Background: Resilience is essential for healthy ageing in a society where people live longer and face increased individual adversity risks. This study investigated the association between visual impairment and resilience in Brazilians aged 60 and older. We explore personal, sociodemographic, and economic factors that influence the impact of visual impairment on the psychological and social support aspects of resilience outcomes. Resilience was operationally defined at an individual level as an outcome through self-report measures, expressing the preservation of psychological dimensions such as motivation, emotional well-being, and social support in the presence of visual impairment. Method: Data from the Brazilian National Health Survey (2019), a population-based, cross-sectional study using a Partial Proportional Odds Model and a marginal effect at the means to make the results more interpretable. Participants included 21,699 older adults with an average age of 69.5 years; 55% were women; 35% exhibited partial or permanent visual impairment, and 53% were considered resilient. Results: As the severity of visual impairment increases, the likelihood of resilience in older adults decreases for both men and women. Resilience increases with age, regardless of the severity of the disorder. Older men were more resilient than women in all categories of visual impairment. Regardless of the severity of the disorder, unscholarly participants show greater resilience. Participants who rated better health status had better resilience levels. Conclusions: This study suggests that, beyond the positive association with some sociodemographic factors, resilience is strongly related to cultural factors and self-perceived health status among older Brazilians.
| Published in | Social Sciences (Volume 13, Issue 6) |
| DOI | 10.11648/j.ss.20241306.13 |
| Page(s) | 257-272 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Visual Impairment, Resilience, Older Population, Brazil, Healthy Ageing
| [1] | United Nations, Department of Economic and Social Affairs, Population Division. (2015). World population prospects: The 2015 revision, key findings and advance tables. Working Paper No. ESA/P/WP.241. |
| [2] | Wilson CA, Plouffe RA, & Saklofske DH. (2022). Assessing Resilience in Older Adulthood: Development and Validation of the Resilience Scale for Older Adults. Canadian Journal on Aging / La Revue canadienne du vieillissement 41(2), 214–229. |
| [3] |
World Health Organization (WHO). World report on vision [Internet]. Geneva: World Health Organization; 2019. Available from: Available from:
https://www.who.int/publications-detail/world-report-on-vision |
| [4] | Burton MJ, Ramke J, Marques AP, et al. The lancet global health commission on global eye health: vision beyond 2020. Lancet Glob Health 2021. |
| [5] | Kumar, P., Campanile, J., Swenor, B., & Varadaraj, V. (2022). Stigma Among Older Adults With Age-Related Vision Impairments. Journal of Visual Impairment & Blindness, 116, 689 - 698. |
| [6] | Demmin DL, Silverstein SM. Visual Impairment and Mental Health: Unmet Needs and Treatment Options. Clin Ophthalmol. 2020 Dec 3; 14: 4229-4251. |
| [7] | Bourne R, Adelson J, Flaxman S, et al. Trends in prevalence of blindness and distance and near vision impairment over 30 years and contribution to the global burden of disease in 2020. Lancet Glob Health 2020. |
| [8] | Killeen OJ, De Lott LB, Zhou Y, et al. Population Prevalence of Vision Impairment in US Adults 71 Years and Older: The National Health and Aging Trends Study. JAMA Ophthalmol. 2023; 141(2): 197–204. |
| [9] | Melo VP, Costa MLA, Ribeiro CS, Franken RA, Montanari PM. Envelhecimento no meio urbano: saúde e condições de vida de idosos da zona sul do município de Patos/PB. Fisioter. Bras. 2018; 19(5): S106-S115. |
| [10] | Barbosa KTF, Costa KNFM, Pontes MLF, Batista PSS, Oliveira FMRL, Fernandes MGM. Envelhecimento e vulnerabilidade individual: um panorama de idosos atendidos pela estratégia de saúde da família. Texto Contexto Enferm. 2017; 26(2): e2700015 |
| [11] | Wong WL, Su X, Li X, et al. Global prevalence of age-related macular degeneration and disease burden projection for 2020 and 2040: a systematic review and meta-analysis. Lancet Global Health. 2014; 2(2): e106–e116. |
| [12] | Pelletier AL, Rojas-Roldan L, Coffin J. Vision Loss in Older Adults. Am Fam Physician. 2016; 94(3): 219–226. PMID: 27479624. |
| [13] | Thetford C, Bennett KM, Hodge S, Knox PC, Robinson J. Resilience and vision impairment in older people. J Aging Stud. 2015 Dec; 35: 37-48. |
| [14] | Cordeiro TDC, Silva LM, Monteiro EA, Pontes MLF, Casemiro FG, Rodrigues RAP. Physiological changes in vision during aging: perceptions of older adults and healthcare providers. Invest. Educ. Enferm. 2021; 39(3): e11. |
| [15] | Guthrie DM, Davidson JGS, Williams N, Campos J, Hunter K, Mick P, et al. Combined impairments in vision, hearing and cognition are associated with greater levels of functional and communication difficulties than cognitive impairment alone: Analysis of interRAI data for home care and long-term care recipients in Ontario. Plos One. 2018; 13(2): e0192971. |
| [16] |
Alves Ottaiano JÁ, Pereira de Ávila M, Caixeta Umbelino C, Chater Taleb A. As Condições de Saúde Ocular no Brasil 2019 Edição 1 – 2019. Conselho Brasileiro de Oftalmologia.
https://www.cbo.com.br/novo/publicacoes/condicoes_saude_ocular_brasil2019.pdf |
| [17] | Romani FA. Prevalência de transtornos oculares na população de idosos residentes na cidade de Veranópolis, RS, Brasil. Arq Bras Oftalmol. 2005; 68(5): 649-55. |
| [18] |
Alves, M. R., Nishi, M., Carvalho, K. M. de, Ventura, L. M. V. de O., Schellini, S. A., & José, N. K. (2014). Refração ocular: uma necessidade social. Rio de Janeiro: Cultura Médica. AMB/CFM/FENAM. Disponível em:
http://www.gediib.org.br/br/Documentos/pub/KIT-_final%20IMPRENSA.pdf |
| [19] | Artuch-Garde R, González-Torres MdC, de la Fuente J, Vera MM, Fernández-Cabezas M and López-García M (2017) Relationship between Resilience and Self-regulation: A Study of Spanish Youth at Risk of Social Exclusion. Front. Psychol. 8: 612. |
| [20] | Windle G. Resilience in Later Life: Responding to Criticisms and Applying New Knowledge to the Experience of Dementia. Springer Nature Switzerland AG 2020 31 A. V. Wister, T. D. Cosco (eds.), Resilience and Aging, Risk, Systems and Decisions, |
| [21] | American Psychological Association. (2020). The road to resilience. Retrieved from |
| [22] | Windle, G. (2011). What is resilience? A review and concept analysis. Reviews in Clinical Gerontology, 21, 152–169. |
| [23] | Zautra, A. J., Hall, J. S., Murray, K. E., & Resilience Solutions Groups (2008). Resilience: A new integrative approach to health and mental health research. Health Psychology Review, 2, 61– 64. |
| [24] | Lima, G. S.; Figueira, A. L. G.; Carvalho, E. C. d.; Kusumota, L.; Caldeira, S. Resilience in Older People: A Concept Analysis. Healthcare 2023, 11, 2491. |
| [25] | Infurna, F. J. Utilizing principles of life-span developmental psychology to study the complexities of resilience across the adult life span. Gerontologist 2021, 61, 807–818. |
| [26] |
Pesquisa nacional de saúde 2019: informações sobre domicílios, acesso e utilização dos serviços de saúde. Brasil, grandes regiões e unidades da federação / IBGE, Coordenação de Trabalho e Rendimento. - Rio de Janeiro, IBGE, 2020.
https://biblioteca.ibge.gov.br/visualizacao/livros/liv101748.pdf |
| [27] | Strand Steve, Cadwallader Stuart & Firth David. Module 5 - Ordinal Regression: Key Assumptions of Ordinal Regression. ReStore. National Centre for Research Methods (NCRM). University of Southampton. 2013. |
| [28] | Allison, P. D. Logistic Regression Using the SAS System: Theory and Application, Cary, NC: SAS Institute Inc. Second Edition. 2012. |
| [29] | Richard Williams (2008). "Ordinal regression models: Problems, solutions, and problems with the solutions," German Stata Users' Group Meetings 2008 03, Stata Users Group. |
| [30] | Richard Williams. Using the margins command to estimate and interpret adjusted predictions and marginal effects. The Stata Journal (2012) 12, Number 2, pp. 308–331. |
| [31] | J. Scott Long and Jeremy Freese. 2014. Regression Models for Categorical Dependent Variables Using Stata, Third Edition. College Station, TX: Stata Press. ISBN-13: 978-1-59718-111-2. |
| [32] |
Richard Williams. Adjusted Predictions & Marginal Effects for Multiple Outcome Models & Commands (including ologit, mlogit, oglm, & gologit2). University of Notre Dame.
https://www3.nd.edu/~rwilliam/ Last revised January 25, 2021. |
| [33] | Williams, R. (2006). Generalized ordered logit/partial proportional odds models for ordinal dependent variables. The Stata Journal, 6(1), 58-82. |
| [34] | Jan-Jan Soon. The determinants of students' return intentions: A partial proportional odds model. Journal of Choice Modelling. Volume 3, Issue 2, 2010, Pages 89-112, ISSN 1755-5345. |
| [35] |
Organização Mundial da Saúde. Relatório Mundial de envelhecimento e Saúde [Internet]. Genebra: Organização Mundial da Saúde; 2015 [acesso em 21 nov. 2023]. Disponível em:
https://sbgg.org.br/wp-content/uploads/2015/10/OMSENVELHECIMENTO-2015-port.pdf |
| [36] | Musich, S., Wang, S. S., Kraemer, S., Hawkins, K., & Wicker, E. (2018). Purpose in life and positive health outcomes among older adults. Population Health Management, 21(2), 139–147. |
| [37] | Yang-Tzu Li & Yvonne Su Yong Ow (2022) Development of resilience scale for older adults, Aging & Mental Health, 26: 1, 159-168. |
| [38] | Musich S, Wang SS, Schaeffer JA, Kraemer S, Wicker E, Yeh CS. The association of increasing resilience with positive health outcomes among older adults. Geriatr Nurs. 2022; 44: 97–104. |
| [39] | Weitzel EC, Löbner M, Röhr S, Pabst A, Reininghaus U, Riedel-Heller SG. Prevalence of High Resilience in Old Age and Association with Perceived Threat of COVID-19-Results from a Representative Survey. Int J Environ Res Public Health. 2021 Jul 5; 18(13): 7173. |
| [40] | Rodrigues FR, Tavares DMS. Resilience in elderly people: factors associated with sociodemographic and health conditions. Rev Bras Enferm. 2021; 74 (Suppl 2): e20200171. |
| [41] | Hayat, S. Z., Khan, S., & Sadia, R. (2016). Resilience, wisdom, and life satisfaction in elderly living with families and in old-age homes. Pakistan Journal of Psychological Research, 31(2), 475–494. |
| [42] | Jahangir, K., Amir, S., & Parvaneh, K. (2017). The prediction of life satisfaction among the elderly based on resilience and happiness. Journal of Aging Psychology, 2(4), 229–236. |
| [43] | Jeste, D. V., Savla, G. N., Thompson, W. K., Vahia, I. V., Glorioso, D. K., Martin, A. S., … Depp, C. A. (2013). Association between older age and more successful aging: Critical role of resilience and depression. The American Journal of Psychiatry, 170(2), 188–196. |
| [44] | Smith, J. L., & Hollinger-Smith, L. (2015). Savoring, resilience, and psychological well-being in older adults. Aging & Mental Health, 19(3), 192–200. |
| [45] | Perna L., Mielck A., Lacruz M. E., Emeny R. T., Holle R., Breitfelder A., Ladwig K. H. Socioeconomic position, resilience, and health behaviour among elderly people. Int. J. Public Health. 2012; 57: 341–349. |
| [46] | Netuveli G., Wiggins R. D., Montgomery S. M., Hildon Z., Blane D. Mental health and resilience at older ages: Bouncing back after adversity in the British Household Panel Survey. J. Epidemiol. Community Health. 2008; 62: 987–991. |
| [47] | Wells M. Resilience in Older Adults Living in Rural, Suburban, and Urban Areas. OJRNHC. 2010; 10: 45–54. |
| [48] | Hardy S. E., Concato J., Gill T. M. Resilience of community-dwelling older persons. J. Am. Geriatr. Soc. 2004; 52: 257–262. |
| [49] | Lima-Costa, M. F., Andrade, F. B., Souza Jr, P. R., Neri, A. L., Duarte, Y. A., Castro-Costa, E., & Oliveira, C. (2018). The Brazilian longitudinal study of aging (ELSI-Brazil): objectives and design. American Journal of Epidemiology, 187(7). |
| [50] |
United Nations Development Programme. (2022). Human Development Report 2021/2022: Uncertain times, unsettled lives shaping our future in a transforming world.
https://hdr.undp.org/informe-sobre-desarrollo-humano-2021-22 |
| [51] | OECD (2021), OECD Reviews of Health Systems: Brazil 2021, OECD Reviews of Health Systems, OECD Publishing, Paris, |
| [52] | Veras, R. P., & Oliveira, M. (2018). Envelhecer no Brasil: a construção de um modelo de cuidado. Ciência & Saúde Coletiva, 23(6), 1929–1936. |
APA Style
Olivares-Tirado, P., Zanga, R. (2024). Resilience in Brazilian’s Older Persons with Visual Impairment: A Marginal Effects Approach. Social Sciences, 13(6), 257-272. https://doi.org/10.11648/j.ss.20241306.13
ACS Style
Olivares-Tirado, P.; Zanga, R. Resilience in Brazilian’s Older Persons with Visual Impairment: A Marginal Effects Approach. Soc. Sci. 2024, 13(6), 257-272. doi: 10.11648/j.ss.20241306.13
AMA Style
Olivares-Tirado P, Zanga R. Resilience in Brazilian’s Older Persons with Visual Impairment: A Marginal Effects Approach. Soc Sci. 2024;13(6):257-272. doi: 10.11648/j.ss.20241306.13
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Download@article{10.11648/j.ss.20241306.13,
author = {Pedro Olivares-Tirado and Rosendo Zanga},
title = {Resilience in Brazilian’s Older Persons with Visual Impairment: A Marginal Effects Approach
},
journal = {Social Sciences},
volume = {13},
number = {6},
pages = {257-272},
doi = {10.11648/j.ss.20241306.13},
url = {https://doi.org/10.11648/j.ss.20241306.13},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ss.20241306.13},
abstract = {Background: Resilience is essential for healthy ageing in a society where people live longer and face increased individual adversity risks. This study investigated the association between visual impairment and resilience in Brazilians aged 60 and older. We explore personal, sociodemographic, and economic factors that influence the impact of visual impairment on the psychological and social support aspects of resilience outcomes. Resilience was operationally defined at an individual level as an outcome through self-report measures, expressing the preservation of psychological dimensions such as motivation, emotional well-being, and social support in the presence of visual impairment. Method: Data from the Brazilian National Health Survey (2019), a population-based, cross-sectional study using a Partial Proportional Odds Model and a marginal effect at the means to make the results more interpretable. Participants included 21,699 older adults with an average age of 69.5 years; 55% were women; 35% exhibited partial or permanent visual impairment, and 53% were considered resilient. Results: As the severity of visual impairment increases, the likelihood of resilience in older adults decreases for both men and women. Resilience increases with age, regardless of the severity of the disorder. Older men were more resilient than women in all categories of visual impairment. Regardless of the severity of the disorder, unscholarly participants show greater resilience. Participants who rated better health status had better resilience levels. Conclusions: This study suggests that, beyond the positive association with some sociodemographic factors, resilience is strongly related to cultural factors and self-perceived health status among older Brazilians.
},
year = {2024}
}
TY - JOUR T1 - Resilience in Brazilian’s Older Persons with Visual Impairment: A Marginal Effects Approach AU - Pedro Olivares-Tirado AU - Rosendo Zanga Y1 - 2024/11/14 PY - 2024 N1 - https://doi.org/10.11648/j.ss.20241306.13 DO - 10.11648/j.ss.20241306.13 T2 - Social Sciences JF - Social Sciences JO - Social Sciences SP - 257 EP - 272 PB - Science Publishing Group SN - 2326-988X UR - https://doi.org/10.11648/j.ss.20241306.13 AB - Background: Resilience is essential for healthy ageing in a society where people live longer and face increased individual adversity risks. This study investigated the association between visual impairment and resilience in Brazilians aged 60 and older. We explore personal, sociodemographic, and economic factors that influence the impact of visual impairment on the psychological and social support aspects of resilience outcomes. Resilience was operationally defined at an individual level as an outcome through self-report measures, expressing the preservation of psychological dimensions such as motivation, emotional well-being, and social support in the presence of visual impairment. Method: Data from the Brazilian National Health Survey (2019), a population-based, cross-sectional study using a Partial Proportional Odds Model and a marginal effect at the means to make the results more interpretable. Participants included 21,699 older adults with an average age of 69.5 years; 55% were women; 35% exhibited partial or permanent visual impairment, and 53% were considered resilient. Results: As the severity of visual impairment increases, the likelihood of resilience in older adults decreases for both men and women. Resilience increases with age, regardless of the severity of the disorder. Older men were more resilient than women in all categories of visual impairment. Regardless of the severity of the disorder, unscholarly participants show greater resilience. Participants who rated better health status had better resilience levels. Conclusions: This study suggests that, beyond the positive association with some sociodemographic factors, resilience is strongly related to cultural factors and self-perceived health status among older Brazilians. VL - 13 IS - 6 ER -
Department of Economy, Center for Applied Social Sciences, Federal University of Pernambuco, Recife, Brazil; Mental Health Program, School of Public Health, Faculty of Medicine, University of Chile, Santiago, Chile
Politics, System and Management Health Program, School of Public Health, Faculty of Medicine, University of Chile, Santiago, Chile
