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Global reach of ageism on older persons' health: A systematic review

Chang, E-Shien ; Kannoth, Sneha ; Levy, Samantha ; Wang, Shi-Yi ; Lee, John E ; Levy, Becca R Bayer, Antony

PloS one, 2020-01, Vol.15 (1), p.e0220857-e0220857 [Periódico revisado por pares]

United States: Public Library of Science

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Título:
Global reach of ageism on older persons' health: A systematic review
Autor: Chang, E-Shien ; Kannoth, Sneha ; Levy, Samantha ; Wang, Shi-Yi ; Lee, John E ; Levy, Becca R
Bayer, Antony
Assuntos: Age discrimination ; Aged ; Aged, 80 and over ; Ageism - trends ; Aging ; Behavioral sciences ; Biology and Life Sciences ; Chronic illnesses ; Clinical trials ; Databases, Factual ; Depression ; Developed countries ; Developing countries ; Elderly ; Environmental impact ; Epidemiology ; Female ; Geography ; Health ; Health disparities ; Health risks ; Humans ; LDCs ; Level (quantity) ; Levels ; Literature reviews ; Male ; Medicine and Health Sciences ; Minority & ethnic groups ; Older people ; Peer Review ; Physical Sciences ; Public health ; Research and Analysis Methods ; Reviews ; Sensitivity analysis ; Social Behavior ; Social Discrimination - psychology ; Social Sciences ; Stereotypes ; Studies ; Systematic review
É parte de: PloS one, 2020-01, Vol.15 (1), p.e0220857-e0220857
Notas: ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-1
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Competing Interests: The authors have declared that no competing interests exist.
Descrição: Although there is anecdotal evidence of ageism occurring at both the structural level (in which societal institutions reinforce systematic bias against older persons) and individual level (in which older persons take in the negative views of aging of their culture), previous systematic reviews have not examined how both levels simultaneously influence health. Thus, the impact of ageism may be underestimated. We hypothesized that a comprehensive systematic review would reveal that these ageism levels adversely impact the health of older persons across geography, health outcomes, and time. A literature search was performed using 14 databases with no restrictions on region, language, and publication type. The systematic search yielded 13,691 papers for screening, 638 for full review, and 422 studies for analyses. Sensitivity analyses that adjusted for sample size and study quality were conducted using standardized tools. The study protocol is registered (PROSPERO CRD42018090857). Ageism led to significantly worse health outcomes in 95.5% of the studies and 74.0% of the 1,159 ageism-health associations examined. The studies reported ageism effects in all 45 countries, 11 health domains, and 25 years studied, with the prevalence of significant findings increasing over time (p < .0001). A greater prevalence of significant ageism-health findings was found in less-developed countries than more-developed countries (p = .0002). Older persons who were less educated were particularly likely to experience adverse health effects of ageism. Evidence of ageism was found across the age, sex, and race/ethnicity of the targeters (i.e., persons perpetrating ageism). The current analysis which included over 7 million participants is the most comprehensive review of health consequences of ageism to date. Considering that the analysis revealed that the detrimental impact of ageism on older persons' health has been occurring simultaneously at the structural and individual level in five continents, our systematic review demonstrates the pernicious reach of ageism.
Editor: United States: Public Library of Science
Idioma: Inglês

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Global reach of ageism on older persons' health: A systematic review

Chang, E-Shien ; Kannoth, Sneha ; Levy, Samantha ; Wang, Shi-Yi ; Lee, John E ; Levy, Becca R Bayer, Antony

United States: Public Library of Science

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