The role of living arrangements in disability assistance and survival in Mexican older adults
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View abstract on PubMed
Summary
This summary is machine-generated.Mexican adults living alone at age 60 spend more post-disability life without assistance. Disability help is linked to higher mortality, indicating greater disability severity, not a causal effect.
Area Of Science
- Gerontology
- Public Health
- Sociology
Background
- Life expectancy with disabilities is crucial for aging populations.
- Living arrangements significantly impact care access for older adults.
- Understanding disability severity markers is vital for health policy.
Purpose Of The Study
- To estimate life expectancy with activities of daily living (ADL) and instrumental ADL (IADL) limitations by living arrangements at age 60 for Mexican adults.
- To examine assistance with ADL/IADL as a measure of disability severity.
- To explore the association between disability assistance and mortality.
Main Methods
- Utilized Mexican Health and Aging Study (MHAS) data (2012-2021).
- Employed generalized estimating equations and Cox proportional hazards regression.
- Applied multistate life table models to estimate life expectancy.
Main Results
- Older adults living alone had a larger share of post-disability life without assistance compared to those living with others.
- Individuals receiving help showed higher mortality, suggesting help is a marker of disability severity.
- Extended households facilitated longer periods of assistance for disabled individuals.
Conclusions
- Living arrangements influence the duration of disability assistance received by older Mexican adults.
- Disability assistance serves as an indicator of increased mortality risk due to underlying disability severity.
- Findings underscore the importance of social support structures in mitigating disability impacts.
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