwig, Karl-Heinz
author_sort Lukaschek, Karoline
collection PubMed
description BACKGROUND: To investigate risk factors associated with low subjective well-being (SWB) in men and women (≥65 years) separately with a special focus on emotional distress. METHODS: A cross-sectional analysis was conducted among 3602 participants (50.6% women) aged 65-90 years (mean age 72.8 years, SD ± 5.8) from the population-based KORA-Age study conducted in 2008/2009. SWB was assessed using the WHO-5 well-being index (score range: 0 to 100). SWB was dichotomized into “low” (score ≤ 50) and “high” (score > 50) SWB. The association between potential risk factors and SWB was assessed by logistic regressions analyses. Population-attributable risks (PARs) were calculated. RESULTS: Low SWB was significantly higher in women than in men (23.8% versus 18.2%; p < 0.0001). The logistic regressions analyses revealed low income, physical inactivity, multimorbidity, depression, anxiety and sleeping problems to be associated with low SWB in both sexes. Living alone increased the odds of having low SWB in women, but not in men. Depression and anxiety were the strongest risk factors of low SWB among men (depression: OR: 4.19, 95% CI: 1.33-13.17, p < 0.05; anxiety: 8.45, 5.14-13.87, p < 0.0001) and women (depression: 6.83, 2.49-18.75 p < 0.05; anxiety: 7.31, 5.14-10.39, p < 0.0001). In both sexes, anxiety had the highest population-attributable risk (men: 27%, women: 41%). CONCLUSION: Our results call out for an increased focus on mental health interventions among older adults, especially for women living alone. Further research is needed to understand the paradoxical pattern of discrepant subjective well-being versus objective health in age.
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spelling pubmed-54740172017-06-21 “In the mood for ageing”: determinants of subjective well-being in older men and women of the population-based KORA-Age study Lukaschek, Karoline Vanajan, Anushiya Johar, Hamimatunnisa Weiland, Nina Ladwig, Karl-Heinz BMC Geriatr Research Article BACKGROUND: To investigate risk factors associated with low subjective well-being (SWB) in men and women (≥65 years) separately with a special focus on emotional distress. METHODS: A cross-sectional analysis was conducted among 3602 participants (50.6% women) aged 65-90 years (mean age 72.8 years, SD ± 5.8) from the population-based KORA-Age study conducted in 2008/2009. SWB was assessed using the WHO-5 well-being index (score range: 0 to 100). SWB was dichotomized into “low” (score ≤ 50) and “high” (score > 50) SWB. The association between potential risk factors and SWB was assessed by logistic regressions analyses. Population-attributable risks (PARs) were calculated. RESULTS: Low SWB was significantly higher in women than in men (23.8% versus 18.2%; p < 0.0001). The logistic regressions analyses revealed low income, physical inactivity, multimorbidity, depression, anxiety and sleeping problems to be associated with low SWB in both sexes. Living alone increased the odds of having low SWB in women, but not in men. Depression and anxiety were the strongest risk factors of low SWB among men (depression: OR: 4.19, 95% CI: 1.33-13.17, p < 0.05; anxiety: 8.45, 5.14-13.87, p < 0.0001) and women (depression: 6.83, 2.49-18.75 p < 0.05; anxiety: 7.31, 5.14-10.39, p < 0.0001). In both sexes, anxiety had the highest population-attributable risk (men: 27%, women: 41%). CONCLUSION: Our results call out for an increased focus on mental health interventions among older adults, especially for women living alone. Further research is needed to understand the paradoxical pattern of discrepant subjective well-being versus objective health in age. BioMed Central 2017-06-16 /pmc/articles/PMC5474017/ /pubmed/28622764 http://dx.doi.org/10.1186/s12877-017-0513-5 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Lukaschek, Karoline
Vanajan, Anushiya
Johar, Hamimatunnisa
Weiland, Nina
Ladwig, Karl-Heinz
“In the mood for ageing”: determinants of subjective well-being in older men and women of the population-based KORA-Age study
title “In the mood for ageing”: determinants of subjective well-being in older men and women of the population-based KORA-Age study
title_full “In the mood for ageing”: determinants of subjective well-being in older men and women of the population-based KORA-Age study
title_fullStr “In the mood for ageing”: determinants of subjective well-being in older men and women of the population-based KORA-Age study
title_full_unstemmed “In the mood for ageing”: determinants of subjective well-being in older men and women of the population-based KORA-Age study
title_short “In the mood for ageing”: determinants of subjective well-being in older men and women of the population-based KORA-Age study
title_sort “in the mood for ageing”: determinants of subjective well-being in older men and women of the population-based kora-age study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5474017/
https://www.ncbi.nlm.nih.gov/pubmed/28622764
http://dx.doi.org/10.1186/s12877-017-0513-5
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