Analysis of factors influencing self-rated health among older persons: synthesis of the biomedical literature

Costa, Elise Mendes da; Godin, Isabelle; Pepersack, Thierry; Coppieters, Yves; Lévêque, Alain

doi:10.1684/pnv.2013.0431

Cited by 2 publications

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“…It has been demonstrated to have a significant association with the risk of diseases, such as depression [2] and type 2 diabetes [11], and/or decreased activity performance [1] in both adults [2, 11] and the elderly [1]. Recently, there have been several systematic reviews of the literature examining SRH with the elderly [12, 13], indigenous people [14], and adults in general [15]. Systematic reviews of the associations between SRH and relevant outcomes, such as mortality [16, 17], can also be found.…”

Section: Introductionmentioning

confidence: 99%

Self-rated health after stroke: a systematic review of the literature

et al. 2019

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Background Self-rated health (SRH) allows for comparison and identification of the health status of various populations. The aim of this study was to conduct a systematic review of the literature to expand the understanding of SRH after stroke. Methods This systematic review was registered with PROSPERO (CRD42017056194) and conducted according to PRISMA guidelines. Studies published until December 2018 that evaluated the SRH of adults with stroke were included. Results Of the 2132 identified studies, 51 were included. Only four studies had experimental designs (7.8%). In 60.7% of the studies, SRH was assessed by variations on direct questions (i.e., general and comparative SRH). Analog visual scales and quality of life instruments were also used to evaluate SRH, but there is no consensus regarding whether they are appropriate for this purpose. The results of cross-sectional and longitudinal studies revealed significant associations between poor SRH and stroke as well as between SRH, function, and disability. The power of SRH to predict stroke mortality is still uncertain. Two interventions (a home-based psychoeducational program concerning stroke health care and family involvement in functional rehabilitation) effectively improved SRH. Conclusions Direct questions are the most common method of evaluating SRH after stroke. Studies reported significant associations between the SRH of individuals with stroke and several relevant health outcomes. However, few experimental studies have evaluated SRH after stroke. Interventions involving health education and family involvement had a significant impact on SRH.

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Section: Introductionmentioning

confidence: 99%

Self-rated health after stroke: a systematic review of the literature

et al. 2019

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Health Self-Awareness in Senior Citizens: Focus on Physical, Emotional and Cognitive Health

Banhato¹,

Ribeiro²,

Guedes³

et al. 2015

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Senior people usually express high levels of satisfaction and quality of life, even though they may be facing comorbidities and disabilities. This is an evidence of how unreliable quantitative measures, taken alone, can be when trying to understand the health levels of this population. Health self-awareness has been widely used in order to assess the health of old people. The present study describes how a sample of Brazilian senior citizens assesses their general health and verifies the relationship between negative health self-awareness and social-demographic factors as well as physical, emotional and cognitive impairment in this population. There were 427 senior subjects in the sample aged 65 or more from both genders. The primary outcome was assessed by the question: "on the whole, how do you assess your health?". This variable was divided into 2 groups: positive perception (options very good and good) and negative perceptions (options fair, bad and very bad). The independent variables were: social demographic; physical aspects of health; emotional and humour aspects; and cognitive aspects. In our studies, 42.4% of seniors had negative health self-awareness. The logistic regression analyses showed that the social demographic factor could explain negative health self-awareness in 62.4% of the subjects. However, only the association with education was statistically significant (p < 0.001). Diabetes, self-referred depression and instrumental activities were statistically related to the worse health self-awareness (p = 0.01; 0.05; 0.02 and 0.05, respectively). The emotional aspect was responsible for 64.9% of the negative E. F. C. Banhato et al. 847 health self-awareness (p < 0.001), while the cognitive aspect (p = 0.052) had a predictive value of 57.6%. From the findings in the present study, it is possible to conclude functional loss and the presence of chronic diseases is not enough to explain negative health self-awareness in old people. It is important to take into account education and the presence of depressive symptoms.

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Analysis of factors influencing self-rated health among older persons: synthesis of the biomedical literature

Cited by 2 publications

References 0 publications

Self-rated health after stroke: a systematic review of the literature

Self-rated health after stroke: a systematic review of the literature

Health Self-Awareness in Senior Citizens: Focus on Physical, Emotional and Cognitive Health

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