Self-rated health in multimorbid older general practice patients: a cross-sectional study in Germany
نویسندگان
چکیده
BACKGROUND With increasing life expectancy the number of people affected by multimorbidity rises. Knowledge of factors associated with health-related quality of life in multimorbid people is scarce. We aimed to identify the factors that are associated with self-rated health (SRH) in aged multimorbid primary care patients. METHODS Cross-sectional study with 3,189 multimorbid primary care patients aged from 65 to 85 years recruited in 158 general practices in 8 study centers in Germany. Information about morbidity, risk factors, resources, functional status and socio-economic data were collected in face-to-face interviews. Factors associated with SRH were identified by multivariable regression analyses. RESULTS Depression, somatization, pain, limitations of instrumental activities (iADL), age, distress and Body Mass Index (BMI) were inversely related with SRH. Higher levels of physical activity, income and self-efficacy expectation had a positive association with SRH. The only chronic diseases remaining in the final model were Parkinson's disease and neuropathies. The final model accounted for 35% variance of SRH. Separate analyses for men and women detected some similarities; however, gender specific variation existed for several factors. CONCLUSION In multimorbid patients symptoms and consequences of diseases such as pain and activity limitations, as well as depression, seem to be far stronger associated with SRH than the diseases themselves. High income and self-efficacy expectation are independently associated with better SRH and high BMI and age with low SRH.
منابع مشابه
Social inequalities in patient-reported outcomes among older multimorbid patients – results of the MultiCare cohort study
INTRODUCTION In this article three research questions are addressed: (1) Is there an association between socioeconomic status (SES) and patient-reported outcomes in a cohort of multimorbid patients? (2) Does the association vary according to SES indicator used (income, education, occupational position)? (3) Can the association between SES and patient-reported outcomes (self-rated health, health...
متن کاملAssociation of self-rated health with multimorbidity, chronic disease and psychosocial factors in a large middle-aged and older cohort from general practice: a cross-sectional study
BACKGROUND The prevalence of coexisting chronic conditions (multimorbidity) is rising. Disease labels, however, give little information about impact on subjective health and personal illness experience. We aim to examine the strength of association of single and multimorbid physical chronic diseases with self-rated health in a middle-aged and older population in England, and to determine whethe...
متن کاملSocioeconomic Inequality in Health Literacy, Self-Rated Health, and General Health in Arak, Iran: a Population-Based Cross-Sectional Study
Aims: Socioeconomic inequalities are major problems for public health in the communities. This study aimed to determine the socioeconomic inequality of health literacy (HL), self-rated health (SRH), and general health. Instrument & Methods: This cross-sectional study was performed in Arak city, Iran, in 2019. The Wealth index was created using the principal component analysis (PCA) based on pa...
متن کاملAuthor's response to reviews Title:Association of self-rated health with multimorbidity, chronic disease and psychosocial factors in a large middle-aged and older cohort from General Practice: A cross-sectional study
متن کامل
Dizziness is Associated with Poor Mental and Physical Health Outcomes: a Cross-Sectional National Study of Middle-Aged and Older Adults in India
Introduction: Dizziness may be associated with negative health outcomes. This study aimed to determine the associations between dizziness and mental and physical health outcomes in middle-aged and older community-dwelling adults in India. Methods: Cross-sectional data from 72,262 individuals (≥ 45 years) of the Longitudinal Ageing Study in India (LASI) Wave 1 in 2017-2018 were analyzed. Dizzin...
متن کامل