Long-term functional ability trajectories and mental health among older people before and after the COVID-19 pandemic onset in Chile

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dc.article.number5817
dc.contributor.authorCabib, Ignacio
dc.contributor.authorOlea-Duran, Bastian
dc.contributor.authorDintrans, Pablo Villalobos
dc.contributor.authorSalas, Jorge Browne
dc.date.accessioned2024-01-31T14:30:26Z
dc.date.available2024-01-31T14:30:26Z
dc.date.issued2023
dc.description.abstractObjectivesDespite the advances in understanding the complex association between functional abilities and mental health in old age, studies have overlooked two important aspects. First, traditionally, research has employed cross-sectional designs, measuring limitations at a single time point. Second, most gerontological studies on this field have been conducted before the COVID-19 pandemic onset. This study aims to explore the association between diverse long-term functional ability trajectories across late adulthood and old age, and older people's mental health in Chile, before and after the COVID-19 pandemic onset.MethodsWe use data from the population-representative and longitudinal 'Chilean Social Protection Survey', sequence analysis to reconstruct functional ability trajectory types from 2004 to 2018, and bivariate and multivariate analyses to measure their association with depressive symptoms in early 2020 (N = 891) and late 2020 (N = 672). We analyzed four age groups defined by their age at baseline (2004): people aged 46-50, 51-55, 56-60, and 61-65.ResultsOur findings indicate that erratic or equivocal patterns of functional limitations across time (with people transiting back and forth between low and high levels of limitations) show the worst mental health outcomes, both before and after the pandemic onset. Prevalence of people with depression increased after the COVID-19 onset in most groups, being particularly high among those with previous equivocal functional ability trajectories.ConclusionsThe relationship between functional ability trajectories and mental health calls for a new paradigm, moving away from age as the main policy guide, and highlighting the need to adopt strategies to improve population-level functional status as an efficient policy to address the challenges of population aging.
dc.description.funderFONDECYT
dc.format.extent764 páginas
dc.fuente.origenWOS
dc.identifier.doi10.1080/13607863.2023.2188170
dc.identifier.eisbn978-3-030-28856-3
dc.identifier.eissn1364-6915
dc.identifier.isbn978-3-030-28855-6
dc.identifier.issn1360-7863
dc.identifier.pubmedid36112743
dc.identifier.scopusidSCOPUS_ID:85140106206
dc.identifier.urihttps://doi.org/10.1080/13607863.2023.2188170
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/81156
dc.identifier.wosidWOS:000947114700001
dc.information.autorucFacultad de Ciencias Sociales; Cabib Madero, Ignacio Andres; S/I; 1009588
dc.issue.numero5
dc.language.isoen
dc.nota.accesoSin adjunto
dc.pagina.final764
dc.pagina.inicio754
dc.publisherSPRINGER INTERNATIONAL PUBLISHING AG
dc.relation.ispartofBrazilian Journal of Cardiovascular Surgery
dc.revistaAGING & MENTAL HEALTH
dc.rightsregistro bibliográfico
dc.subjectFunctional limitations
dc.subjectmental health
dc.subjectdepressive symptomatology
dc.subjectlongitudinal analysis
dc.subjectCOVID-19
dc.subjecthealthy aging
dc.subjectsequence analysis
dc.subjectChile
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleLong-term functional ability trajectories and mental health among older people before and after the COVID-19 pandemic onset in Chile
dc.typeartículo
dc.volumen339
sipa.codpersvinculados1009588
sipa.indexWOS
sipa.trazabilidadCarga SIPA;31-01-2024
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