scholarly journals Physical and Psychological Factors Associated with Poor Self-Reported Health Status in Older Adults with Falls

2020 ◽  
Vol 17 (10) ◽  
pp. 3548 ◽  
Author(s):  
Jiyeon Kim ◽  
Mikyong Byun ◽  
Moonho Kim
Keyword(s):  
Older Adults ◽  
Health Status ◽  
Psychological Factors ◽  
Hearing Impairments ◽  
Factors Associated ◽  
Self Rated Health ◽  
Physical Tests ◽  
Reported Health ◽  
Self Reported Health Status ◽  
Poor Nutrition

Background: Previous studies have proposed various physical tests for screening fall risk in older adults. However, older adults may have physical or cognitive impairments that make testing difficult. This study describes the differences in individual, physical, and psychological factors between adults in good and poor self-rated health statuses. Further, we identified the physical or psychological factors associated with self-rated health by controlling for individual variables. Methods: Data from a total of 1577 adults aged 65 years or over with a history of falls were analyzed, using the 2017 National Survey of Older Persons in South Korea. Self-reported health status was dichotomized as good versus poor using the 5-point Likert question: “poor” (very poor and poor) and “good” (fair, good, and very good). Results: Visual/hearing impairments, ADL/IADL restriction, poor nutrition, and depression were more frequently observed in the group with poor self-rated health. Multivariable logistic regression revealed that poor self-reported health was significantly associated with hearing impairments (OR: 1.51, 95% CI 1.12–2.03), ADL limitation (OR: 1.77, 95% CI 1.11–2.81), IADL limitation (OR: 2.27, 95% CI 1.68–3.06), poor nutrition (OR: 1.36, 95% CI 1.05–1.77), and depression (OR 3.77, 95% CI 2.81–5.06). Conclusions: Auditory impairment, ADL/IADL limitations, poor nutrition, and depression were significantly associated with poor self-reported health. A self-rated health assessment could be an alternative tool for older adults who are not able to perform physical tests.

scholarly journals Health Outcome Priorities of Older Adults with Advanced CKD and Concordance with Their Nephrology Providers’ Perceptions

2018 ◽  
Vol 29 (12) ◽  
pp. 2870-2878 ◽  
Author(s):  
Sarah J. Ramer ◽  
Natalie N. McCall ◽  
Cassianne Robinson-Cohen ◽  
Edward D. Siew ◽  
Huzaifah Salat ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Outcome ◽  
Health Status ◽  
End Of Life ◽  
Advanced Stage ◽  
Self Rated Health ◽  
Individual Health ◽  
Stage 4 ◽  
Reported Health ◽  
Self Reported Health Status

BackgroundOlder adults with advanced CKD have significant pain, other symptoms, and disability. To help ensure that care is consistent with patients’ values, nephrology providers should understand their patients’ priorities when they make clinical recommendations.MethodsPatients aged ≥60 years with advanced (stage 4 or 5) non–dialysis-dependent CKD receiving care at a CKD clinic completed a validated health outcome prioritization tool to ascertain their health outcome priorities. For each patient, the nephrology provider completed the same health outcome prioritization tool. Patients also answered questions to self-rate their health and completed an end-of-life scenarios instrument. We examined the associations between priorities and self-reported health status and between priorities and acceptance of common end-of-life scenarios, and also measured concordance between patients’ priorities and providers’ perceptions of priorities.ResultsAmong 271 patients (median age 71 years), the top health outcome priority was maintaining independence (49%), followed by staying alive (35%), reducing pain (9%), and reducing other symptoms (6%). Nearly half of patients ranked staying alive as their third or fourth priority. There was no relationship between patients’ self-rated health status and top priority, but acceptance of some end-of-life scenarios differed significantly between groups with different top priorities. Providers’ perceptions about patients’ top health outcome priorities were correct only 35% of the time. Patient-provider concordance for any individual health outcome ranking was similarly poor.ConclusionsNearly half of older adults with advanced CKD ranked maintaining independence as their top heath outcome priority. Almost as many ranked being alive as their last or second-to-last priority. Nephrology providers demonstrated limited knowledge of their patients’ priorities.

scholarly journals Self-Reported Health Status of Vietnamese and Non-Hispanic White Older Adults in California

2008 ◽  
Vol 56 (8) ◽  
pp. 1543-1548 ◽  
Author(s):  
Dara Sorkin ◽  
Angela L. Tan ◽  
Ron D. Hays ◽  
Carol M. Mangione ◽  
Quyen Ngo-Metzger
Keyword(s):  
Older Adults ◽  
Health Status ◽  
Reported Health ◽  
Self Reported Health Status ◽  
Hispanic White

Su1354 Factors Associated With Large Increases in Self-Reported Health Status in Infliximab-Treated IBD Patients

2014 ◽  
Vol 146 (5) ◽  
pp. S-445
Author(s):  
Jennifer Jones ◽  
Kuhan Perampaladas ◽  
Martin Williamson ◽  
Steve Kanters ◽  
Kristian Thorlund
Keyword(s):  
Health Status ◽  
Factors Associated ◽  
Reported Health ◽  
Self Reported Health Status

Factors Affecting Life Satisfaction of Older Adults in Turkey

2017 ◽  
Vol 87 (4) ◽  
pp. 392-414 ◽  
Author(s):  
Sevilay S. Celik ◽  
Yusuf Celik ◽  
Neset Hikmet ◽  
Mahmud M. Khan
Keyword(s):  
Older Adults ◽  
Life Satisfaction ◽  
Health Status ◽  
Physical Health ◽  
Education Level ◽  
Factors Affecting ◽  
Economic Issues ◽  
Reported Health ◽  
Household Activities ◽  
Self Reported Health Status

This study aimed to examine the determinants of life satisfaction of older adults in Turkey. The sample consisted of 2,959 older adults over 65 years. The effects of psychological, daily life and instrumental activity, physical health and health status, and other important variables on life satisfaction were analyzed. The variables lessening life satisfaction for older adults included poverty, a lower self-reported health status, a decline in physical health, ability to chew, ability to do household activities, and an increase in feelings of depression and feeling social withdrawn. In contrast, being married, having a higher education level, and having an income-generating work increased life satisfaction among older adults. This study suggests the necessity of developing local and national policies that enable older adults to become more active in their communities. These policies should be coordinated under the framework of national aging policies that bridge health, social, and economic issues.

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