Hostname: page-component-848d4c4894-pjpqr Total loading time: 0 Render date: 2024-07-06T21:07:30.253Z Has data issue: false hasContentIssue false

Successful ageing and multi-dimensional poverty: the case of Peru

Published online by Cambridge University Press:  23 June 2015

JAVIER OLIVERA*
Affiliation:
Institute for Research on Socio-Economic Inequality, RU INSIDE, University of Luxembourg, Luxembourg.
ISABELLE TOURNIER
Affiliation:
Institute for Research on Generations and Family, RU INSIDE, University of Luxembourg, Luxembourg.
*
Address for correspondence: Javier Olivera, Institute for Research on Socio-Economic Inequality (IRSEI), RU INSIDE, University of Luxembourg, Route de Diekirch, L-7220 Walferdange, Luxembourg E-mail: javier.olivera@uni.lu

Abstract

This study investigated the determinants of Successful Ageing (SA) in a sample of 4,151 Peruvians aged between 65 and 80 years and living in poverty. A key contribution of this study is to combine the conceptual appeal of SA to measure wellbeing in old age with the multi-dimensional poverty counting approach developed in the economic literature. This setting allows for moving beyond the dichotomy of successful and usual ageing to take advantage of the full distribution of success along a set of dimensions of wellbeing. The data are drawn from the Encuesta de Salud y Bienestar del Adulto Mayor (ESBAM) survey, which is the baseline to evaluate the non-contributory public pension programme Pension 65. Nine indicators of SA have been used to assess the dimensions of physical health, functioning, cognition, emotional health and life satisfaction. The variables associated with a higher number of satisfied indicators were male gender, younger old age, literate, employed, low food insecurity, good nutritional status, normal blood pressure, absence of disabilities, non-smoker, empowerment, good self-esteem, absence of mental disability and less frequent contact with a social network. From a policy perspective, the results of this study report a remarkably stable effect of three variables affecting SA that can be relatively easy to measure, monitor and influence by public intervention. These variables are food security, nutrition quality and self-esteem.

Type
Articles
Copyright
Copyright © Cambridge University Press 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Albala, C., Lebrão, M. L., León Díaz, E. M., Ham-Chande, R., Hennis, A. J. and Palloni, A. 2005. Encuesta Salud, Bienestar y Envejecimiento (SABE): metodología de la encuesta y perfil de la poblacióne studiada [Survey on Health, Well-being, and Aging in Latin America and the Caribbean (SABE): survey methodology and the profile of the studied population]. Revista Panamericana de Salud Publica, 17, 5/6, 307–22.CrossRefGoogle Scholar
Alkire, S. and Foster, J. 2011. Counting and multidimensional poverty measurement. Journal of Public Economics, 95, 7/8, 476–87.Google Scholar
Alvarado, B. E., Zunzunegui, M. V., Beland, F. and Bamvita, J. M. 2008. Life course social and health conditions linked to frailty in Latin American older men and women. Journals of Gerontology: Biological Sciences and Medical Sciences, 63A, 12, 1399–406.Google Scholar
Atkinson, A. B. 2003. Multidimensional deprivation. Contrasting social welfare and counting approaches. Journal of Economic Inequality, 1, 1, 5165.Google Scholar
Avila-Funes, J. A., Amieva, H., Barberger-Gateau, P., Le, G. M., Raoux, N., Ritchie, K., Carrière, I., Tavernier, B., Tzourio, C., Gutiérrez-Robledo, L. M. and Dartigues, J. F. 2009. Cognitive impairment improves the predictive validity of the phenotype of frailty for adverse health outcomes: the three-city study. Journal of the American Geriatrics Society, 57, 3, 453–61.Google Scholar
Ben-Zur, H. 2002. Coping, affect and aging: the roles of mastery and self-esteem. Personality and Individual Differences, 32, 2, 357–72.Google Scholar
Bourguignon, F. and Chakravarty, S. R. 2003. The measurement of multidimensional poverty. Journal of Economic Inequality, 1, 1, 2549.Google Scholar
Brady, C. B., Spiro, A. and Gaziano, J. M. 2005. Effects of age and hypertension status on cognition: the Veterans Affairs Normative Aging Study. Neuropsychology, 19, 6, 770–7.CrossRefGoogle ScholarPubMed
Cha, N. H., Seo, E. J. and Sok, S. R. 2012. Factors influencing the successful aging of older Korean adults. Contemporary Nurse, 41, 1, 7887.Google ScholarPubMed
Chaves, M. L., Camozzato, A. L., Eizirik, C. L. and Kaye, J. 2009. Predictors of normal and successful aging among urban-dwelling elderly Brazilians. Journals of Gerontology: Psychological Sciences & Social Sciences, 64B, 5, 597602.Google Scholar
Choquette, S., Bouchard, D. R., Doyon, C. Y., Senechal, M., Brochu, M. and Dionne, I. J. 2010. Relative strength as a determinant of mobility in elders 67–84 years of age. A NuAge study: nutrition as a determinant of successful aging. Journal of Nutrition, Health, and Aging, 14, 3, 190–5.Google Scholar
Chung, S. and Park, S.-J. 2008. Successful ageing among low-income older people in South Korea. Ageing & Society, 28, 8, 1061–74.CrossRefGoogle Scholar
Coates, J., Swindale, A. and Bilinsky, P. 2007. Household Food Insecurity Access Scale (HFIAS) for Measurement of Food Access: Indicator Guide. Version 3. Washington, D.C.: Food and Nutrition Technical Assistance Project, Academy for Educational Development, August 2007.Google Scholar
Cosco, T. D., Prina, A. M., Perales, J. S., Blossom, C. M. and Brayne, C. 2014. Operational definitions of successful aging: a systematic review. International Psychogeriatrics, 26, 3, 373–81.CrossRefGoogle ScholarPubMed
de Moraes, J. F. D. and de Azevedo e Souza, V. B. 2005. Factors associated with the successful aging of the socially-active elderly in the metropolitan region of Porto Alegre. Revista Brasileira de Psiquiatria, 27, 4, 302–8.Google Scholar
Depp, C. A. and Jeste, D. V. 2006. Definitions and predictors of successful aging: a comprehensive review of larger quantitative studies. American Journal of Geriatric Psychiatry, 14, 1, 620.CrossRefGoogle ScholarPubMed
Fernandez-Ballesteros, R., Garcia, L. F., Abarca, D., Blanc, E., Efklides, A., Moraitou, D., Kornfeld, R., Lerma, A. J., Mendoza-Numez, V. M., Mendoza-Ruvalcaba, N. M., Orosa, T., Paul, C. and Patricia, S. 2010. The concept of ‘ageing well’ in ten Latin American and European countries. Ageing & Society, 30, 1, 4156.Google Scholar
Giles, H., Davis, S. M., Gasiorek, J. and Giles, J. 2013. Successful Aging: A Communication Guide to Empowerment. Aresta, Barcelona.Google Scholar
Harris, D. and Haboubi, N. 2005. Malnutrition screening in the elderly population. Journal of the Royal Society of Medicine, 98, 9, 411–4.Google Scholar
Hodge, A. M., English, D. R., Giles, G. G. and Flicker, L. 2013. Social connectedness and predictors of successful ageing. Maturitas, 75, 4, 361–6.Google Scholar
Hsu, H. 2005. Gender disparity of successful aging in Taiwan. Women & Health, 42, 1, 121.Google Scholar
Hung, L.-W., Kempen, G. I. J. M. and de Vries, N. K. 2010. Cross-cultural comparison between academic and lay views of healthy ageing: a literature review. Ageing & Society, 30, 8, 1373–91.Google Scholar
Meisler, J. G. 2002. Toward optimal health: the experts discuss hypertension. Journal of Women's Health & Gender-based Medicine, 11, 2, 111–7.Google Scholar
Ng, T. P., Broekman, B. F. P., Niti, M., Gwee, X. and Kua, E. H. 2009. Determinants of successful aging using a multidimensional definition among Chinese elderly in Singapore. American Journal of Geriatric Psychiatry, 17, 5, 407–16.Google Scholar
Novella, R. and Olivera, J. 2014. Mental retirement and non-contributory pensions for the elderly poor in Peru. CES Discussion Paper Series 14.05, University of Leuven, Leuven, Belgium.Google Scholar
Olivera, J. and Zuluaga, B. 2014. The ex-ante effects of non-contributory pensions in Colombia and Peru. Journal of International Development, 26, 7, 949–73.CrossRefGoogle Scholar
Robins, R. W., Hendin, H. M. and Trzesniewski, K. H. 2001. Measuring global self-esteem: construct validation of a single item measure and the Rosenberg Self-esteem Scale. Personality and Social Psychology Bulletin, 27, 2, 151–61.Google Scholar
Rofman, R. and Oliveri, M. L. 2011. La cobertura de los sistemas previsionales en América Latina: conceptos e indicadores [Pension coverage in Latin America: concepts and indicators]. Serie de Documentos de Trabajo sobre Políticas Sociales 7, Oficina Regional para América Latina del Banco Mundial, Buenos Aires.Google Scholar
Rowe, J. W. and Kahn, R. L. 1987. Human aging: usual and successful. Science, 237, 4811, 143–9.CrossRefGoogle ScholarPubMed
Rowe, J. W. and Kahn, R. L. 1997. Successful aging. The Gerontologist, 37, 4, 433–40.CrossRefGoogle ScholarPubMed
Rohwedder, S. and Willis, R. J. 2010. Mental retirement. Journal of Economic Perspectives, 24, 1, 120.Google Scholar
Runzer-Colmenares, F. M., Samper-Ternent, R., Al Snih, S., Ottenbacher, K. J., Parodi, J. F. and Wong, R. 2014. Prevalence and factors associated with frailty among Peruvian older adults. Archives of Gerontology and Geriatrics, 58, 1, 6973.Google Scholar
Sen, A. K. 1985. Commodities and Capabilities. Elsevier, Amsterdam.Google Scholar
Sen, A. K. 1993. Capability and well-being. In Nussbaum, M. and Sen, A. K. (eds), Quality of Life. Clarendon Press, Oxford, 3053.Google Scholar
Shatenstein, B., Ferland, G., Belleville, S., Gray-Donald, K., Kergoat, M.-J., Morais, J., Gaudreau, P., Payette, H. and Greenwood, C. 2012. Diet quality and cognition among older adults from the NuAge study. Experimental Gerontology, 47, 5, 353–60.Google Scholar
Wahl, H.-W. and Heyl, V. 2003. Connections between vision, hearing, and cognitive function in old age. Generations, 27, 1, 3946.Google Scholar
Windham, B. G., Griswold, M. E., Fried, L. P., Rubin, G. S., Xue, Q.-L. and Carlson, M. C. 2005. Impaired vision and the ability to take medications. Journal of the American Geriatrics Society, 53, 7, 1179–90.Google Scholar
Zelikova, J. 2013. Successful aging: a cross-national study of subjective well-being later in life. WP BRP 21/SOC/2013, National Research University Higher School of Economics, St. Petersburg.Google Scholar