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Suso-Palau D, López-Cuadrado T, Duque-León D, Ortiz C, Galán I. Predictive capacity of self-rated health on all-cause mortality in Spain: differences across sex, age and educational level. J Epidemiol Community Health 2022; 76:jech-2021-217965. [PMID: 35764387 DOI: 10.1136/jech-2021-217965] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2021] [Accepted: 06/13/2022] [Indexed: 11/03/2022]
Abstract
BACKGROUND Published evidence on self-rated health's capacity to predict mortality and its variability across subpopulations lacks consistency. Our objective is to evaluate this predictive association and whether/how it varies by sex, age and educational attainment at the population level in Spain. METHODS Data came from a prospective longitudinal study based on 42 645 individuals aged ≥15 years who participated in the 2011-2012 and 2014 Spanish Health Surveys. Median follow-up time for mortality was 5.4 years. Cox proportional hazards models adjusted for sociodemographic, lifestyle and chronic disease variables were used to estimate the predictive capacity of self-rated health on mortality. RESULTS Self-rated health was associated with mortality with a dose-response effect (p value for linear trend <0.001). Compared with respondents who rated their health as very good, those rating it as very poor presented an HR of 3.33 (95% CI 2.50 to 4.44). Suboptimal self-rated health was a stronger predictor of mortality among 15-44 year-olds (HR 2.87; 95% CI 1.59 to 5.18), compared with the estimate for 45-64 year-olds (HR 1.86; 95% CI 1.45 to 2.39) (p value for interaction=0.001) and for those 65 and older (HR 1.51; 95% CI 1.36 to 1.68) (p value for interaction <0.001). Regarding educational attainment, the association was stronger for individuals with university studies (HR 2.51; 95% CI 1.67 to 3.76) than for those with only primary or no studies (HR 1.31; 95% CI 1.17 to 1.48) (p value for interaction=0.010). No statistically significant differences were observed between men and women. CONCLUSIONS Self-rated health may be considered a good predictor of all-cause mortality in the population of Spain, although the magnitude of this predictive association varies by age and educational level.
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Affiliation(s)
- Daniel Suso-Palau
- Department of Preventive Medicine and Public Health, Autonomous University of Madrid, Madrid, Spain
- Imbanaco Clinic - QuirónSalud Group, Cali, Colombia
| | - Teresa López-Cuadrado
- Department of Preventive Medicine and Public Health, Autonomous University of Madrid, Madrid, Spain
- Department of Chronic Diseases, National Centre for Epidemiology, Instituto de Salud Carlos III, Madrid, Spain
| | | | - Cristina Ortiz
- Department of Chronic Diseases, National Centre for Epidemiology, Instituto de Salud Carlos III, Madrid, Spain
| | - Iñaki Galán
- Department of Preventive Medicine and Public Health, Autonomous University of Madrid, Madrid, Spain
- Department of Chronic Diseases, National Centre for Epidemiology, Instituto de Salud Carlos III, Madrid, Spain
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2
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Zang E, Guo A, Pao C, Lu N, Wu B, Fried TR. Trajectories of General Health Status and Depressive Symptoms Among Persons With Cognitive Impairment in the United States. J Aging Health 2022; 34:720-735. [PMID: 35040695 DOI: 10.1177/08982643211060948] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
ObjectivesTo identify and examine heterogeneous trajectories of general health status (GHS) and depressive symptoms (DS) among persons with cognitive impairment (PCIs). Methods: We use group-based trajectory models to study 2361 PCIs for GHS and 1927 PCIs for DS from the National Health and Aging Trends Survey 2011-2018, and apply multinomial logistic regressions to predict identified latent trajectory group memberships using individual characteristics. Results: For both GHS and DS, there were six groups of PCIs with distinct trajectories over a 7-year period. More than 40% PCIs experienced sharp declines in GHS, and 35.5% experienced persistently poor GHS. There was greater heterogeneity in DS trajectories with 55% PCIs experiencing improvement, 16.4% experiencing persistently high DS, and 30.5% experiencing deterioration. Discussion: The GHS trajectories illustrate the heavy burden of poor and declining health among PCIs. Further research is needed to understand the factors underlying stable or improving DS despite declining GHS.
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Affiliation(s)
- Emma Zang
- Department of Sociology, 5755Yale University, New Haven, CT, USA
| | - Anna Guo
- Department of Biostatistics, 5755Yale University, New Haven, CT, USA
| | - Christina Pao
- Department of Sociology, 6396University of Oxford, Oxford, UK
| | - Nancy Lu
- Harvard Medical School, 1811Harvard University, Boston, MA, USA
| | - Bei Wu
- Rory Meyers College of Nursing, 5894New York University, New York, NY, USA
| | - Terri R Fried
- Veterans Affairs Connecticut Healthcare System, West Haven, CT, USA.,Department of Medicine, Yale School of Medicine, New Haven, CT, USA
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3
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Muramatsu Y, Takagi K, Suzuki T, Dhungel B, Tsuchiya A, Wada K. Does poor spousal health negatively affect own health among elderly retired Japanese couples? A 1-year follow-up study. SSM Popul Health 2021; 16:100970. [PMID: 34841039 PMCID: PMC8606512 DOI: 10.1016/j.ssmph.2021.100970] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2021] [Revised: 11/11/2021] [Accepted: 11/13/2021] [Indexed: 11/14/2022] Open
Abstract
Background We aimed to determine whether poor spousal health affected respondents’ own self-rated health after 1 year among older retired Japanese couples. Methods Data were extracted from the nationwide population-based survey, the “Longitudinal Survey of Middle-aged and Elderly Persons”, which has been conducted annually since 2005 by the Japanese Ministry of Health, Labour and Welfare. We used 2016 survey data as a baseline and 2017 data for 1-year follow-up. Baseline respondents comprised 21,916 individuals; of these, we focused on 4397 respondents who were retired, married, aged 65–70 years, and had good self-rated health. The survey included questions about respondents' own health and lifestyle, and their spouses' health status. Multivariate logistic regression analysis was used to explore the association between spousal health at baseline and respondents' own self-rated health after 1 year. Results We found that poor spousal health is associated with respondents' own self-rated poor health after 1 year. The odds ratio (OR) for worsening health was 1.67 (95% confidence interval (CI): 1.11–2.52) for men and 1.72 (95% CI: 1.25–2.37) for women when their spouse's health was “somewhat bad”. The OR was 2.25 (95% CI: 1.40–3.62) for women when spousal health was “bad/very bad”, compared with “somewhat good”. Conversely, good spousal health was associated with a low risk of declining health for respondents after 1 year. The association for men was apparent when their spouse's health was “good” [OR: 0.69; 95% CI: 0.49–0.98], and the association for women was apparent when their spouse's health was “very good” [OR: 0.46; 95% CI: 0.24–0.90]. Conclusions Poor spousal health is an independent factor that negatively affects own self-rated health after 1 year among retired couples in Japan aged 65–70 years. Of married post-retirees aged 65–70 years with good baseline health, 14% had worsening health 1 year later. Poor spousal health negatively affects own self-rated health after 1 year controlling for lifestyle and social factors. Health worsened more among female respondents whose spouses had poor health at baseline. Health did not worsen for both male and female respondents whose spouses had good health at baseline.
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Affiliation(s)
- Yoko Muramatsu
- NLI Research Institute (A Member of the Nippon Life Insurance Company Group), 4-1-7 Kudankita, Chiyoda-ku, Tokyo, 102-0073, Japan
| | - Kuniyasu Takagi
- Department of Social Medical Sciences, Graduate School of Medicine, International University of Health and Welfare, 4-1-26 Akasaka, Minato City, Tokyo, 107-8402, Japan
| | - Tomoko Suzuki
- Department of Public Health, School of Medicine, International University of Health and Welfare, 4-3 Kozunomori, Narita, Chiba, 286-8686, Japan
| | - Bibha Dhungel
- Department of Public Health, Graduate School of Public Health, St. Luke's International University, 10-1 Akashicho, Chuo City, Tokyo, 104-0044, Japan.,Department of Health Policy, National Centre for Child Health and Development, 2-10-1 Okura, Setagaya City, Tokyo, 157-0074, Japan
| | - Akihiro Tsuchiya
- Department of Social Medical Sciences, Graduate School of Medicine, International University of Health and Welfare, 4-1-26 Akasaka, Minato City, Tokyo, 107-8402, Japan
| | - Koji Wada
- Department of Social Medical Sciences, Graduate School of Medicine, International University of Health and Welfare, 4-1-26 Akasaka, Minato City, Tokyo, 107-8402, Japan.,Department of Public Health, School of Medicine, International University of Health and Welfare, 4-3 Kozunomori, Narita, Chiba, 286-8686, Japan
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Carey MR, Prescott HC, Iwashyna TJ, Wilson ME, Fagerlin A, Valley TS. Changes in Self-Rated Health After Sepsis in Older Adults: A Retrospective Cohort Study. Chest 2020; 158:1958-1966. [PMID: 32593804 DOI: 10.1016/j.chest.2020.05.606] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2020] [Revised: 04/29/2020] [Accepted: 05/29/2020] [Indexed: 12/27/2022] Open
Abstract
BACKGROUND As more individuals survive sepsis, there is an urgent need to understand its effects on patient-reported outcomes. RESEARCH QUESTION What is the effect of sepsis on self-rated health, and what role, if any, does functional disability play in mediating this effect? STUDY DESIGN AND METHODS We conducted a survey- and administrative claims-based retrospective cohort study using the US Health and Retirement Study, a nationally representative cohort-based survey of older adults in the United States, from 2000 through 2016. We matched Medicare beneficiaries hospitalized with sepsis in 2000 to 2008 to nonhospitalized individuals. Self-rated health and functional disability were tracked biannually for 8 years. Differences in self-rated health between the cohorts were measured using mixed models with and without controlling for changes in functional disability. RESULTS Seven hundred fifty-eight individuals with sepsis were matched 1:1 to 758 nonhospitalized individuals, all aged 65 years and older. Among survivors, sepsis was associated with worse self-rated health in years 2 and 4 (adjusted absolute difference in self-rated health on a 5-point scale in year 2: -0.24 [95% CI, -0.38 to -0.10] and year 4: -0.17 [95% CI, -0.33 to -0.02]) but not in years 6 or 8. After accounting for changes in functional status, the association between sepsis and self-rated health was still present but reduced in year 2 (adjusted absolute difference in self-rated health, -0.18 [95% CI, -0.31 to -0.05]) and was not present in years 4, 6, or 8. INTERPRETATION Self-rated health worsened initially after sepsis but returned to the level of that of nonhospitalized control subjects by year 6. Mitigating sepsis-related functional disability may play a key role in improving self-rated health after sepsis.
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Affiliation(s)
| | - Hallie C Prescott
- Division of Pulmonary & Critical Care Medicine, University of Michigan, Ann Arbor, MI; Institute for Healthcare Policy & Innovation, University of Michigan, Ann Arbor, MI; VA Center for Clinical Management Research, Ann Arbor, MI
| | - Theodore J Iwashyna
- Division of Pulmonary & Critical Care Medicine, University of Michigan, Ann Arbor, MI; Institute for Healthcare Policy & Innovation, University of Michigan, Ann Arbor, MI; VA Center for Clinical Management Research, Ann Arbor, MI
| | - Michael E Wilson
- Division of Pulmonary & Critical Care Medicine, Mayo Clinic, Rochester, MN; Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Rochester, MN; Knowledge and Evaluation Research Unit, Mayo Clinic, Rochester, MN
| | - Angela Fagerlin
- Department of Population Health Sciences, University of Utah, Salt Lake City, UT; VA Salt Lake City Center for Informatics Decision Enhancement and Surveillance (IDEAS), Salt Lake City, UT
| | - Thomas S Valley
- Division of Pulmonary & Critical Care Medicine, University of Michigan, Ann Arbor, MI; Institute for Healthcare Policy & Innovation, University of Michigan, Ann Arbor, MI; Center for Bioethics and Social Sciences in Medicine, University of Michigan, Ann Arbor, MI.
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Vogelsang EM, Raymo JM, Liang J, Kobayashi E, Fukaya T. Population Aging and Health Trajectories at Older Ages. J Gerontol B Psychol Sci Soc Sci 2020; 74:1245-1255. [PMID: 28575472 DOI: 10.1093/geronb/gbx071] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2016] [Indexed: 11/14/2022] Open
Abstract
OBJECTIVE This study examines relationships between municipal age structure and two types of self-rated health: general (SRH) and comparison with similar-aged peers (C-SRH). METHODS Using a national sample of almost 5,000 Japanese older adults over two decades, we employ hierarchical growth curve models to estimate health trajectories. For municipal age structure, we consider both the relative prevalence of elderly adults in the local population and the pace of aging over time. RESULTS Living in the oldest municipalities was generally associated with worse health, particularly between the ages of 70 and 80 years. For SRH, the speed of municipal population aging was also independently associated with worse health. For C-SRH, worse health in older areas was partially explained by less favorable economic conditions in those municipalities. Results also suggest that higher levels of employment and social integration among older adults living in the oldest municipalities operate in the opposite direction. That is, these attributes partially "protect" individuals from other factors that contribute to worse health. DISCUSSION Relative differences in municipal age structure and the pace of population aging are largely unexplored and potentially important correlates of older adult health. This line of research is increasingly salient in a world with substantial and growing regional variation in population aging.
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Affiliation(s)
- Eric M Vogelsang
- Department of Sociology, California State University-San Bernardino
| | - James M Raymo
- Department of Sociology, University of Wisconsin-Madison
| | - Jersey Liang
- School of Public Health, University of Michigan, Ann Arbor
| | - Erika Kobayashi
- Department of Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology, Japan
| | - Taro Fukaya
- Department of Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology, Japan
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6
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Cheong AR, Massey DS. Undocumented and Unwell: Legal Status and Health among Mexican Migrants. INTERNATIONAL MIGRATION REVIEW 2019; 53:571-601. [PMID: 31896890 DOI: 10.1177/0197918318775924] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Using data from the Mexican Migration Project, we evaluate the effects of documented and undocumented migration on the health of Mexican adults. Results suggest that documented and undocumented migrants are positively selected with respect to health in migrating to the United States and health status does not strongly predict selection into return migration back to Mexico. Among returned migrants, health deteriorates as the number of trips to the United States increases, with undocumented migrants experiencing an extra health penalty. While there is no continued decline on return to Mexico for undocumented migrants, they fare worse than returned documented migrants.
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Cummings JR, Mason AE, Puterman E, Tomiyama AJ. Comfort Eating and All-Cause Mortality in the US Health and Retirement Study. Int J Behav Med 2019; 25:473-478. [PMID: 29243156 DOI: 10.1007/s12529-017-9706-8] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
PURPOSE Comfort eating is a prevalent behavior. Prior research shows that comfort eating is associated with reduced stress responses and increased metabolic risk across adolescence, young adulthood, and middle adulthood. The purpose of the current research was to test if comfort eating prospectively predicted all-cause mortality in older adulthood. METHOD The US Health and Retirement Study is an ongoing, nationally representative, longitudinal study of older adults. The final sample for the present study (N = 1445) included participants randomly selected to report how often they comfort ate. Comfort eating data were collected in 2008 and all-cause mortality data were collected in 2014. Participants also reported how often they consumed high-fat/sugar food as well as their height and weight in 2008. RESULTS For each 1-unit increase in comfort eating, the expected odds of all-cause mortality (n = 255 deceased) decreased by 14%, OR = 0.86, p = 0.048, 95% CI [0.74, 0.99]. This analysis statistically accounted for other predictors of mortality in the sample including age, biological sex, race, highest educational degree attained, moderate and vigorous exercise, smoking, and cumulative illness. High-fat/sugar intake did not mediate (or diminish) the association but body mass index did. CONCLUSION Comfort eating-irrespective of consuming high-fat/sugar food-may be associated with reduced mortality in older adults because it may promote greater body mass, and greater body mass is associated with lower risk of mortality in nationally representative samples. Interventionists might consider both beneficial and detrimental aspects of comfort eating across the lifespan.
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Affiliation(s)
- Jenna R Cummings
- Department of Psychology, University of California, 1285 Franz Hall, Los Angeles, CA, 90095, USA
| | - Ashley E Mason
- UCSF Osher Center for Integrative Medicine, 1545 Divisadero Street, 3rd Floor, Suite 301, San Francisco, CA, 94115, USA
| | - Eli Puterman
- School of Kinesiology, University of British Columbia, 6081 University Boulevard, Vancouver, BC, V6T 1Z1, Canada
| | - A Janet Tomiyama
- Department of Psychology, University of California, 1285 Franz Hall, Los Angeles, CA, 90095, USA.
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Phung TKT, Siersma V, Vogel A, Waldorff FB, Waldemar G. Self-rated versus Caregiver-rated Health for Patients with Mild Dementia as Predictors of Patient Mortality. Am J Geriatr Psychiatry 2018; 26:375-385. [PMID: 28760512 DOI: 10.1016/j.jagp.2017.06.005] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/06/2017] [Revised: 06/03/2017] [Accepted: 06/05/2017] [Indexed: 11/30/2022]
Abstract
OBJECTIVE Self-assessment of health is a strong and independent predictor of mortality for cognitively intact people. Because the ability of patients with dementia to rate their own health is questionable, caregiver-rated health for patients may serve as a proxy. The authors aimed to validate and compare self- and caregiver-rated health for patients with dementia as independent predictors of patient mortality. METHODS This was a post-hoc analysis of data from The Danish Alzheimer's Disease Intervention Study, a randomized controlled trial of psychosocial intervention for 330 patients with mild dementia and their caregivers with a 36-month follow-up. Patients and caregivers rated patients' health on the Euro Quality of Life Visual Analog Scale (EQ-VAS) from 0 (worst) to 100 (best). The ability of self- and caregiver-rated health for the patient to predict patient mortality was analyzed as hazard ratios (HRs) from Cox proportional hazard regression models, controlling for age, depression, comorbidities, functional level, quality of life, and randomization group. RESULTS Compared with the highest scores of 80-100, caregiver-rated EQ-VAS scores < 50 had an HR of 9.8 (95% CI: 2.9-33.1), scores between 50 and 64 had an HR of 3.8 (95% CI: 1.2-12.3), and scores between 65 and 79 had an HR of 4.6 (95% CI: 1.4-14.7). Self-rated EQ-VAS did not statistically significantly predict mortality. CONCLUSION Caregiver-rated health for patients with mild dementia using the EQ-VAS was shown to be an independent predictor of patient mortality with a dose-response pattern but patient-rated EQ-VAS was not.
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Affiliation(s)
- Thien Kieu Thi Phung
- Danish Dementia Research Centre, Department of Neurology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
| | - Volkert Siersma
- Research Unit and Department of General Practice, Institute of Public Health, University of Copenhagen, Copenhagen, Denmark
| | - Asmus Vogel
- Danish Dementia Research Centre, Department of Neurology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark; Department of Psychology, University of Copenhagen, Copenhagen, Denmark
| | - Frans Boch Waldorff
- Danish Dementia Research Centre, Department of Neurology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark; Research Unit and Department of General Practice, Institute of Public Health, University of Copenhagen, Copenhagen, Denmark; The Research Unit of General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark
| | - Gunhild Waldemar
- Danish Dementia Research Centre, Department of Neurology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark
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Demographic factors and retrieval of object and proper names after age 70. PLoS One 2018; 13:e0191876. [PMID: 29370264 PMCID: PMC5785012 DOI: 10.1371/journal.pone.0191876] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2017] [Accepted: 01/05/2018] [Indexed: 11/25/2022] Open
Abstract
Purpose This research aimed to investigate whether demographic factors are similarly related to retrieval of object and proper names. Methods The sample included 5,907 individuals above age 70 who participated in the Health and Retirement Study between 2004 and 2012. Participants were asked to name two objects as well as the US President and Vice President. Latent growth curve models examined the associations of age, education, and self-rated health with baseline levels and change trajectories in retrieval. Results Age and education were more strongly related to retrieval of proper names than to retrieval of object names, both for baseline scores and for change trajectory. Similar effects of self-rated health emerged for both types of stimuli. Conclusions The results show that examining object names and proper names together as indication of cognitive status in the HRS might overlook important differences between the two types of stimuli, in both baseline performance and longitudinal change.
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Huang Z, Maurer J. Validity of Self-Rated Memory Among Middle-Aged and Older Chinese Adults: Results From the China Health and Retirement Longitudinal Study (CHARLS). Assessment 2017; 26:1582-1593. [PMID: 29126348 DOI: 10.1177/1073191117741188] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Memory self-ratings are often used in primary care practice and social surveys due to its relative ease of administration. Yet their usefulness to accurately measure individuals' memory-related cognitive function is largely unknown. This article assesses the construct validity of self-rated memory for measuring memory-related cognitive function among middle-aged and older adults (45+ years) in China using a national sample (N = 13,690) from the China Health and Retirement Longitudinal Study. We first compare self-rated memory with a number of well-established memory tests and then investigate the role of sociodemographic factors in determining self-reports conditional on memory test performance. We find that self-rated memory is only weakly correlated with memory test performance and yields low sensitivity and specificity in detecting individuals with relatively poor memory test performance. We also find evidence for substantial differential item functioning across sociodemographic groups. Our results, therefore, caution against the use of simple self-rated memory measures for memory assessments in primary care or survey research.
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Affiliation(s)
- Zhiyong Huang
- Southwestern University of Finance and Economics, Chengdu, China
| | - Jürgen Maurer
- University of Lausanne, Lausanne, Switzerland.,Swiss School of Public Health+, Zürich, Switzerland.,RAND Corporation, Washington, DC, USA.,University of Southern California, Los Angeles, CA, USA.,Max Planck Institute for Social Law and Social Policy, Munich, Germany.,University of York, York, UK
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11
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van Berckel MMG, Bosma NH, Hageman MGJS, Ring D, Vranceanu AM. The Correlation Between a Numerical Rating Scale of Patient Satisfaction With Current Management of an Upper Extremity Disorder and a General Measure of Satisfaction With the Medical Visit. Hand (N Y) 2017; 12:202-206. [PMID: 28344535 PMCID: PMC5349416 DOI: 10.1177/1558944716662019] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Background: Patient satisfaction is used as an indicator of quality of care, but the measures currently available are lengthy and cumbersome and may not be feasible in orthopedic surgical practices. We set out to assess the relationship between the Medical Interview Satisfaction Scale (MISS-21) and a numerical rating scale (NRS) of patient satisfaction with current management of an orthopedic upper extremity condition. Methods: In this cross-sectional study, 86 patients from the practices of 2 hand surgeons were included during an initial or follow-up visit. Questionnaires assessing demographics, upper extremity specific disability, pain during rest and activity, satisfaction with the medical visits (MISS-21), and satisfaction with current management of an orthopedic upper extremity condition (NRS satisfaction) were completed. Results: Eighty-six patients completed all questionnaires. A small correlation of .21 (P = .050) was found between the MISS-21 and the NRS satisfaction. In bivariate analysis, NRS pain at rest and during activity had small correlations with the MISS-21 (-.29, P = .05 and -.23, P = .034) and with NRS satisfaction (-.27, P = .011 and -0.27, P = 0.012). Quick Disability of Arm, Shoulder and Hand (QuickDASH) had a small correlation with NRS satisfaction (-0.023, P ≤ 0.001), but did not correlate with MISS-21. Conclusions: Although there is small overlap about the 2 satisfaction measures, a complex patient satisfaction questionnaire consisting of multiple facets of patient satisfaction like MISS-21 is not replaceable by 1 simple NRS patient satisfaction question.
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Affiliation(s)
- Marijn M. G. van Berckel
- Hand and Upper Extremity Service, Department of Orthopedic Surgery, Massachusetts General Hospital, Boston, USA
| | - Niels H. Bosma
- Hand and Upper Extremity Service, Department of Orthopedic Surgery, Massachusetts General Hospital, Boston, USA
| | - Michiel G. J. S. Hageman
- Hand and Upper Extremity Service, Department of Orthopedic Surgery, Massachusetts General Hospital, Boston, USA
| | - David Ring
- Department of Orthopedic Surgery, Dell Medical School, Austin, TX, USA
| | - Ana-Maria Vranceanu
- Hand and Upper Extremity Service, Department of Orthopedic Surgery, Massachusetts General Hospital, Boston, USA
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12
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Feng Q, Zhu H, Zhen Z, Gu D. Self-Rated Health, Interviewer-Rated Health, and Their Predictive Powers on Mortality in Old Age. J Gerontol B Psychol Sci Soc Sci 2016; 71:538-50. [PMID: 25617400 PMCID: PMC6366535 DOI: 10.1093/geronb/gbu186] [Citation(s) in RCA: 43] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2014] [Accepted: 12/08/2014] [Indexed: 11/12/2022] Open
Abstract
OBJECTIVES This study examines the potential use of interviewer-rated health (IRH) as a complementary measure of self-rated health (SRH) through a systematic comparison of their components and mortality-predictive powers in the Chinese elderly population. METHODS This study used a nationwide dataset with more than 12,000 adults aged 65 or older drawn from the 2005 and 2008 waves of the Chinese Longitudinal Health Longevity Survey (CLHLS). RESULTS Disability, cognitive function, chronic disease conditions, psychological well-being, and health behaviors influenced both the SRH and IRH of Chinese older adults; these factors, especially disabilities, explained a large portion of the association between SRH and mortality. However, the impact of these factors on the association between IRH and mortality was limited. Furthermore, when both SRH and IRH were included in the analytical models, the association between SRH and mortality disappeared, while the association between IRH and mortality still persisted. DISCUSSION Although there is some difference between IRH and SRH, IRH captures similar health information as SRH and is strongly predictive of mortality independent of SRH; thus, IRH could be a good supplementary measurement for well-adopted SRH.
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Affiliation(s)
- Qiushi Feng
- Department of Sociology, National University of Singapore, Singapore
| | - Haiyan Zhu
- Department of Sociology, Virginia Polytechnic Institute and State University, Blacksburg
| | - Zhihong Zhen
- Department of Sociology, Shanghai University, Shanghai, China
| | - Danan Gu
- United Nations Population Division, New York, New York. :
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13
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Wehby GL, Jones MP, Ullrich F, Lou Y, Wolinsky FD. Does the Relationship of the Proxy to the Target Person Affect the Concordance between Survey Reports and Medicare Claims Measures of Health Services Use? Health Serv Res 2015; 51:314-27. [PMID: 26059195 DOI: 10.1111/1475-6773.12321] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
OBJECTIVES To compare concordance of survey reports of health service use versus claims data between self respondents and spousal and nonspousal relative proxies. DATA SOURCES 1995-2010 data from the Survey on Assets and Health Dynamics among the Oldest Old and 1993-2010 Medicare claims for 3,229 individuals (13,488 person-years). STUDY DESIGN Regression models with individual fixed effects were estimated for discordance of any hospitalizations and outpatient surgery and for the numbers of under- and over-reported physician visits. PRINCIPAL FINDINGS Spousal proxies were similar to self respondents on discordance. Nonspousal proxies, particularly daughters/daughters-in-law and sons/sons-in-law, had less discordance, mainly due to reduced under-reporting. CONCLUSIONS Survey reports of health services use from nonspousal relatives are more consistent with Medicare claims than spousal proxies and self respondents.
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Affiliation(s)
- George L Wehby
- Departments of Health Management and Policy, Economics, and Preventive & Community Dentistry, and Public Policy Center, University of Iowa, 145 N. Riverside Dr., 100 College of Public Health Bldg., Room N248, Iowa City, IA, 52242-2007.,Health Economics Group at the National Bureau of Economic Research, Cambridge, MA
| | - Michael P Jones
- Department of Biostatistics, College of Public Health, University of Iowa, Iowa City, IA
| | - Fred Ullrich
- College of Public Health, University of Iowa, Iowa City, IA
| | - Yiyue Lou
- Department of Biostatistics, College of Public Health, University of Iowa, Iowa City, IA
| | - Fredric D Wolinsky
- Department of Health Management and Policy, College of Public Health, University of Iowa, Iowa City, IA
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Vogelsang EM. Self-rated health changes and oldest-old mortality. J Gerontol B Psychol Sci Soc Sci 2014; 69:612-21. [PMID: 24589929 DOI: 10.1093/geronb/gbu013] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVES This study explores how 2 measures of self-rated health (SRH) change are related to mortality among oldest-old adults. In doing so, it also considers how associations between SRH and mortality may depend on prior SRH. METHOD Data come from the Asset and Health Dynamics survey--the oldest-old portion of the Health and Retirement Study-and follow 6,233 individuals across 13 years. I use parametric hazard models to examine relationships between death and 2 measures of short-term SRH change--a computed measure comparing SRH at time t-1 and t, and a respondent-provided retrospectively reported change. RESULTS Respondents who demonstrate or report any SRH change between survey waves died at a greater rate than those with consistent SRH. After controlling for morbidity, individual characteristics, and SRH, those who changed SRH categories between survey waves and those who retrospectively reported an improvement in health continue to have a greater risk of death, when compared with those with no change. DISCUSSION These findings suggest that the well-established associations between SRH status and mortality may understate the risk of death for oldest-old individuals with recent subjective health improvements.
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Affiliation(s)
- Eric M Vogelsang
- Department of Sociology and Center for Demography and Ecology, University of Wisconsin-Madison.
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15
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Ayalon L, Green O. Live-In Versus Live-Out Home Care in Israel: Satisfaction With Services and Caregivers’ Outcomes. THE GERONTOLOGIST 2013; 55:628-42. [DOI: 10.1093/geront/gnt122] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2013] [Accepted: 09/03/2013] [Indexed: 11/14/2022] Open
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16
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Macro- and micro-level predictors of age categorization: results from the European Social Survey. Eur J Ageing 2013; 11:5-18. [PMID: 28804310 DOI: 10.1007/s10433-013-0282-8] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
Abstract
This study evaluated macro- and micro-level variables associated with individuals' perception of the ending of youth, the beginning of old age, and the length of the middle age period. The European Social Survey is a biennial multi-country, cross-sectional survey. Our analysis is based on the fourth wave, which included a rotating module on ageism. The source sample consisted of 28 countries and a total of 54,988 respondents. Whereas macro-level variability accounted for 14 % of the variance associated with the perception of the ending of youth, only 5.7 % of the variance associated with the perception of the beginning of old age was accounted for by macro-level variability. Almost 10 % of the variance associated with the perception of the middle age period was associated with macro-level variability. Different patterns of macro- and micro-level correlates emerged for the ending of youth, beginning of old age, and the period of middle age. Overall, results demonstrate that individual differences in the perception of the ending of youth, the beginning of old age, and the length of the middle age period are more pronounced than contextual differences. Results also suggest that individuals' mental maps regarding the timing of these events are not necessarily concordant.
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17
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Brignol A, Al-Ani T, Drouot X. Phase space and power spectral approaches for EEG-based automatic sleep-wake classification in humans: a comparative study using short and standard epoch lengths. COMPUTER METHODS AND PROGRAMS IN BIOMEDICINE 2013; 109:227-238. [PMID: 23164523 DOI: 10.1016/j.cmpb.2012.10.002] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/19/2012] [Revised: 09/24/2012] [Accepted: 10/01/2012] [Indexed: 06/01/2023]
Abstract
Sleep disorders in humans have become a public health issue in recent years. Sleep can be analysed by studying the electroencephalogram (EEG) recorded during a night's sleep. Alternating between sleep-wake stages gives information related to the sleep quality and quantity since this alternating pattern is highly affected during sleep disorders. Spectral composition of EEG signals varies according to sleep stages, alternating phases of high energy associated to low frequency (deep sleep) with periods of low energy associated to high frequency (wake and light sleep). The analysis of sleep in humans is usually made on periods (epochs) of 30-s length according to the original Rechtschaffen and Kales sleep scoring manual. In this work, we propose a new phase space-based (mainly based on Poincaré plot) algorithm for automatic classification of sleep-wake states in humans using EEG data gathered over relatively short-time periods. The effectiveness of our approach is demonstrated through a series of experiments involving EEG data from seven healthy adult female subjects and was tested on epoch lengths ranging from 3-s to 30-s. The performance of our phase space approach was compared to a 2-dimensional state space approach using the power spectral (PS) in two selected human-specific frequency bands. These powers were calculated by dividing integrated spectral amplitudes at selected human-specific frequency bands. The comparison demonstrated that the phase space approach gives better performance in the case of short as well as standard 30-s epoch lengths.
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Affiliation(s)
- Arnaud Brignol
- Département Informatique, ESIEE-Paris, Cité Descartes-BP 99, 93162 Noisy-Le-Grand, France
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18
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MacPherson P, Corbett EL, Makombe SD, van Oosterhout JJ, Manda E, Choko AT, Thindwa D, Squire SB, Mann GH, Lalloo DG. Determinants and consequences of failure of linkage to antiretroviral therapy at primary care level in Blantyre, Malawi: a prospective cohort study. PLoS One 2012; 7:e44794. [PMID: 22984560 PMCID: PMC3439373 DOI: 10.1371/journal.pone.0044794] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2012] [Accepted: 08/14/2012] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND Poor rates of linkage from HIV diagnosis to ART initiation are a major barrier to universal coverage of ART in sub-Saharan Africa, with reasons for failure poorly understood. In the first study of this kind at primary care level, we investigated the pathway to care in the Malawian National Programme, one of the strongest in Africa. METHODS AND FINDINGS A prospective cohort study was undertaken at two primary care clinics in Blantyre, Malawi. Newly diagnosed HIV-positive adults (>15 years) were followed for 6-months to assess completion of eligibility assessments, initiation of ART and death. Two hundred and eighty participants were followed for 82.6 patient-years. ART eligibility assessments were problematic: only 134 (47.9%) received same day WHO staging and 121 (53.2%) completed assessments by 6-months. Completion of CD4 measurement (stage 1/2 only) was 81/153 (52.9%). By 6-months, 87/280 (31.1%) had initiated ART with higher uptake in participants who were ART eligible (68/91, 74.7%), and among participants who received same-day staging (52/134 [38.8%] vs. 35/146 [24.0%] p = 0.007). Non-completion of ART eligibility assessments (adjusted hazard ratio: 0.11, 95% CI: 0.06-0.21) was associated with failure to initiate ART. Retention in pre-ART care for non-ART initiators was low (55/193 [28.5%]). Of the 15 (5.4%) deaths, 11 (73.3%) occurred after ART initiation. CONCLUSIONS Although uptake of ART was high and prompt for patients with known eligibility, there was frequent failure to complete eligibility assessment and poor retention in pre-ART care. HIV care programmes should urgently evaluate the way patients are linked to ART. In particular, there is a critical need for simplified, same-day ART eligibility assessments, reduced requirements for hospital visits, and active defaulter follow-up.
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Affiliation(s)
- Peter MacPherson
- Clinical Group, Liverpool School of Tropical Medicine, Liverpool, Merseyside, United Kingdom.
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Vuorisalmi M, Sarkeala T, Hervonen A, Jylhä M. Among nonagenarians, congruence between self-rated and proxy-rated health was low but both predicted mortality. J Clin Epidemiol 2012; 65:553-9. [DOI: 10.1016/j.jclinepi.2011.11.001] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2011] [Revised: 11/07/2011] [Accepted: 11/08/2011] [Indexed: 11/15/2022]
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