Self-rated health in multimorbid older general practice patients: a cross-sectional study in Germany
With increasing life expectancy the number of people affected by multimorbidity rises. Knowledge of factors associated with health-related quality of life in multimorbid people is scarce. We aimed to identify the factors that are associated with self-rated health (SRH) in aged multimorbid primary ca...
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Published in | BMC family practice Vol. 15; no. 1; p. 1 |
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Main Authors | , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
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England
BioMed Central Ltd
03.01.2014
BioMed Central |
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Abstract | With increasing life expectancy the number of people affected by multimorbidity rises. Knowledge of factors associated with health-related quality of life in multimorbid people is scarce. We aimed to identify the factors that are associated with self-rated health (SRH) in aged multimorbid primary care patients.
Cross-sectional study with 3,189 multimorbid primary care patients aged from 65 to 85 years recruited in 158 general practices in 8 study centers in Germany. Information about morbidity, risk factors, resources, functional status and socio-economic data were collected in face-to-face interviews. Factors associated with SRH were identified by multivariable regression analyses.
Depression, somatization, pain, limitations of instrumental activities (iADL), age, distress and Body Mass Index (BMI) were inversely related with SRH. Higher levels of physical activity, income and self-efficacy expectation had a positive association with SRH. The only chronic diseases remaining in the final model were Parkinson's disease and neuropathies. The final model accounted for 35% variance of SRH. Separate analyses for men and women detected some similarities; however, gender specific variation existed for several factors.
In multimorbid patients symptoms and consequences of diseases such as pain and activity limitations, as well as depression, seem to be far stronger associated with SRH than the diseases themselves. High income and self-efficacy expectation are independently associated with better SRH and high BMI and age with low SRH. |
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AbstractList | With increasing life expectancy the number of people affected by multimorbidity rises. Knowledge of factors associated with health-related quality of life in multimorbid people is scarce. We aimed to identify the factors that are associated with self-rated health (SRH) in aged multimorbid primary care patients. Cross-sectional study with 3,189 multimorbid primary care patients aged from 65 to 85 years recruited in 158 general practices in 8 study centers in Germany. Information about morbidity, risk factors, resources, functional status and socio-economic data were collected in face-to-face interviews. Factors associated with SRH were identified by multivariable regression analyses. Depression, somatization, pain, limitations of instrumental activities (iADL), age, distress and Body Mass Index (BMI) were inversely related with SRH. Higher levels of physical activity, income and self-efficacy expectation had a positive association with SRH. The only chronic diseases remaining in the final model were Parkinson's disease and neuropathies. The final model accounted for 35% variance of SRH. Separate analyses for men and women detected some similarities; however, gender specific variation existed for several factors. In multimorbid patients symptoms and consequences of diseases such as pain and activity limitations, as well as depression, seem to be far stronger associated with SRH than the diseases themselves. High income and self-efficacy expectation are independently associated with better SRH and high BMI and age with low SRH. Background With increasing life expectancy the number of people affected by multimorbidity rises. Knowledge of factors associated with health-related quality of life in multimorbid people is scarce. We aimed to identify the factors that are associated with self-rated health (SRH) in aged multimorbid primary care patients. Methods Cross-sectional study with 3,189 multimorbid primary care patients aged from 65 to 85 years recruited in 158 general practices in 8 study centers in Germany. Information about morbidity, risk factors, resources, functional status and socio-economic data were collected in face-to-face interviews. Factors associated with SRH were identified by multivariable regression analyses. Results Depression, somatization, pain, limitations of instrumental activities (iADL), age, distress and Body Mass Index (BMI) were inversely related with SRH. Higher levels of physical activity, income and self-efficacy expectation had a positive association with SRH. The only chronic diseases remaining in the final model were Parkinson's disease and neuropathies. The final model accounted for 35% variance of SRH. Separate analyses for men and women detected some similarities; however, gender specific variation existed for several factors. Conclusion In multimorbid patients symptoms and consequences of diseases such as pain and activity limitations, as well as depression, seem to be far stronger associated with SRH than the diseases themselves. High income and self-efficacy expectation are independently associated with better SRH and high BMI and age with low SRH. Trial registration MultiCare Cohort study registration:ISRCTN89818205. Keywords: Quality of life, Self-assessment, Chronic disease, Depression, Pain, Functionally- impaired elderly, General practice BACKGROUNDWith increasing life expectancy the number of people affected by multimorbidity rises. Knowledge of factors associated with health-related quality of life in multimorbid people is scarce. We aimed to identify the factors that are associated with self-rated health (SRH) in aged multimorbid primary care patients. METHODSCross-sectional study with 3,189 multimorbid primary care patients aged from 65 to 85 years recruited in 158 general practices in 8 study centers in Germany. Information about morbidity, risk factors, resources, functional status and socio-economic data were collected in face-to-face interviews. Factors associated with SRH were identified by multivariable regression analyses. RESULTSDepression, somatization, pain, limitations of instrumental activities (iADL), age, distress and Body Mass Index (BMI) were inversely related with SRH. Higher levels of physical activity, income and self-efficacy expectation had a positive association with SRH. The only chronic diseases remaining in the final model were Parkinson's disease and neuropathies. The final model accounted for 35% variance of SRH. Separate analyses for men and women detected some similarities; however, gender specific variation existed for several factors. CONCLUSIONIn multimorbid patients symptoms and consequences of diseases such as pain and activity limitations, as well as depression, seem to be far stronger associated with SRH than the diseases themselves. High income and self-efficacy expectation are independently associated with better SRH and high BMI and age with low SRH. BACKGROUND: With increasing life expectancy the number of people affected by multimorbidity rises. Knowledge of factors associated with health-related quality of life in multimorbid people is scarce. We aimed to identify the factors that are associated with self-rated health (SRH) in aged multimorbid primary care patients. METHODS: Cross-sectional study with 3,189 multimorbid primary care patients aged from 65 to 85 years recruited in 158 general practices in 8 study centers in Germany. Information about morbidity, risk factors, resources, functional status and socio-economic data were collected in face-to-face interviews. Factors associated with SRH were identified by multivariable regression analyses. RESULTS: Depression, somatization, pain, limitations of instrumental activities (iADL), age, distress and Body Mass Index (BMI) were inversely related with SRH. Higher levels of physical activity, income and self-efficacy expectation had a positive association with SRH. The only chronic diseases remaining in the final model were Parkinson's disease and neuropathies. The final model accounted for 35% variance of SRH. Separate analyses for men and women detected some similarities; however, gender specific variation existed for several factors. CONCLUSION: In multimorbid patients symptoms and consequences of diseases such as pain and activity limitations, as well as depression, seem to be far stronger associated with SRH than the diseases themselves. High income and self-efficacy expectation are independently associated with better SRH and high BMI and age with low SRH. TRIAL REGISTRATION: MultiCare Cohort study registration:ISRCTN89818205. With increasing life expectancy the number of people affected by multimorbidity rises. Knowledge of factors associated with health-related quality of life in multimorbid people is scarce. We aimed to identify the factors that are associated with self-rated health (SRH) in aged multimorbid primary care patients. Cross-sectional study with 3,189 multimorbid primary care patients aged from 65 to 85 years recruited in 158 general practices in 8 study centers in Germany. Information about morbidity, risk factors, resources, functional status and socio-economic data were collected in face-to-face interviews. Factors associated with SRH were identified by multivariable regression analyses. Depression, somatization, pain, limitations of instrumental activities (iADL), age, distress and Body Mass Index (BMI) were inversely related with SRH. Higher levels of physical activity, income and self-efficacy expectation had a positive association with SRH. The only chronic diseases remaining in the final model were Parkinson's disease and neuropathies. The final model accounted for 35% variance of SRH. Separate analyses for men and women detected some similarities; however, gender specific variation existed for several factors. In multimorbid patients symptoms and consequences of diseases such as pain and activity limitations, as well as depression, seem to be far stronger associated with SRH than the diseases themselves. High income and self-efficacy expectation are independently associated with better SRH and high BMI and age with low SRH. |
ArticleNumber | 1 |
Audience | Academic |
Author | Gensichen, Jochen Riedel-Heller, Steffi Wiese, Birgitt Maier, Wolfgang Schäfer, Ingmar König, Hans-Helmut Scherer, Martin Weyerer, Siegfried Dahlhaus, Anne van den Bussche, Hendrik Nützel, Anna Bickel, Horst Fuchs, Angela Schön, Gerhard |
AuthorAffiliation | 6 Institute for Social Medicine, Occupational Health and Public Health, University of Leipzig, Leipzig, Germany 10 Central Institute of Mental Health, Medical Faculty Mannheim/Heidelberg University, Mannheim, Germany 4 Institute of General Practice, University of Jena, Jena, Germany 11 Institute for Biometry, Hannover Medical School, Hannover, Germany 7 Department of Psychiatry and Psychotherapy, University of Bonn, Bonn, Germany 2 Institute of General Practice, University of Frankfurt/Main, Frankfurt, Germany 3 Institute of General Practice, University of Düsseldorf, Düsseldorf, Germany 9 Institute of Medical Biometry and Epidemiology, University Medical Center Hamburg-Eppendorf, Hamburg-Eppendorf, Germany 5 Department of Medical Sociology and Health Economics, University Medical Medical Center Hamburg-Eppendorf, Hamburg, Germany 1 Department of Psychiatry and Psychotherapy, Technical University of Munich, Munich, Germany 8 Institute of Primary Medical Care, University Medical Center Hamburg-Ep |
AuthorAffiliation_xml | – name: 6 Institute for Social Medicine, Occupational Health and Public Health, University of Leipzig, Leipzig, Germany – name: 3 Institute of General Practice, University of Düsseldorf, Düsseldorf, Germany – name: 7 Department of Psychiatry and Psychotherapy, University of Bonn, Bonn, Germany – name: 10 Central Institute of Mental Health, Medical Faculty Mannheim/Heidelberg University, Mannheim, Germany – name: 5 Department of Medical Sociology and Health Economics, University Medical Medical Center Hamburg-Eppendorf, Hamburg, Germany – name: 11 Institute for Biometry, Hannover Medical School, Hannover, Germany – name: 4 Institute of General Practice, University of Jena, Jena, Germany – name: 9 Institute of Medical Biometry and Epidemiology, University Medical Center Hamburg-Eppendorf, Hamburg-Eppendorf, Germany – name: 1 Department of Psychiatry and Psychotherapy, Technical University of Munich, Munich, Germany – name: 2 Institute of General Practice, University of Frankfurt/Main, Frankfurt, Germany – name: 8 Institute of Primary Medical Care, University Medical Center Hamburg-Eppendorf, Hamburg, Germany |
Author_xml | – sequence: 1 givenname: Anna surname: Nützel fullname: Nützel, Anna email: anna.nuetzel@lrz.tu-muenchen.de organization: Department of Psychiatry and Psychotherapy, Technical University of Munich, Munich, Germany. anna.nuetzel@lrz.tu-muenchen.de – sequence: 2 givenname: Anne surname: Dahlhaus fullname: Dahlhaus, Anne – sequence: 3 givenname: Angela surname: Fuchs fullname: Fuchs, Angela – sequence: 4 givenname: Jochen surname: Gensichen fullname: Gensichen, Jochen – sequence: 5 givenname: Hans-Helmut surname: König fullname: König, Hans-Helmut – sequence: 6 givenname: Steffi surname: Riedel-Heller fullname: Riedel-Heller, Steffi – sequence: 7 givenname: Wolfgang surname: Maier fullname: Maier, Wolfgang – sequence: 8 givenname: Ingmar surname: Schäfer fullname: Schäfer, Ingmar – sequence: 9 givenname: Gerhard surname: Schön fullname: Schön, Gerhard – sequence: 10 givenname: Siegfried surname: Weyerer fullname: Weyerer, Siegfried – sequence: 11 givenname: Birgitt surname: Wiese fullname: Wiese, Birgitt – sequence: 12 givenname: Martin surname: Scherer fullname: Scherer, Martin – sequence: 13 givenname: Hendrik surname: van den Bussche fullname: van den Bussche, Hendrik – sequence: 14 givenname: Horst surname: Bickel fullname: Bickel, Horst |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/24387712$$D View this record in MEDLINE/PubMed |
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Snippet | With increasing life expectancy the number of people affected by multimorbidity rises. Knowledge of factors associated with health-related quality of life in... Background With increasing life expectancy the number of people affected by multimorbidity rises. Knowledge of factors associated with health-related quality... BACKGROUNDWith increasing life expectancy the number of people affected by multimorbidity rises. Knowledge of factors associated with health-related quality of... BACKGROUND: With increasing life expectancy the number of people affected by multimorbidity rises. Knowledge of factors associated with health-related quality... |
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SubjectTerms | Aged Aged, 80 and over Comorbidity Cross-Sectional Studies Diagnostic Self Evaluation Family medicine Female General Practice Germany Health Status Humans Male Primary Health Care Services Sex Factors Social aspects |
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Title | Self-rated health in multimorbid older general practice patients: a cross-sectional study in Germany |
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