Pontificia Universidad Javeriana, Institute of Public Health, Bogotá 110231, Colombia.
Int J Environ Res Public Health. 2024 Sep 20;21(9):1244. doi: 10.3390/ijerph21091244.
The population aging in the region is occurring under scenarios of inequality, raising concerns about how the increase in life expectancy is experienced and what factors affect the quality of life of older adults. This research quantified the differentials of healthy aging in Colombia in 2018 and its association with social indicators through a cross-sectional, descriptive, and correlational observational study. Healthy aging was quantified using the Disability-Free Life Expectancy (DFLE) indicator and later correlated with social indicators and subjected to a Multiple Factor Analysis (MFA). The results showed a healthy life expectancy of 71.5 years for women and 66.9 years for men, with a disability expectancy of 8.3 and 6.4 years, respectively. Negative associations emerged with health problems, disability, lack of medical care, illiteracy, school absenteeism, and poverty, while higher education levels and retirement showed positive associations. The factor analysis by area of residence highlighted urban areas as conducive to healthy aging. In conclusion, the accelerated aging of the Colombian population faces health disparities that policies must address by improving education, economic security, and health services, especially for women and rural areas.
该地区的人口老龄化是在不平等的情况下发生的,这引发了人们的担忧,即人们对预期寿命的延长有何体验,以及哪些因素会影响老年人的生活质量。本研究通过一项横断面、描述性和相关性观察研究,量化了 2018 年哥伦比亚的健康老龄化差异,并分析了其与社会指标的关联。通过使用无残疾预期寿命(DFLE)指标来量化健康老龄化,然后将其与社会指标相关联,并进行多因素分析(MFA)。结果显示,女性的健康预期寿命为 71.5 岁,男性为 66.9 岁,残疾预期寿命分别为 8.3 年和 6.4 年。与健康问题、残疾、缺乏医疗保健、文盲、逃学和贫困呈负相关,而高等教育水平和退休则呈正相关。按居住地区进行的因子分析突出了城市地区有利于健康老龄化。总之,哥伦比亚人口的加速老龄化面临着健康差距,政策必须通过改善教育、经济安全和医疗服务来解决这些问题,特别是针对女性和农村地区。