Self‐rated health and associated factors among older people living alone in <scp>S</scp>hanghai

Chen, Yu; While, Alison; Hicks, Allan

doi:10.1111/ggi.12298

Cited by 41 publications

(42 citation statements)

References 48 publications

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“…Culture, lifestyle, environment, and disease patterns were all different in different cities, 26,27 which may also potentially influence both SRH and heart disease. [28][29][30][31][32][33] However, positive associations existed across all subgroups, and SRH may be a reliable measurement for predicting IHD risk.…”

Section: Discussionmentioning

confidence: 99%

Self‐Rated Health Status and Risk of Ischemic Heart Disease in the China Kadoorie Biobank Study: A Population‐Based Cohort Study

Dong

Pan

Yu³

et al. 2017

JAHA

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BackgroundSelf‐rated health (SRH) is a strong predictor of mortality in different populations. However, the associations between SRH measures and risk of ischemic heart disease (IHD) have not been extensively explored, especially in a Chinese population.Methods and ResultsMore than 500 000 adults from 10 cities in China were followed from baseline (2004–2008) through December 31, 2013. Global and age‐comparative SRH were reported from baseline questionnaires. Incident IHD cases were identified through links to well‐established disease registry systems and the national health insurance system. During 3 423 542 person‐years of follow‐up, we identified 24 705 incident cases of IHD. In multivariable‐adjusted models, both global and age‐comparative SRH was significantly associated with incident IHD. Compared with excellent SRH, the hazard ratios for good, fair, and poor SRH were 1.02 (95% confidence interval [CI], 0.98–1.07), 1.32 (95% CI, 1.27–1.37), and 1.76 (95% CI, 1.68–1.85), respectively. Compared with better age‐comparative SRH, the hazard ratios for same and worse age‐comparative SRH were 1.23 (95% CI, 1.19–1.27) and 1.78 (95% CI, 1.70–1.86), respectively. The associations persisted in all subgroup analyses, although they were slightly modified by study location, education, and income levels.ConclusionsA simple questionnaire for self‐assessment of health status was significantly associated with incident IHD in Chinese adults. Individuals and healthcare providers can use SRH measures as a convenient tool for assessing future IHD risk.

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Section: Discussionmentioning

confidence: 99%

Self‐Rated Health Status and Risk of Ischemic Heart Disease in the China Kadoorie Biobank Study: A Population‐Based Cohort Study

Dong

Pan

Yu³

et al. 2017

JAHA

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“…Prevalence rates for positive self-rated health among Brazilian population-based studies varied from 24.7 to 89.1% 1,4,7 , while in international studies they varied from 35.7% to 63% 8,9,10 .…”

Section: Saúde Do Idoso; Autoavaliação; Estudos Transversaismentioning

confidence: 93%

Autopercepção positiva de saúde em idosos: estudo populacional no Sul do Brasil

et al. 2015

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“…A single item is a commonly used method to assess people's overall perceptions of their health. It is recommended because participants find it easier to understand and it minimises the research burden (Chen et al, ).…”

Section: Methodsmentioning

confidence: 99%

“…Further most of the studies were conducted in Western countries, in Hong Kong or Taiwan with only a few conducted in Mainland China. One study explored the SRH (Chen, While, & Hicks, ), loneliness and social support (Chen, Hicks, & While, ) of older people living alone in Shanghai, China and found that few older people considered themselves in poor health, but they reported a moderate level of loneliness and a low level of social support. However, the sample was from an economically deprived and agriculture‐dominated district.…”

Section: Introductionmentioning

confidence: 99%

Older people living alone in Shanghai: A questionnaire survey of their life experience

Chen

While

2018

Health Soc Care Community

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Globally the number of older people living alone is increasing. Little is known about the life experience of older people living alone in Mainland China. This study aimed to explore older people's experience regarding different components of their lives. A cross-sectional survey of 387 older people aged 60 years and above and living alone in two communities in Shanghai was conducted from April to July 2015. A structured questionnaire including 15-item Geriatric Depression Scale, Activity of Daily Living Scale, UCLA Loneliness Scale version 3, Social Support Rate Scale and Older People's Quality of Life Questionnaire was used to assess the health status, loneliness, social support, quality of life and demographic information. A total of 15.7% of the participants rated their health as poor with 56.8% reporting chronic diseases and 26.9% reporting being depressed. A total of 71.1% of the participants reported a high level of functional ability. However, 54.3% and 21.7% of the participants reported a moderately and moderately high level of loneliness respectively. The median of SSRS was 30 and the mean of Older People's Quality of Life Questionnaire was 120.2, indicating a lower level of social support and quality of life. There were statistically significant differences in health, loneliness, social support and quality of life across the participants with different characteristics. Interventions to improve the health status, reduce loneliness, increase social support and maintain or improve quality of life of older people living alone in Shanghai could be developed and implemented. Potential interventions include providing frequent home care services, early detection of depression, encouraging more contacts from children and other family members, and providing support from other sources.

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Self‐rated health and associated factors among older people living alone in Shanghai

Abstract: Identifying factors associated with the self-rated health of older people living alone could inform the delivery of appropriate health and social care interventions to promote older people's health.

Cited by 41 publications

References 48 publications

Self‐Rated Health Status and Risk of Ischemic Heart Disease in the China Kadoorie Biobank Study: A Population‐Based Cohort Study

Self‐Rated Health Status and Risk of Ischemic Heart Disease in the China Kadoorie Biobank Study: A Population‐Based Cohort Study

Autopercepção positiva de saúde em idosos: estudo populacional no Sul do Brasil

Older people living alone in Shanghai: A questionnaire survey of their life experience

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