Socioeconomic Status and Age Variations in Health-Related Quality of Life: Results From the National Health Measurement Study

Robert, Stephanie A.; Cherepanov, Dasha; Palta, Mari; Dunham, Nancy Cross; Feeny, David; Fryback, Dennis G.

doi:10.1093/geronb/gbp012

Cited by 132 publications

(131 citation statements)

References 48 publications

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“…Positive self-rated health was associated with male gender, corroborating previous studies 31,32 . The aging process is marked by differences in health status between men and women, which may result from a combination of biological, social, and behavioral factors, leading to different perceptions of health status 33,34 .…”

Section: Discussionsupporting

confidence: 90%

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

et al. 2015

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Section: Discussionsupporting

confidence: 90%

“…Individuals with more schooling and higher income are known to have more access to information, leading to the adoption of healthy habits like adequate, balanced diet and regular physical activity 37 . Elderly with more schooling thus have better health-related quality of life 31 and therefore better self-rated health.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2015

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“…Esses achados condizem com o que foi encontrado em estudos prévios, mostrando que essas variáveis exercem fortes influências sobre a avaliação subjetiva de saúde. 5,17 Observa-se que as avaliações positivas tendem a ser superiores às negativas em maior proporção do que quando essa medida é tomada sem se fazer referência direta à comparação social. 4,18 Proposições advindas da literatura gerontológica apontam para a possibilidade de que haja crenças negativas compartilhadas a respeito da velhice, e, assim, ao se comparar com outros indivíduos considerados idosos, julgam-se em condições melhores de saúde do que os demais.…”

Section: Discussionunclassified

The association between self-rated health and functional capacity indicators

Belmonte¹,

Pivetta²,

Batistoni³

et al. 2017

Geriatr., Gerontol. Aging

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a RESUMOOBJETIVO: Analisar a autoavaliação de saúde e identificar suas relações com a capacidade funcional e as medidas objetivas de força muscular e mobilidade em amostra idosa residente na comunidade. MÉTODO: Estudo transversal de base populacional com dados provenientes do banco eletrônico do Estudo de Fragilidade em Idosos Brasileiros (Fibra), realizado entre os anos de 2008 e 2009, em que foram recrutados 2.558 idosos da comunidade, residentes na área urbana. A variável dependente foi a autoavaliação de saúde comparada aos pares etários na velhice. As razões de chances, ajustadas pelas variáveis sociodemográficas e de saúde, foram estimadas por meio de regressão logística multinomial. As análises foram conduzidas no programa Stata 14.0. RESULTADOS: A média de idade dos idosos foi de 72,3 anos (DP ± 5,5), e 65,6% eram mulheres. Quando comparados a alguém da mesma idade, 70,2% avaliaram a sua saúde como melhor, 23,4% como igual e 6,4% como pior. Pelo modelo de regressão, verificou-se, no modelo ajustado, diferença estatisticamente significativa em relação à autoavaliação da saúde -sendo pior nos idosos dependentes nas atividades instrumentais (OR = 2,19; IC95% 1,22-3,92) e com menor força de preensão (OR = 0,96; IC95% 0,93-0,99). Avaliar a saúde como melhor apresentou diferença significativa com a velocidade de marcha (OR = 0,88; IC95% 0,81-0,94). CONCLUSÃO: Foram encontradas associações da autoavaliação de saúde e atividades instrumentais de vida diária, velocidade de marcha e força de preensão. Esses resultados reforçam a funcionalidade como um importante indicador de saúde, além de proporcionar a ampliação da abordagem da autoavaliação de saúde incluindo critérios de comparação social. PALAVRAS-CHAVE: saúde do idoso; autoavaliação; atividades cotidianas; idoso; prevalência. ABSTRACT OBJECTIVE:To evaluate self-rated health and to identify its relationship with functional capacity, objective measures of muscle strength, and mobility in a sample of community-dwelling elderly adults. METHOD: A cross-sectional, population-based study using data from the "Fragility Study on Brazilian Elderly" (Fibra) electronic database, carried out between 2008 and 2009, in which 2,558 community-dwelling elderly were recruited. The dependent variable was self-rated health compared with peers of the same age, among the elderly. The odd ratios were adjusted for sociodemographic and health variables and were estimated through multinomial logistic regression. The analyses were carried out using the program Stata 14.0. RESULTS: The average age of the elderly participants was 72.3 years old (SD ± 5.5) and 65.6% of them were women. When comparing with someone of the same age, 70.2% of the participants rated their health as better than the other's; 23.4% of them rated it as equal, and 6.4% of the elderly rated it as worse. The adjusted regression model showed that the odd ratios were more important when rating health as worse among the elderly participants who were dependent on instrumental activities (OR = 2.19; 95%CI 1.22-3.92) and h...

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“…Further, these women were insured by Medicaid and thus had limited financial resources; the lack of differences may reflect the well-documented effect of socioeconomic status on overall health. 27 There are two important clinical implications for family physicians. First, if a patient presents with significant symptoms of anxiety, depression, or PTSD, a thorough abuse history may be warranted to provide comprehensive health care for women.…”

Section: Discussionmentioning

confidence: 99%

Abuse, Outpatient Charges and Utilization, and Psychiatric Symptoms among Urban Women on Medicaid

Porcerelli¹,

Cogan²,

Markova

et al. 2010

The Journal of the American Board of Family Medicine

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Background: Adult and childhood sexual and physical abuse are common and intertwined. Our objectives were to assess (1) the relationship between different forms of abuse; (2) outpatient charges and hospital and emergency department use among women with and without childhood and adult abuse; (3) psychiatric symptoms of women with and without childhood and adult abuse; and (4) the relationship between psychiatric symptoms and outpatient charges and hospital and emergency department use among a group of Medicaid-insured women seeking outpatient services in a primary care setting.Methods: We recruited female primary care patients for this cross-sectional study. Women reported childhood and adult sexual and physical abuse and anxiety, depression, and posttraumatic stress symptoms. We assessed outpatient charges through reviews of clinic records. Patients reported hospital and emergency department use.Results: Childhood and adult sexual and physical abuse were highly interrelated. Adult sexual abuse showed a trend toward significantly greater outpatient charges. Women who had experienced physical abuse during childhood had more emergency department visits and women who experienced physical abuse as an adult had more days of hospitalization. Childhood and adult sexual abuse were both related to higher levels of anxiety, depression, and posttraumatic stress symptoms. Anxiety, depression, and posttraumatic stress symptoms were related to higher outpatient charges. Depression and posttraumatic stress symptoms were related to greater emergency department use.Conclusions: Women who experience abuse often have psychiatric symptoms. In our sample it was the severity of psychiatric symptoms rather than reported abuse alone that was related to outpatient charges and emergency department visits. (J Am Board Fam Med 2010;23:363-370.)

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Socioeconomic Status and Age Variations in Health-Related Quality of Life: Results From the National Health Measurement Study

Abstract: Significant improvements in HRQoL at the population level will only be possible if we improve the HRQoL of people at the lowest end of the socioeconomic distribution.

Cited by 132 publications

References 48 publications

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

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

The association between self-rated health and functional capacity indicators

Abuse, Outpatient Charges and Utilization, and Psychiatric Symptoms among Urban Women on Medicaid

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