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Functional limitation trajectories and their determinants among women in the Philippines

BACKGROUND: Limited evidence exists regarding how functional limitation patterns of women in developing countries unfold through midlife and into old age, a critical period during which the tendency to develop severe problems is fomented. OBJECTIVE: Functional limitation prevalence and patterns thro...

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Autores principales: Zimmer, Zachary, Bao, Luoman, Mayol, Nanette L., Chen, Feinian, Perez, Tita Lorna L., Duazo, Paulita L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6245607/
https://www.ncbi.nlm.nih.gov/pubmed/30467456
http://dx.doi.org/10.4054/DemRes.2017.36.30
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author Zimmer, Zachary
Bao, Luoman
Mayol, Nanette L.
Chen, Feinian
Perez, Tita Lorna L.
Duazo, Paulita L.
author_facet Zimmer, Zachary
Bao, Luoman
Mayol, Nanette L.
Chen, Feinian
Perez, Tita Lorna L.
Duazo, Paulita L.
author_sort Zimmer, Zachary
collection PubMed
description BACKGROUND: Limited evidence exists regarding how functional limitation patterns of women in developing countries unfold through midlife and into old age, a critical period during which the tendency to develop severe problems is fomented. OBJECTIVE: Functional limitation prevalence and patterns through midlife into early old age, and their determinants, are examined among women in the Philippines. METHODS: Data from the Cebu Longitudinal Health and Nutrition Study are monitored from 1994 to 2015. Patterns are categorized using group-based trajectory modeling. Predictors of group membership are modeled. RESULTS: About half responding to all survey waves report functional limitation at least once over the study period. Movements in and out of functional limitation states are common. Between age 30 and 70, trajectories are categorized into four groups: 1) robust, 2) late onset, 3) early onset, and 4) recovery. Being married, living in a nuclear household, higher successful birth ratio, and higher education associate with favorable trajectories. More births, higher age at first birth, wealth, and urbanicity associate with less favorable trajectories. CONCLUSION: Many possible routes into and out of functional limitation exist. The manifold patterns can be grouped into common trajectories. A number of earlier life characteristics associate with these trajectories. CONTRIBUTION: This is the first analysis to ascertain common functional limitation trajectories and earlier life predictors among women as they age in a high fertility developing country setting. Recognizing these is an important step toward understanding global health given aging of the population and the likelihood of functional problems developing in women as they move into old age.
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spelling pubmed-62456072018-11-20 Functional limitation trajectories and their determinants among women in the Philippines Zimmer, Zachary Bao, Luoman Mayol, Nanette L. Chen, Feinian Perez, Tita Lorna L. Duazo, Paulita L. Demogr Res Article BACKGROUND: Limited evidence exists regarding how functional limitation patterns of women in developing countries unfold through midlife and into old age, a critical period during which the tendency to develop severe problems is fomented. OBJECTIVE: Functional limitation prevalence and patterns through midlife into early old age, and their determinants, are examined among women in the Philippines. METHODS: Data from the Cebu Longitudinal Health and Nutrition Study are monitored from 1994 to 2015. Patterns are categorized using group-based trajectory modeling. Predictors of group membership are modeled. RESULTS: About half responding to all survey waves report functional limitation at least once over the study period. Movements in and out of functional limitation states are common. Between age 30 and 70, trajectories are categorized into four groups: 1) robust, 2) late onset, 3) early onset, and 4) recovery. Being married, living in a nuclear household, higher successful birth ratio, and higher education associate with favorable trajectories. More births, higher age at first birth, wealth, and urbanicity associate with less favorable trajectories. CONCLUSION: Many possible routes into and out of functional limitation exist. The manifold patterns can be grouped into common trajectories. A number of earlier life characteristics associate with these trajectories. CONTRIBUTION: This is the first analysis to ascertain common functional limitation trajectories and earlier life predictors among women as they age in a high fertility developing country setting. Recognizing these is an important step toward understanding global health given aging of the population and the likelihood of functional problems developing in women as they move into old age. 2017-03-21 2017 /pmc/articles/PMC6245607/ /pubmed/30467456 http://dx.doi.org/10.4054/DemRes.2017.36.30 Text en This open-access work is published under the terms of the Creative Commons Attribution NonCommercial License 2.0 Germany, which permits use, reproduction & distribution in any medium for non-commercial purposes, provided the original author(s) and source are given credit. See http://creativecommons.org/licenses/by-nc/2.0/de/
spellingShingle Article
Zimmer, Zachary
Bao, Luoman
Mayol, Nanette L.
Chen, Feinian
Perez, Tita Lorna L.
Duazo, Paulita L.
Functional limitation trajectories and their determinants among women in the Philippines
title Functional limitation trajectories and their determinants among women in the Philippines
title_full Functional limitation trajectories and their determinants among women in the Philippines
title_fullStr Functional limitation trajectories and their determinants among women in the Philippines
title_full_unstemmed Functional limitation trajectories and their determinants among women in the Philippines
title_short Functional limitation trajectories and their determinants among women in the Philippines
title_sort functional limitation trajectories and their determinants among women in the philippines
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6245607/
https://www.ncbi.nlm.nih.gov/pubmed/30467456
http://dx.doi.org/10.4054/DemRes.2017.36.30
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