dc.contributor.author | Rodríguez-García, María Del Pilar | |
dc.contributor.author | Ayala, Alba | |
dc.contributor.author | Rodriguez-Blazquez, Carmen | |
dc.contributor.author | Martínez-Martín, Pablo | |
dc.contributor.author | Forjaz, Maria João | |
dc.contributor.author | Damian, Javier | |
dc.date.accessioned | 2019-07-29T10:51:30Z | |
dc.date.available | 2019-07-29T10:51:30Z | |
dc.date.issued | 2019-06-29 | |
dc.identifier.citation | Health Qual Life Outcomes. 2019 Jun 29;17(1):111. | es_ES |
dc.identifier.issn | 1477-7525 | es_ES |
dc.identifier.uri | http://hdl.handle.net/20.500.12105/7978 | |
dc.description.abstract | BACKGROUND: 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.sponsorship | This 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.language.iso | eng | es_ES |
dc.publisher | BioMed Central (BMC) | es_ES |
dc.type.hasVersion | VoR | es_ES |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | * |
dc.subject | Care and nursing homes | es_ES |
dc.subject | Elderly people | es_ES |
dc.subject | Missing values | es_ES |
dc.subject | Mortality | es_ES |
dc.subject | Self-rated health | es_ES |
dc.title | Features and impact of missing values in the association of self-rated health with mortality in care homes: a longitudinal study | es_ES |
dc.type | journal article | es_ES |
dc.rights.license | Atribución 4.0 Internacional | * |
dc.identifier.pubmedID | 31255183 | es_ES |
dc.format.volume | 17 | es_ES |
dc.format.number | 1 | es_ES |
dc.format.page | 111 | es_ES |
dc.identifier.doi | 10.1186/s12955-019-1184-z | es_ES |
dc.contributor.funder | Instituto de Salud Carlos III | |
dc.contributor.funder | Comunidad de Madrid (España) | |
dc.contributor.funder | Unión Europea. Fondo Europeo de Desarrollo Regional (FEDER/ERDF) | |
dc.description.peerreviewed | Sí | es_ES |
dc.identifier.e-issn | 1477-7525 | es_ES |
dc.identifier.journal | Health and quality of life outcomes | es_ES |
dc.repisalud.centro | ISCIII::Escuela Nacional de Sanidad | es_ES |
dc.repisalud.centro | ISCIII::Centro Nacional de Epidemiología | es_ES |
dc.repisalud.institucion | ISCIII | es_ES |
dc.relation.projectID | info:eu-repo/grantAgreement/ES/PI15CIII00037 | es_ES |
dc.relation.projectID | info:eu-repo/grantAgreement/S2015/HUM-3367 | es_ES |
dc.rights.accessRights | open access | es_ES |