ASSOCIATION BETWEEN SELF–REPORTED HEALTH STATUS AND FRAILTY IN COMMUNITY–DWELLING ELDERLY

2014 ◽  
pp. 1-5
Author(s):  
A.M. GONZÁLEZ-PICHARDO ◽  
A.P. NAVARRETE-REYES ◽  
H. ADAME-ENCARNACIÓN ◽  
S. AGUILAR-NAVARRO ◽  
J.M.A. GARCÍA-LARA ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Health Status ◽  
Multinomial Logistic Regression ◽  
Community Dwelling ◽  
Frailty Syndrome ◽  
Cross Sectional ◽  
Adverse Health ◽  
Health Related ◽  
Reported Health ◽  
Self Reported Health Status

Background:The phenotype of frailty proposed by Fried et al. has been related with increasedvulnerability for the development of adverse health-related outcomes. However, this phenotype is not often usedin daily clinical practice. On the other hand, poor self-reported health status (SRHS) has been associated withsimilar adverse health-related outcomes. Objectives:To determine the association between poor SRHS andfrailty. Design, setting and participants: Cross-sectional study of 927 community-dwelling elderly aged 70 andolder, participating in the Mexican Study of Nutritional and Psychosocial Markers of Frailty. Measurements:SRHS was established by the question “How do you rate your health status in general?” Frailty was definedaccording to the phenotype proposed by Fried et al. The association between SRHS and frailty was determinedthrough the construction of multinomial logistic regression models. Final analyses were adjusted by socio-demographic and health covariates, including depressive symptoms. Also, agreement between SRHS and thephenotype of frailty was explored. Results:Prevalence of frailty was 14.1%, and 4.4% of participants rated theirhealth status as “poor”. The unadjusted regression analyses demonstrated that fair and poor SRHS weresignificantly associated with prefrail and frail status. After adjustment for multiple covariates, the associationremained statistically significant. However, in the final adjustment for depressive symptoms, only the associationbetween poor SRHS and frail status continued to be statistically significant. Fair agreement between poor SRHSand frail status was also found. Conclusion:Poor SRHS shares common correlates as well as health-relatedadverse outcomes with frailty syndrome, and remains associated with it even when possible confounders aretaken into account. Therefore, poor SRHS could be further explored as an option for frailty syndrome screening.

scholarly journals ‘At-risk’ individuals’ responses to direct to consumer advertising of prescription drugs: a nationally representative cross-sectional study

BMJ Open ◽  
2017 ◽  
Vol 7 (12) ◽  
pp. e017865 ◽  
Author(s):  
Neda Khalil Zadeh ◽  
Kirsten Robertson ◽  
James A Green
Keyword(s):  
At Risk ◽  
Health Status ◽  
Prescription Drugs ◽  
Cross Sectional ◽  
Drug Advertising ◽  
Behavioural Responses ◽  
Reported Health ◽  
Nationally Representative ◽  
Self Reported Health Status ◽  
Direct To Consumer Advertising

ObjectivesThe factors determining individuals’ self-reported behavioural responses to direct to consumer advertising of prescription drugs were explored with an emphasis on ‘at-risk’ individuals’ responses.DesignNationally representative cross-sectional survey.SettingCommunity living adults in New Zealand.Participants2057 adults (51% women).Primary outcome measuresSelf-reported behavioural responses to drug advertising (asking a physician for a prescription, asking a physician for more information about an illness, searching the internet for more information regarding an illness and asking a pharmacist for more information about a drug).MethodsMultivariate logistic regressions determined whether participants’ self-reported behavioural responses to drug advertising were predicted by attitudes towards advertising and drug advertising, judgements about safety and effectiveness of advertised drugs, self-reported health status, materialism, online search behaviour as well as demographic variables.ResultsIdentifying as Indian and to a less extent Chinese, Māori and ‘other’ ethnicities were the strongest predictors of one or more self-reported responses (ORs 1.76–5.00, Ps<0.05). Poorer self-reported health status (ORs 0.90–0.94, all Ps<0.05), favourable attitude towards drug advertising (ORs 1.34–1.61, all Ps<0.001) and searching for medical information online (ORs 1.32–2.35, all Ps<0.01) predicted all self-reported behavioural outcomes. Older age (ORs 1.01–1.02, Ps<0.01), less education (OR 0.89, P<0.01), lower income (ORs 0.89–0.91, Ps<0.05) and higher materialism (ORs 1.02–1.03, Ps<0.01) also predicted one or more self-reported responses.ConclusionsTaken together, the findings suggest individuals, especially those who are ‘at-risk’ (ie, with poorer self-reported health status, older, less educated, lower income and ethnic minorities), may be more vulnerable to drug advertising and may make uninformed decisions accordingly. The outcomes raise significant concerns relating to the ethicality of drug advertising and suggest a need for stricter guidelines to ensure that drug advertisements provided by pharmaceutical companies are ethical.

The Association between Subjective and Clinical Indicators of Health in Prospective Vietnamese Migrants

2005 ◽  
Vol 17 (1) ◽  
pp. 46-50 ◽  
Author(s):  
RE Watkins ◽  
AJ Plant ◽  
D. Sang ◽  
TF O'Rourke ◽  
AA Eltom ◽  
...  
Keyword(s):  
Health Status ◽  
Screening Program ◽  
Short Form ◽  
Medical Screening ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Clinical Indicators ◽  
Status Assessment ◽  
Reported Health ◽  
Self Reported Health Status

We conducted a cross-sectional survey of 1669 prospective Vietnamese migrants who had applied to migrate to Australia to describe the association between self-reported health status and several commonly used clinical indicators of health among prospective Vietnamese migrants. Participants were recruited from the International Organization for Migration's standardised medical screening program.' We found that clinical indicators of health are related to self-reported health status among prospective Vietnamese migrants. Self-reported health status, which was assessed using a modified version of the Short Form-36 health survey, was significantly associated with clinical indicators of health, including the number of body system abnormalities identified during medical screening, evidence of tuberculosis on chest radiograph, and self-reported weight loss over the previous six months. These findings support the validity of self-reported health status assessment among prospective migrants, although the assessment of subjective indicators of health during compulsory medical screening may be limited by reporting bias. Asia Pac J Public Health 2005: 17(1): 46-50.

scholarly journals Frailty among Mexican community-dwelling elderly: a story told 11 years later.The Mexican Health and Aging Study

2015 ◽  
Vol 57 ◽  
pp. 62 ◽  
Author(s):  
José Alberto Ávila Funes ◽  
Sara G Aguilar-Navarro ◽  
Hélène Amieva ◽  
Luis Miguel Gutiérrez-Robledo
Keyword(s):  
Community Dwelling ◽  
Multiple Covariates ◽  
Mexican Community ◽  
Aging Study ◽  
Health Related ◽  
Reported Health ◽  
Adl Disability ◽  
Self Reported Health Status ◽  
Slow Walking Speed

Objective. To describe the characteristics and prognosisof subjects classified as frail in a large sample of Mexican community-dwelling elderly. Materials and methods. An eleven-year longitudinal study of 5 644 old adults participating in the Mexican Health and Aging Study (MHAS). Frailty was defined by meeting at least three of the following criteria: weight loss, weakness, exhaustion, slow walking speed and low physical activity. The main outcomes were incident disability and death. Multiple covariates were used to test the prognostic value of frailty. Results. Thirty-seven percent of participants (n = 2 102) met the frailty criteria. Frail participants were significantly older, female, less educated, with more chronic disease, lower income, and poorer self-reported health status, in comparison with their non-frail counterparts. Frailty was a predictor both for disability activities of daily living and for mortality. Conclusion. After a follow-up of more than ten years, the phenotype of frailty was a predictor for adverse health-related outcomes, including ADL disability and death.

scholarly journals Health Inequality between Migrant and Non-Migrant Workers in an Industrial Zone of Vietnam

2019 ◽  
Vol 16 (9) ◽  
pp. 1502 ◽  
Author(s):  
Kiet Tuan Huy Pham ◽  
Long Hoang Nguyen ◽  
Quan-Hoang Vuong ◽  
Manh-Tung Ho ◽  
Thu-Trang Vuong ◽  
...  
Keyword(s):  
Health Status ◽  
Migrant Workers ◽  
Cross Sectional Study ◽  
Health Problems ◽  
Industrial Workers ◽  
Cross Sectional ◽  
Related Quality ◽  
Inequality In Health ◽  
Health Related ◽  
Self Reported Health Status

Vietnam has experienced massive internal migration waves from rural to industrialized zones. However, little efforts have been made to understand differences in health conditions and health-related quality of life (HRQOL) between local and migrant industrial workers. This study aimed to examine the inequality in health status and HRQOL between these workers. We conducted a cross-sectional study of 289 Vietnamese workers at three industrial areas in Hanoi and Bac Ninh. Self-reported health status and HRQOL were measured using the EuroQOL-5 dimensions-5 levels (EQ-5D-5L) instrument. Sociodemographic, working, and environmental factors were also investigated. Overall, the mean EQ-5D index was 0.74 (SD = 0.21) and the average number of health problems in the last 12 months in our sample was 1.91 (SD = 1.63) problems. Migrant people had a lower EQ-5D index (β = −0.08, p < 0.01) and more health problems (β = 0.20, p < 0.05) compared to local workers. Those being male, working in the same posture more than 60 min, and exposed to more hazards at work were correlated with a lower EQ-5D index and higher number of health problems. The results highlighted inequalities in health status and HRQOL between migrant and local workers. Reinforcing regular health check-ups, ensuring sufficient protective equipment and working conditions may help improve the health outcomes of the workers.

Fall Worry Restricts Social Engagement in Older Adults

2019 ◽  
Vol 32 (5-6) ◽  
pp. 422-431 ◽  
Author(s):  
Namkee G. Choi ◽  
Martha L. Bruce ◽  
Diana M. DiNitto ◽  
C. Nathan Marti ◽  
Mark E. Kunik
Keyword(s):  
Older Adults ◽  
Logistic Regression ◽  
Social Engagement ◽  
Regression Models ◽  
Multinomial Logistic Regression ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Health Related ◽  
Reported Health ◽  
Longitudinal Associations

Objective: To examine cross-sectional and longitudinal associations between (a) activity-limiting fall worry (ALW) and (b) self-reported health-related restrictions and social engagement among older adults. Method: The National Health and Aging Trends Study Waves 5 (T1) and 6 (T2) provided data ( n = 6,279). Binary and multinomial logistic regression models were used to examine association of T2 social engagement restrictions with T2 fall worry and association of T1–T2 changes in social engagement restrictions with T1–T2 changes in fall worry. Results: ALW was significantly associated with both informal and formal social engagement restriction at T2. Onset of ALW and continued ALW between T1 and T2 were also significantly associated with newly reported restrictions in both informal and formal social engagement at T2 even controlling for falls incidents and changes in health status and other covariates. Discussion: The findings underscore the importance of reducing fall worry and preventing social disengagement in late life.

scholarly journals Population-based Data at Ages 31 and 46 Show Decreased HRQoL and Life Satisfaction in Women with PCOS Symptoms

2020 ◽  
Vol 105 (6) ◽  
pp. 1814-1826 ◽  
Author(s):  
Salla Karjula ◽  
Laure Morin-Papunen ◽  
Stephen Franks ◽  
Juha Auvinen ◽  
Marjo-Riitta Järvelin ◽  
...  
Keyword(s):  
Life Satisfaction ◽  
Health Status ◽  
Polycystic Ovary ◽  
Population Based ◽  
Longitudinal Assessment ◽  
Related Quality ◽  
Health Related ◽  
Reported Health ◽  
Self Reported Health Status ◽  
The Impact

Abstract Context Polycystic ovary syndrome (PCOS) is associated with decreased health-related quality of life (HRQoL), but longitudinal data beyond the reproductive years are lacking, and the impact of isolated PCOS symptoms is unclear. Objective To study generic HRQoL using the 15D questionnaire, life satisfaction, and self-reported health status in women with PCOS symptoms at ages 31 and 46 years. Design A longitudinal assessment using the Northern Finland Birth Cohort 1966. Setting General community. Participants The 15D data were available for women reporting isolated oligo-amenorrhea (OA; at age 31 years, 214; and 46 years, 211), isolated hirsutism (H; 31 years, 211; and 46 years, 216), OA + H (PCOS; 31 years, 74; and 46 years, 75), or no PCOS symptoms (controls; 31 years, 1382; and 46 years, 1412). Data for life satisfaction and current health status were available for OA (31 years, 329; and 46 years, 247), H (31 years, 323; and 46 years, 238), PCOS (31 years, 125; and 46 years, 86), control (31 years, 2182; and 46 years, 1613) groups. Intervention(s) None. Main Outcome Measure(s) 15D HRQoL, questionnaires on life satisfaction, and self-reported health status. Results HRQoL was lower at ages 31 and 46 in women with PCOS or H than in the controls. PCOS was an independent risk factor for low HRQoL, and the decrease in HRQoL in PCOS was similar to that of women with other chronic conditions, such as asthma, migraine, rheumatoid arthritis, and depression. The risk for low HRQoL in PCOS remained significant after adjusting for body mass index, hyperandrogenism, and socioeconomic status. Mental distress was the strongest contributing factor to HRQoL. PCOS was also associated with a risk for low life satisfaction and a 4-fold risk for reporting a poor health status. Conclusions Women with PCOS present with low HRQoL, decreased life satisfaction, and a poorer self-reported health status up to their late reproductive years. Assessments and interventions aiming to improve HRQoL in PCOS should be targeted beyond the fertile age.

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