2026-07-21T14:27:00Zhttps://repisalud.isciii.es/rest/oai/requestoai:repisalud.isciii.es:20.500.12105/70882024-09-27T16:39:45Zcom_20.500.12105_2052com_20.500.12105_2051col_20.500.12105_19608
Repisalud
author
Damian, Javier
author
Pastor-Barriuso, Roberto
author
Valderrama-Gama, Emiliana
funder
Instituto de Salud Carlos III
2019-02-04T11:28:09Z
2019-02-04T11:28:09Z
2008-02-27
BMC Geriatr. 2008 Feb 27;8:5.
10.1186/1471-2318-8-5
1471-2318
BMC geriatrics
18304308
http://hdl.handle.net/20.500.12105/7088
BACKGROUND: 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.
eng
Factors associated with self-rated health in older people living in institutions
journal article
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FactorsAssociatedWithSelf_2008.pdf
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FactorsAssociatedWithSelf_2008.pdf.txt