TY - JOUR
T1 - Similarities and differences in health-related behavior clustering among older adults in Eastern and Western countries
T2 - A latent class analysis of global aging cohorts
AU - Liao, Jing
AU - Mawditt, Claire
AU - Scholes, Shaun
AU - Lu, Wentian
AU - Umeda, Maki
AU - Muniz Terrera, Graciela
AU - Hao, Yuantao
AU - Mejía, Shannon
N1 - This study used information from the RAND HRS, the Harmonized ELSA (Version E), Harmonized SHARE (Version C.3), Harmonized JSTAR (Version B), Harmonized KLoSA (Version B) and Harmonized CHARLS (Version B.4) datasets. The development of these harmonized datasets was funded by the National Institute on Aging (R01 AG030153, RC2 AG036619, 1R03AG043052). For more information, please refer to www.g2aging.org. JL received funds from the Guangdong Natural Science Foundation (2017A030310346, 2018A0303130046) and Sun Yat-sen Scientific Research Fund for Early Career Researchers (17ykpy15). The funders had no role in study design, data analysis and interpretation or writing of the manuscript.
PY - 2019/9/1
Y1 - 2019/9/1
N2 - Aim: To quantify variations in health-related behaviors (HRB) clustering of older adults in Western and Eastern countries. Methods: Using six aging cohorts from the USA, England, Europe, Japan, Korea and China, latent class analysis was applied to access the clustering of smoking, alcohol consumption, physical activity and social activity. Results: A total of 104 552 participants (55% women) aged ≥50 years in 2010 were included. Despite a different number of clusters identified, three consistent cluster profiles emerged: “Multiple-HRB” (ex-/never smoking, moderate drinking, frequent physical and social activity); “Inactives” (socially and physically inactive without other risk behaviors); and “(ex-)Smokers with Risk Behaviors”. Sex and cohort variations were shown. For men in Western cohorts, “Multiple-HRB” was the predominant cluster, whereas their Asian counterparts were more likely to be members of the “Smokers with risk behavior” and “Inactives” clusters. Most women, particularly those in Asian cohorts, were never smokers and non-drinkers, and most of them belonged to the socially “Inactives” cluster. Conclusions: We provide a person-centered understanding of HRB clustering of older adults over selected countries by sex, informing tailored health promotion for the target population. Geriatr Gerontol Int 2019; 19: 930–937.
AB - Aim: To quantify variations in health-related behaviors (HRB) clustering of older adults in Western and Eastern countries. Methods: Using six aging cohorts from the USA, England, Europe, Japan, Korea and China, latent class analysis was applied to access the clustering of smoking, alcohol consumption, physical activity and social activity. Results: A total of 104 552 participants (55% women) aged ≥50 years in 2010 were included. Despite a different number of clusters identified, three consistent cluster profiles emerged: “Multiple-HRB” (ex-/never smoking, moderate drinking, frequent physical and social activity); “Inactives” (socially and physically inactive without other risk behaviors); and “(ex-)Smokers with Risk Behaviors”. Sex and cohort variations were shown. For men in Western cohorts, “Multiple-HRB” was the predominant cluster, whereas their Asian counterparts were more likely to be members of the “Smokers with risk behavior” and “Inactives” clusters. Most women, particularly those in Asian cohorts, were never smokers and non-drinkers, and most of them belonged to the socially “Inactives” cluster. Conclusions: We provide a person-centered understanding of HRB clustering of older adults over selected countries by sex, informing tailored health promotion for the target population. Geriatr Gerontol Int 2019; 19: 930–937.
KW - clustering
KW - health-related behaviors
KW - latent class analysis
KW - multiple risk factors
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U2 - 10.1111/ggi.13737
DO - 10.1111/ggi.13737
M3 - Article
C2 - 31309695
AN - SCOPUS:85069843437
SN - 1444-1586
VL - 19
SP - 930
EP - 937
JO - Geriatrics and Gerontology International
JF - Geriatrics and Gerontology International
IS - 9
ER -