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Mortality inequality among older adults in Mexico: the combined role of infectious and chronic disease

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Date
2014
Author
González-González, César
Samper-Ternent, Rafael
Wong, Rebeca
Palloni, Alberto
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Abstract
OBJECTIVE: To assess the effects of education and chronic and/or infectious disease, and the interaction between both variables, on the risk of dying among Mexicans 60 years and older. METHODS: Using data from the Mexican Health and Aging Study (MHAS), logistic regressions were performed to estimate the risk of mortality for older Mexicans between 2001 and 2003. Estimated mortality risks associated with chronic disease, infectious disease, and a combination of both were used to estimate additional life expectancy at age 60. RESULTS: Compared to the group with some schooling, the probability of dying over the twoyear inter-wave period was 26% higher among those with no schooling. Not having at least one year of formal education translated into a shorter additional life expectancy at age 60 by 1.4-2.0 years. Having chronic and/or infectious disease also increased the risk of mortality during the same period CONCLUSIONS: These results indicate that 1) a mixed epidemiological regime (the presence of both chronic and infectious disease) adds to the mortality health burden experienced by older people, and 2) there are persistent inequalities in mortality risks based on socioeconomic status.(AU)
 
OBJETIVO: Evaluar los efectos del nivel de educación y de las enfermedades crónicas o infecciosas, y de la interacción entre ambas variables, sobre el riesgo de muerte en mexicanos de 60 años o mayores. MÉTODOS: Mediante la utilización de datos del Estudio Nacional de Salud y Envejecimiento en México (ENASEM), se llevaron a cabo análisis de regresión logística para calcular el riesgo de mortalidad en mexicanos de 60 años o mayores entre el 2001 y el 2003. Se usaron los riesgos calculados de mortalidad asociada con enfermedades crónicas, enfermedades infecciosas y una combinación de ambas para calcular la esperanza de vida adicional a los 60 años. RESULTADOS: En comparación con el grupo con cierto grado de escolaridad, la probabilidad de muerte en el período de dos años entre las dos fases de recopilación de datos fue 26% mayor en las personas sin escolaridad. La carencia de como mínimo un año de educación formal se tradujo en una esperanza de vida adicional a los 60 años de 1,4 a 2,0 años más corta. La presencia de una enfermedad crónica o infecciosa también aumentó el riesgo de mortalidad durante el mismo período. CONCLUSIONES: Estos resultados indican que 1) un régimen epidemiológico mixto (la presencia de una enfermedad crónica y de una enfermedad infecciosa) incrementa la carga sanitaria en forma de mortalidad experimentada por las personas mayores y 2) siguen existiendo desigualdades en cuanto al riesgo de mortalidad basadas en el nivel socioeconómico.(AU)
 
Series
Rev Panam Salud Publica;35(2),feb. 2014
Subject
Mortality; Aging; Life Expectancy; Health Inequalities; Mexico; Mortalidad; Envejecimiento; Esperanza de Vida; Desigualdades en la Salud; Mexico; Doenças Crônicas; Doenças Transmissíveis; Disparidades nos Níveis de Saúde; Escolaridade; Expectativa de Vida; Mexico
URI
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892014000200002
https://iris.paho.org/handle/10665.2/8454
Citation
González-González, César,Samper-Ternent, Rafael,Wong, Rebeca,Palloni, Alberto (2014) Mortality inequality among older adults in Mexico: the combined role of infectious and chronic disease. Rev Panam Salud Publica;35(2) 89-95,feb. 2014. Retrieved from http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892014000200002
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