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Article
Transitions among health states using 12 measures of successful aging in men and women: results from the cardiovascular health study
Journal of Aging Research (2012)
  • Stephen Thlelke, University of Washington
  • Paula Diehr, University of Washington
Abstract
Introduction. Successful aging hasmany dimensions, whichmay manifest differently inmen and women at different ages. Methods. We characterized one-year transitions among health states in 12 measures of successful aging among adults in the Cardiovascular Health Study. The measures included self-rated health, ADLs, IADLs, depression, cognition, timed walk, number of days spent in bed, number of blocks walked, extremity strength, recent hospitalizations, feelings about life as a whole, and life satisfaction. We dichotomized variables into “healthy” or “sick,” states, and estimated the prevalence of the healthy state and the probability of transitioning from one state to another, or dying, during yearly intervals. We compared men and women and three age groups (65–74, 75–84, and 85–94). Findings. Measures of successful aging showed similar results by gender. Most participants remained healthy even into advanced ages, although health declined for all measures. Recuperation, although less common with age, still occurred frequently. Men had a higher death rate than women regardless of health status, and were also more likely to remain in the healthy state. Discussion. The results suggest a qualitatively different experience of successful aging between men and women. Men did not simply “age faster” than women.
Keywords
  • health status,
  • transitions,
  • recovery,
  • older adults
Publication Date
2012
Citation Information
Stephen Thlelke and Paula Diehr. "Transitions among health states using 12 measures of successful aging in men and women: results from the cardiovascular health study" Journal of Aging Research Vol. 2012 (2012)
Available at: http://works.bepress.com/paula_diehr/60/