Ssm-Population Health最新文献

{"title":"Subjective household poverty as a moderator for the association between employment precariousness and mental health across five european welfare state types","authors":"Ceciel Pauls ,&nbsp;Maria Fleischmann ,&nbsp;Michel Klein ,&nbsp;Stef Bouwhuis ,&nbsp;Judith E. Bosmans","doi":"10.1016/j.ssmph.2024.101696","DOIUrl":"https://doi.org/10.1016/j.ssmph.2024.101696","url":null,"abstract":"<div><h3>Objectives</h3><p>To create better understanding of the mechanisms underlying the association between employment precariousness (EP) and mental health by considering household poverty as a moderator while stratifying for gender across welfare state types (WSTs): Scandinavian, South European, Central- and East European, Bismarckian and Anglo-Saxon.</p></div><div><h3>Methods</h3><p>Data from the sixth wave of the European Working Conditions Survey (N = 18,725) was used. The Employment Precariousness Scale was used to assess EP on a continuous scale. Mental health was measured using the WHO-5 Well-Being Index. A binary variable for subjective household poverty was created. We estimated gender-stratified, multi-level models with a random intercept at country-level for the association between EP and mental health, with an interaction term between EP and subjective household poverty, for each WST separately. Models were adjusted for age, education, having a partner and having children under age 18 in the household.</p></div><div><h3>Results</h3><p>In all WSTs, among men as well as women, we found a negative relation between EP and mental health. Among women, this relation was not moderated by household poverty. Among men in the Anglo-Saxon WST, the negative relation between EP and mental health was stronger among employees that reported household poverty compared to those who did not report household poverty.</p></div><div><h3>Conclusions</h3><p>Evidence of a moderating effect of household poverty on the association between EP and mental health was only found amongst men in the Anglo-Saxon WSTs and the combined full sample. Other factors that might affect the association between EP and mental health should be investigated.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"27 ","pages":"Article 101696"},"PeriodicalIF":3.6,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352827324000971/pdfft?md5=cf494f93af2ed98c7e7d00810ce3dbba&pid=1-s2.0-S2352827324000971-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141539474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patterns in health care use and intensity for diagnosed and undiagnosed cognitive impairment in the older australian community: Implications for primary care management","authors":"Anam Bilgrami ,&nbsp;Mona Aghdaee ,&nbsp;Yuanyuan Gu ,&nbsp;Henry Cutler ,&nbsp;Katya Numbers ,&nbsp;Nicole A. Kochan ,&nbsp;Perminder S. Sachdev ,&nbsp;Henry Brodaty","doi":"10.1016/j.ssmph.2024.101693","DOIUrl":"10.1016/j.ssmph.2024.101693","url":null,"abstract":"<div><h3>Objectives</h3><p>While the economic burden imposed by dementia is well-documented, findings are mixed on health care use for those with mild cognitive impairment (MCI). Our objective was to analyse annual, non-hospital medical and pharmaceutical use patterns for older people with undiagnosed MCI and diagnosed dementia, living in the Australian community.</p></div><div><h3>Methods</h3><p>We analysed panel data from a community sample, the Sydney Memory and Ageing Study (Australia), linked to administrative data on health care use, using two-part models to estimate the probability of using health care and the annual costs incurred by study participants.</p></div><div><h3>Results</h3><p>People with MCI, unaware of their diagnoses, were significantly less likely to incur annual pathology and diagnostic imaging costs relative to cognitively normal individuals. This effect was concentrated in individuals with MCI who had non-amnestic symptoms, lived alone, or had limited carer support. Compared to cognitively normal individuals, people with MCI were predicted to have slightly lower annual costs for broad medical care categories related to the management and diagnosis of cognitive impairment, and people with dementia, substantially higher professional attendances, and pharmaceutical costs. These findings were consistent across estimation models adjusting for attrition over the study.</p></div><div><h3>Policy implications</h3><p>Diagnosis and symptom management in primary care may enable individuals with MCI to improve their quality of life and prevent more costly future health care use. However, our study found potential gaps in medical service use for people with undiagnosed <span>MCI</span> in the community, especially when they had less support or did not have memory symptoms. Primary care services may need to better diagnose and target these individuals.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"27 ","pages":"Article 101693"},"PeriodicalIF":3.6,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352827324000946/pdfft?md5=509f90dd0181b55eec336770524cfb8a&pid=1-s2.0-S2352827324000946-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141624063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intergenerational care and rural childhood obesity in the digital era: Based on screen exposure perspective","authors":"Xueying Wang,&nbsp;Yun Zhang","doi":"10.1016/j.ssmph.2024.101694","DOIUrl":"https://doi.org/10.1016/j.ssmph.2024.101694","url":null,"abstract":"<div><h3>Background</h3><p>Rural Chinese children are experiencing increasing obesity rates, yet studies often neglect the impact of IT and screen media growth on obesity risks in the context of intergenerational care, leading to incomplete strategies for the digital era.</p></div><div><h3>Methods</h3><p>By comprehensively utilizing the data on rural children aged 6–17 from the China Family Panel Studies (CFPS) and the China Health and Nutrition Survey (CHNS), this study aims to test the logical chain and specific mechanisms regarding “intergenerational care - screen exposure - rural childhood obesity”. We employ the Propensity Score Matching (PSM) and Generalized Propensity Score Matching (GPSM) methods to respectively address the self-selection biases associated with inter-generational care and children's screen exposure behaviors.</p></div><div><h3>Results</h3><p>1) Intergenerational care significantly increases screen exposure among rural children. 2) Gender bias increases the risk of screen exposure for rural boys under intergenerational care. 3) Children with higher screen exposure levels are more affected by intergenerational care, which further undermines parental supervision. 4) Children's screen exposure leads to increased sedentary time and higher probability of purchasing unhealthy foods, thereby exacerbating obesity. This process is facilitated by enhancing preferences for snacks, fast food, and beverages, and weakening preferences for physical activity. 5) GPSM analysis indicates that children's screen exposure has an inverted “U\"-shaped impact on unhealthy dietary preferences and a “U\"-shaped impact on activity preferences. It results in a nonlinear positive impact of screen exposure on obesity. This study reveals a positive association between screen exposure and obesity, offering new insights into how intergenerational care in the digital era may elevate obesity prevalence through excessive screen time for rural children.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"27 ","pages":"Article 101694"},"PeriodicalIF":3.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352827324000958/pdfft?md5=1aab681f81af6a8f5b9a76f8944f7246&pid=1-s2.0-S2352827324000958-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141539489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“Racial mortality inversion”: Black-white disparities in mortality among people experiencing homelessness in the United States","authors":"Matthew Fowle ,&nbsp;Jamie Chang ,&nbsp;Katherine Saxton","doi":"10.1016/j.ssmph.2024.101688","DOIUrl":"https://doi.org/10.1016/j.ssmph.2024.101688","url":null,"abstract":"<div><p>Disparities in mortality between Black and White people have long been observed. These disparities persist at all income levels. However, similar patterns in racial mortality disparities are not observed among people experiencing homelessness. Instead, studies in a handful of cities show a reversal in the Black-White mortality disparity in the United States: Black people experiencing homelessness are less likely to die compared to White people experiencing homelessness. We propose a theory of “racial mortality inversion” and test whether inverted Black-White mortality patterns are observable in homeless populations throughout the United States. Using a novel dataset of 18,618 homeless decedents in 20 localities across 10 states and the District of Columbia, we find consistent evidence for “racial mortality inversion” across time and place. Between 2015 and 2020, the aggregate White homeless mortality rate was 67.8%–138.4% higher than the rate for the Black homeless population. Inverted racial mortality rates were observed in all 20 localities and in nearly every year. Across the entire sample, higher average ages of death were also observed for Black people compared to White people experiencing homelessness in 5 of 6 years, though racial inversion in age was not consistent across localities. These findings offer novel insight into racial health disparities among people experiencing homelessness and may inform policies and programs that seek to prevent homelessness and homeless mortality across racial groups.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"27 ","pages":"Article 101688"},"PeriodicalIF":3.6,"publicationDate":"2024-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352827324000892/pdfft?md5=2e36be8e008ff40876b525c2bb5f1f98&pid=1-s2.0-S2352827324000892-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141539490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Economic uncertainty and mental health: Global evidence, 1991 to 2019","authors":"Emre Sarı ,&nbsp;Buse Şencan Karakuş ,&nbsp;Ender Demir","doi":"10.1016/j.ssmph.2024.101691","DOIUrl":"10.1016/j.ssmph.2024.101691","url":null,"abstract":"<div><p>Mental health has deteriorated globally due to COVID-19, climate crisis, economic policies, and regional conflicts, requiring immediate attention. This study aims to comprehend the relationship between economic uncertainty and the prevalence of anxiety disorders, major depressive disorder, and eating disorders across various demographics and countries. Using robust fixed-effect models, we analyzed the relationship between economic uncertainty and mental disorders in 110 countries from 1991 to 2019. Our analysis also explored whether this association varies across genders and age groups. Our analysis indicates that economic uncertainty is associated with higher prevalence rates of anxiety and major depressive disorders, though no similar association is observed for eating disorders. In the subgroup analyses, while females have a significant association exclusively with anxiety disorders, males have associations with anxiety and major depressive disorders. The age-specific analyses show that economic uncertainty is associated with anxiety disorders for almost all age groups above 15 years, except for ages between 40 and 54. For major depressive disorders, this association becomes significant after the 40–44 age group. However, we see no significant association among age groups for eating disorders.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"27 ","pages":"Article 101691"},"PeriodicalIF":4.7,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352827324000922/pdfft?md5=156ab1248329f8b8fa036210824976c3&pid=1-s2.0-S2352827324000922-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141409372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Contributions of causes of death to differentials in life expectancy by internal migrant status in the Netherlands. A population register based study, 2015–2019","authors":"Maximilian Frentz-Göllnitz ,&nbsp;Adrien Remund ,&nbsp;Carel Harmsen ,&nbsp;Lenny Stoeldraijer ,&nbsp;Janine van der Toorn ,&nbsp;Gabriele Doblhammer ,&nbsp;Fanny Janssen","doi":"10.1016/j.ssmph.2024.101690","DOIUrl":"10.1016/j.ssmph.2024.101690","url":null,"abstract":"<div><p>Important health differences exist in the context of international migration and residential mobility. Less is known about health differences regarding the medium-distance level of internal migration. This study examines life expectancy gaps between internal movers and stayers in the Netherlands and their underlying processes by assessing the contribution of different causes of death by age and sex. It uses individually-linked death counts and population exposures extracted from population registers, covering the native Dutch population aged 10+ from 2015 to 2019. The pooled data were disaggregated by causes-of-death group (neurodegenerative diseases, cardiovascular diseases, lifestyle-related mortality, external causes, and other causes), internal migrant status (movers and stayers, based on past 10-year residence in the 40 NUTS-3 [Nomenclature of Territorial Units for Statistics, level 3] regions), age, and sex. Comparing movers and stayers, we computed life expectancy at age 10 (e₁₀), age- and cause-specific mortality risks, and applied decomposition methods to assess contributions of causes of death to e₁₀ gaps. In the Netherlands in 2015–2019, e₁₀ was lower for movers between NUTS-3 regions than stayers (males: 2.49 years; females: 3.51 years), due to excess mortality for movers at most ages. Movers only had a lower mortality than stayers at younger working ages (males: ages 20–44; females: ages 20–34). Mortality from neurodegenerative diseases and cardiovascular diseases were the largest contributors to the e₁₀ gap, especially at ages 75+ and for females. Mortality from lifestyle-related and external causes of death contributed less, with the largest contributions for females aged 75–89 and males aged 45–69. The lower e₁₀ of movers in the Netherlands is likely explained by health selection effects–in particular care-related moves as coping behaviour–rather than by causal effects through risk accumulation. Research focusing on regional or spatial heterogeneity of the mover-stayer health gap would be insightful to further understand these processes.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"27 ","pages":"Article 101690"},"PeriodicalIF":3.6,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352827324000910/pdfft?md5=0b47ad59a437af0009cbd48972cc7aa1&pid=1-s2.0-S2352827324000910-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141400005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health insurance in the United States: A case of effectively maintained inequality?","authors":"","doi":"10.1016/j.ssmph.2024.101687","DOIUrl":"10.1016/j.ssmph.2024.101687","url":null,"abstract":"<div><div>The theory of Effectively Maintained Inequality (EMI) (Lucas, 2001) posits that goods have both quantitative (how much?) and qualitative (what kind?) dimensions. Coupled with the hypothesized mechanisms of EMI, this simple observation greatly complicates research and policy development concerning inequality. First applied to explain educational inequality in the United States, evidence for the theory has been found in education systems in over 20 countries, including Chile, China, the Czech Republic, Denmark, Egypt, Germany, Greece, Ireland, Nigeria, South Africa, and South Korea. Yet, while EMI was proposed as a general theory of inequality, to date no research has assessed its applicability to domains outside education. This work uses nearly two decades of National Health Interview Survey data (N = 451,161) to provide the first effort to assess whether EMI illuminates <em>patterns</em> of inequality outside education, by taking up the issue of health insurance in the United States.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"28 ","pages":"Article 101687"},"PeriodicalIF":3.6,"publicationDate":"2024-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141401927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of an Internet-based mental health promotion intervention among immigrant Chinese women: A quasi-experimental study","authors":"Yunjie Luo ,&nbsp;Yasuhiko Ebina ,&nbsp;Yoko Sato","doi":"10.1016/j.ssmph.2024.101686","DOIUrl":"10.1016/j.ssmph.2024.101686","url":null,"abstract":"<div><h3>Background</h3><p>Owing to a lack of social support, child-rearing Chinese women in Japan experience mental health disorders, such as depression and parenting stress. Effective interventions to improve the mental health of these women are lacking. This study aimed to develop an Internet-based mental health promotion intervention for this subsection of the population and evaluate the effectiveness of the intervention.</p></div><div><h3>Methods</h3><p>We used a quasi-experimental pre- and post-test design whereby the results of the intervention group were compared with those of a control group. Seventy-three child-rearing women were recruited from online groups of Chinese residents in Japan. In the Internet-based intervention, participants utilised an information provision application and attended online parenting workshops. The intervention group participated in the online workshops once a week for six weeks and accessed the application, whereas the control group did not. The outcome measures included the levels of mental health distress, depression, social support, and parenting stress. Data were collected from February to April 2022. Data analysis was performed using repeated-measures analysis of variance.</p></div><div><h3>Results</h3><p>Mental health distress (F = 16.478, p &lt; 0.001, η² = 0.210) and depression (F = 13.078, p = 0.001, η² = 0.174) were significantly affected in the intervention group compared with the control group. There were no significant differences in social support and parenting stress between the groups. The Internet-based mental health promotion intervention was highly appraised by the participants.</p></div><div><h3>Conclusions</h3><p>This study developed an Internet-based mental health promotion intervention that involved an information provision application and parenting workshops. The intervention significantly reduced the mental health distress and depression of Chinese women in Japan but did not affect social support and parenting stress. The findings suggest that this intervention could be applied to foreign women with multicultural backgrounds in diverse settings to improve their psychological well-being.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"26 ","pages":"Article 101686"},"PeriodicalIF":4.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352827324000879/pdfft?md5=53426b4bc4c8f1ec40a45271f466de41&pid=1-s2.0-S2352827324000879-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141274527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validity of a common measure of intimate partner violence perpetration: Impact on study inference in trials in low- and middle-income countries","authors":"Cari Jo Clark ,&nbsp;Irina Bergenfeld ,&nbsp;Abbie Shervinskie ,&nbsp;Erin R. Johnson ,&nbsp;Yuk Fai Cheong ,&nbsp;Nadine J. Kaslow ,&nbsp;Kathryn M. Yount","doi":"10.1016/j.ssmph.2024.101683","DOIUrl":"10.1016/j.ssmph.2024.101683","url":null,"abstract":"<div><h3>Background</h3><p>In lower-and middle-income countries (LMICs), studies of interventions to reduce intimate partner violence (IPV) perpetration are expanding yet measurement equivalence of the construct has not been established. We assessed the measurement equivalence of physical and sexual IPV perpetration used in recent trials in LMICs and tested the impact of non-invariance on trial inference.</p></div><div><h3>Methods</h3><p>With data from three recent intervention trials among men (sample size 505–1537 across studies), we calculated tetrachoric correlations among items and used multiple-group confirmatory factor analysis to assess invariance across arms and over time. We also assessed treatment effects adjusting for covariate imbalance and using inverse probability to treatment weights to assess concordance of invariant measures with published results, where warranted.</p></div><div><h3>Findings.</h3><p>The average correlation among items was high and increased over time with several items in two studies showing correlations ≥0.85 at endline. Increases in correlation for physical IPV were concentrated in the treatment arm in two of the studies. The increase in correlation in sexual IPV differed by arm across studies. Across all studies, a correlated two-factor solution was the best fitting model according to the EFAs and CFAs. One study demonstrated measurement invariance across arms and over time. In two of the studies, longitudinal measurement non-invariance was detected in the intervention arms. In post hoc testing, one study attained invariance with a one-factor model and study inference was concordant with published findings. The other study did not attain even partial invariance.</p></div><div><h3>Conclusion</h3><p>Common measures of physical and sexual IPV perpetration cannot be used for valid effect estimation without further refinement. The study highlights the need for an expanded item set, content validity assessments, further measurement invariance testing, and then consistent use of the item sets in future intervention trials to support accurate inference on the effectiveness of <span>IPV</span> perpetration prevention interventions.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"26 ","pages":"Article 101683"},"PeriodicalIF":4.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352827324000843/pdfft?md5=326e99dc4433434b5e30f636f6a5ff7e&pid=1-s2.0-S2352827324000843-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141196565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long-term inequalities in health among older Mexican adults: An outcome-wide analysis","authors":"Aarón Salinas-Rodríguez ,&nbsp;Maylen Liseth Rojas-Botero ,&nbsp;Ana Rivera-Almaraz ,&nbsp;Julián Alfredo Fernández-Niño ,&nbsp;Julio César Montañez-Hernández ,&nbsp;Betty Manrique-Espinoza","doi":"10.1016/j.ssmph.2024.101684","DOIUrl":"10.1016/j.ssmph.2024.101684","url":null,"abstract":"<div><p>The relationship between socioeconomic level and health outcomes in older people has been widely studied, but less information about health inequalities associated with gender and place of residence exists. Also, there is scarce evidence of longitudinal inequalities, particularly in countries from the global south. This study aimed to describe the longitudinal patterns of health inequalities associated with wealth, gender, and residence area among older Mexican adults. We used data from two longitudinal studies in Mexico: The Study on Global AGEing and Adult Health (SAGE) and the Mexican Health and Aging Study (MHAS). Three domains to characterize health inequities were used: wealth, gender, and rurality. We conducted an outcome-wide analysis with nine health indicators assessing older adults' physical and cognitive function. The Slope Index of Inequality and the Relative Index of Inequality were used as inequality measurements. Our results indicate that the greatest inequalities are observed in relation to wealth and gender. Older adults with lower socioeconomic status demonstrated higher rates of depression, sarcopenia, falls, and limitations in both basic and instrumental activities of daily living compared to their wealthier counterparts, with increasing trends in physical functionality over time. Furthermore, women experienced higher rates of depression, sarcopenia, frailty, and physical limitations compared to men. The only significant difference related to rurality was a lower rate of frailty among rural older adults. Longitudinal trajectories revealed an increase in the gap of inequality for various health indicators, especially in terms of wealth and gender. Health inequalities in old age are one of the greatest challenges facing health systems globally. Actions like universal coverage of health services for older people and the empowerment of individuals and their communities to have control over their lives and circumstances must be guaranteed.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"26 ","pages":"Article 101684"},"PeriodicalIF":4.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352827324000855/pdfft?md5=05ff4a243a29449e72a48de5bb8821f2&pid=1-s2.0-S2352827324000855-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141137155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}