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dc.contributor.authorDamian, Javier 
dc.contributor.authorPastor-Barriuso, Roberto 
dc.contributor.authorValderrama-Gama, Emiliana
dc.identifier.citationBMC Geriatr. 2008 Feb 27;8:5.es_ES
dc.description.abstractBACKGROUND: Although self-rated health has been extensively studied in community older people, its determinants have seldom been investigated in institutional settings. We carried out a cross-sectional study to describe the physical, mental, and social factors associated with self-rated health in nursing homes and other geriatric facilities. METHODS: A representative sample of 800 subjects 65 years of age and older living in 19 public and 30 private institutions of Madrid was randomly selected through stratified cluster sampling. Residents, caregivers, physicians, and nurses were interviewed by trained geriatricians using standardized instruments to assess self-rated health, chronic illnesses, functional capacity, cognitive status, depressive symptoms, vision and hearing problems, and social support. RESULTS: Of the 669 interviewed residents (response rate 84%), 55% rated their health as good or very good. There was no association with sex or age. Residents in private facilities and those who completed primary education had significantly better health perception. The adjusted odds ratio (95% confidence interval) for worse health perception was 1.18 (1.07-1.28) for each additional chronic condition, 2.37 (1.38-4.06) when comparing residents with moderate dependency to those functionally independent, and 10.45 (5.84-18.68) when comparing residents with moderate/severe depressive symptoms to those without symptoms. Visual problems were also associated with worse health perception. Similar results were obtained in subgroup analyses, except for inconsistencies in cognitively impaired individuals. CONCLUSION: Chronic conditions, functional status, depressive symptoms and socioeconomic factors were the main determinants of perceived health among Spanish institutionalized elderly persons. Doubts remain about the proper assessment of subjective health in residents with altered cognition.es_ES
dc.description.sponsorshipThis study was supported by grant 96/0201 from the Spanish "Fondo de Investigación Sanitaria".es_ES
dc.publisherBioMed Central (BMC) es_ES
dc.subject.meshAged es_ES
dc.subject.meshAged, 80 and over es_ES
dc.subject.meshDepressive Disorder es_ES
dc.subject.meshFemale es_ES
dc.subject.meshGeriatric Assessment es_ES
dc.subject.meshHumans es_ES
dc.subject.meshMale es_ES
dc.subject.meshSpain es_ES
dc.subject.meshActivities of Daily Living es_ES
dc.subject.meshInstitutionalization es_ES
dc.titleFactors associated with self-rated health in older people living in institutionses_ES
dc.typejournal articlees_ES
dc.rights.licenseAtribución 4.0 Internacional*
dc.contributor.funderInstituto de Salud Carlos III 
dc.identifier.journalBMC geriatricses_ES
dc.repisalud.centroISCIII::Centro Nacional de Epidemologíaes_ES
dc.rights.accessRightsopen accesses_ES

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