Life-course social and economic circumstances, gender, and resilience in older adults: The longitudinal International Mobility in Aging Study (IMIAS)

被引：37

作者：

Phillips, Susan P. ^{[1
]}

Auais, Mohammad ^{[2
]}

Belanger, Emmanuelle ^{[3
]}

Alvarado, Beatriz ^{[4
]}

Zunzunegui, Maria-Vitoria ^{[3
]}

机构：

[1] Queens Univ, Dept Family Med, 220 Bagot St, Kingston, ON K7L 5E9, Canada

[2] Queens Univ, Sch Rehabil Therapy, 31 George St, Kingston, ON K7L 3N6, Canada

[3] Univ Montreal, Publ Hlth Res Inst IRSPUM, Dept Social & Prevent Med, Montreal, PQ, Canada

[4] Queens Univ, Publ Hlth Sci, 62 Fifth Field Co Lane, Kingston, ON K7L 3N6, Canada

来源：

SSM-POPULATION HEALTH | 2016年 / 2卷

基金：

加拿大健康研究院;

关键词：

Aging; Resilience; Adversity; Sex differences; Social engagement; Social support; Adverse childhood experiences; Income;

D O I：

10.1016/j.ssmph.2016.09.007

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Although early socioeconomic adversity is associated with poorer function and health in adulthood, those who are able to adapt positively to such risks and threats develop a resilience that may ameliorate harm. Predictors of resilience have been examined in children, however exploring the relationship between life-course events, lived environments and current resilience among older adults across countries is novel. We specifically studied how childhood social and/or economic adversity and current socioeconomic resources were associated with resilience in 2000 community dwelling older men and women in Canada, Colombia, Brazil and Albania. The longitudinal International Mobility in Aging Study (IMIAS) collected information in 2012 and 2014 on childhood adversity, current income sufficiency social support and social engagement, and resilience (Wagnild Resilience Scale RS-14). Resilience levels were moderately high, and similar among women and men. Early social adversity predicted later resilience for some, with women but not men adapting positively. In contrast there was no bouncing back from early economic adversity. Current social engagement aligned with resilience (women only) as did social support from children (for women) and friends (for men). Partner support was of no advantage to either. Among men economic circumstances were stronger correlates of resilience while for women social circumstances were primary. The impact of site on resilience suggested that cultural norms and values have an independent effect on resilience of their populations, with strong and positive social ties more typical of Latin America than Canada appearing to offset lower absolute incomes. These findings are of importance because resilience is dynamic, can be fostered across the lifespan and is generally associated with greater health. Understanding which social assets and resources can be reinforced to build individual resilience offers a means for decreasing the harms of social and economic adversity. (C) 2016 The Authors. Published by Elsevier Ltd.

引用

页码：708 / 717

页数：10

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