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dc.contributor.authorRodríguez-García, María Del Pilar
dc.contributor.authorAyala, Alba 
dc.contributor.authorRodriguez-Blazquez, Carmen 
dc.contributor.authorMartinez-Martin, Pablo 
dc.contributor.authorForjaz, Maria João 
dc.contributor.authorDamian, Javier
dc.identifier.citationHealth Qual Life Outcomes. 2019 Jun 29;17(1):111.es_ES
dc.description.abstractBACKGROUND: Self-rated health (SRH) is a health measure used in studies of older adults. The objective of this study is to analyze SRH as a predictor of mortality in the institutionalized older population and the characteristics of those who do not provide information about their SRH on health questionnaires. METHODS: This is a 15-year follow-up study of older adult residents in nursing or care homes in of Madrid, Spain. SRH was measured on a 5-point Likert type scale. The association between answering the SRH question and socio-demographic and health characteristics was evaluated through prevalence ratio (PR), estimated by Poisson regression models. Survival rates associated with SRH were studied through a multivariate Cox regression. RESULTS: The sample has a mean age of 83.4 (standard deviation, SD = 7.3), with 75.7% women. Twelve percent did not answer the SRH item. Those who did not answer showed a higher probability of disability (Barthel index, PR = 0.76, 95% confidence interval = 0.67-0.86) and/or dementia (PR = 8.03, 3.38-19.03). A trend for higher mortality was observed in those persons who did not respond (adjusted hazard ratio HR = 1.26, 0.75-2.11). The mortality rate was 32% higher for those who declared poor SRH in comparison with those who reported good SRH (adjusted HR = 1.32, 1.08-1.6). CONCLUSIONS: There is an elevated number of people who do not respond to the SRH item, mainly those with disabilities and cognitive deterioration. Lack of response to SRH is a good indicator of 15-year mortality for persons institutionalized in care or nursing homes.es_ES
dc.description.sponsorshipThis work was supported by the Institute of Health Carlos III (grant number, PI15CIII00037) and partially supported by the ENCAGE-CM programme (ref: S2015/HUM-3367, co-funded by Madrid Community and FEDER). The funding bodies did not have any role in the design of the study and collection, analysis, and interpretation of data and in writing the manuscript.es_ES
dc.relation.isversionofPublisher's versiones_ES
dc.subjectCare and nursing homeses_ES
dc.subjectElderly peoplees_ES
dc.subjectMissing valueses_ES
dc.subjectSelf-rated healthes_ES
dc.titleFeatures and impact of missing values in the association of self-rated health with mortality in care homes: a longitudinal studyes_ES
dc.rights.licenseAtribución 4.0 Internacional*
dc.contributor.funderInstituto de Salud Carlos III - ISCIII
dc.contributor.funderComunidad de Madrid
dc.contributor.funderEuropean Regional Development Fund (ERDF/FEDER)
dc.identifier.journalHealth and quality of life outcomeses_ES
dc.repisalud.centroISCIII::Escuela Nacional de Sanidades_ES
dc.repisalud.centroISCIII::Centro Nacional de Epidemologíaes_ES

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