The Old Old by ert554898


									                                                                                                   The Old Old
                                                              Factors associated with a healthy life past the age of 75
                                                                          John Stevens and Peter Baume
Abstract                                                                                Education                                                                         Exercise
       Though the proportion of the Australian population which has entered                   A respondent’s qualifications achieved over the previous 60 years have      Consistent with long-standing medical advice, we found in all 4 data
                                                                                        a negative effect on the self-assessed health of the respondent with a            sets that regular exercise improves health - more specifically - “a
retirement is steadily increasing, little research has separately investigated
                                                                                        Cronburg alpha value of 0.3610. The following table highlights that people        walk a day keeps the doctor away”. This can be seen in the following
factors associated with quality of life among the oldest strata of the
                                                                                        holding trade qualifications report the best health, implying that the            cross tab of how often a respondent walked outdoors for at least 15
population. This poster details work in progress identifying factors associated
                                                                                        respondent may have been active during her or his working life without being      minutes against health.
with the health and life expectancy of people aged 75 and above. The
                                                                                        a subjected to the dangers of a manual job. Respondents with higher
research will highlight implications for health care and pensions policies, both                                                                                                                  1 Poor    2 Fair   3 Good    4 Very 5 Excellent
                                                                                        qualifications, which often implies that they worked in a less active desk job,                                                         Good
for those who are advancing toward their later years and those who have long                                                                                               1 About       Count       4472    5763      5721     3911       1019
                                                                                        report being less healthily in old age. The amount of time a respondent             once a     % within     68.3%   52.6%     36.8%    34.0%      36.2%
since past retirement age.                                                                                                                                                 month or
                                                                                        spends in full-time education has very little correlation with health.                 less
English language proficiency
                                                                                                                   1         2        3          4         5 Bachelor      2 About       Count       144      277        695       620       211
      As immigrants comprise a majority of the Australian population, a                                            Primary   Secondar Trade or Certificate Degree or         once a    % within     2.2%     2.5%       4.5%      5.4%      7.5%
                                                                                                                   School    y School Apprentice or        Post
respondent’s English language proficiency and whether a respondent was                                             Course    Course ship         Diploma Graduate          3 About       Count       377     1644      2405     2517         272
born in Australia were obvious starting points for this analysis.                                                                                          Diploma          once a     % within     5.8%    15.0%     15.5%    21.9%        9.7%
      First,   and   most    importantly,   respondents      who    have   difficulty   1 Excellent Count         44         151      771        417        157
                                                                                                    %             19.5%      23.1%    14.5%      5.9%       9.7%            4 Most       Count       1550    3267      6726     4471         1315
understanding English report being more ill than the general population over                                                                                                  days     % within     23.7%   29.8%     43.3%    38.8%        46.7%
75, with an alpha value of 0.2810 when a respondent’s difficulty                                    qualification

understanding English is used as a predictor of health. This has important              2 V. Good Count         967          114      1913       1260       360           Summary
                                                                                                  %             61.5%        17.4%    35.9%      17.8%      22.2%
implications for the provision of interpreter and staff speaking patients’ own                    Highest                                                                       A respondent’s English language proficiency, educational
languages in the health services. The following table of health against a                         qualification                                                           qualifications (and by implication a respondent’s occupation) over
respondent’s difficulty understanding English.                                          3 Good     Count         43          304      1522       2798       580           their lifetime, as well as the exercise a respondent chooses to do in
                                                                                                   %             19.0%       46.5%    28.6%      39.4%      35.8%
                                                                                                                                                                          retirement all have important policy implications for health care
                                  HLTHLIFE health
                                                                                                   qualification                                                          systems.
                                       1 Poor 2 Fair 3 Good 4 Very Good 5 Excellent     4 Fair     Count                     85       878        2139       314           Data sets
                                                                                                   %                         13.0%    16.5%      30.1%      19.4%
   DIFFUNDS Difficulty with English 1 Yes 843   424   656       349         67                     Highest                                                                The data sets used in the analysis reported in this paper were:
                                  2 No 331      373   1046      408         103
                                                                                                                                                                          •· Australian Longitudinal Study of Aging (waves 1-6)
                                                                                        5 Poor     Count                              242        483        211
      The number of years a respondent has lived in Australia does not effect                      %                                  4.5%       6.8%       13.0%         •· HILDA (wave 1)
health, and respondents born outside Australia report feeling only slightly                        qualification                                                          •· Australian National Health Survey (1997)
healthier than those born in Australia. This finding may be influenced by strict                                                                                          • British Household Panel Survey (waves 1 to 11)
                                                                                        (The blank cells in this table are due to an inaccurate weighting variables for
health immigration requirements for successful visa applicants.                                                                                                           Biography
                                                                                        small counts)
                                                                                                                                                                          John Stevens is a research officer at the School of Public Health and
                                                                                                                                                                          Community Medicine , UNSW and is a PhD student at the University
                                                                                                                                                                          of Essex, UK

                                                                                                                                                                          Peter Baume, School of Public Health and Community Medicine,
                                                                                                                                                                          UNSW is a retired medical doctor, academic and member of
                                                                                                                                                                          parliament and is currently the Chancellor of the Australian national

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