Unterschiede in Kognition, Depressivität und gesundheitsbezogener Lebensqualität zwischen Versicherten der GKV und PKV im hohen Alter

Bock, Jens‐Oliver; Hajek, André; Lühmann, Dagmar; Ernst, Andrej; Mamone, Silke; Wiese, Birgitt; Weyerer, Siegfried; Werle, Jochen; Pentzek, Michael; Fuchs, Ângela; Stein, Janine; Luck, Tobias; Bickel, Horst; Weeg, Dagmar; Wagner, Michael; Scherer, Martin; Riedel‐Heller, Steffi G.; Maier, Wolfgang; König, Hans‐Helmut

doi:10.1055/s-0042-116219

Cited by 5 publications

(4 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Refusal to participate and death were the main reasons for the drop off. More details were presented elsewhere [32, 33]. In our analytical sample, n = 1,440 observations were used (which equals 624 individuals).…”

Section: Methodsmentioning

confidence: 99%

Social Support and Functional Decline in the Oldest Old

et al. 2021

Self Cite

View full text Add to dashboard Cite

Objective: Longitudinal studies investigating the link between social support and functional decline are limited among the oldest old. Thus, the aim of this study was to examine whether changes in social support are associated with functional decline among the oldest old longitudinally using panel regression models. Methods: Longitudinal data from 3 waves (waves 7, 8, and 9) of a multicenter prospective cohort study covering primary care patients aged ≥85 years were used. In the analytical sample, n equaled 624 individuals. The validated Lawton and Brody Instrumental Activities of Daily Living (IADL) scale and the well-established Barthel Index (ADL) were used to quantify functional status. The psychometrically sound Lubben Social Network Scale was used to measure social support. Several potential confounders such as age, marital status, cognitive decline, or depressive symptoms were included in the fixed effects (FE) regression models. Results: Linear FE regressions showed that a decrease in social support is associated with functional decline (IADL: β = 0.03, p < 0.05; ADL: β = 0.27, p < 0.05) in men but not in women. With IADL as outcome measure, the interaction term (sex × social support) achieved statistical significance (p < 0.01). With regard to covariates, functional decline (IADL and ADL) was consistently associated with increasing age, an increase in the number of chronic conditions (except for women [ADL]), and cognitive decline (except for men [ADL]). Furthermore, functional decline (ADL) was associated with an increase in depressive symptoms. Discussion: Our findings highlight the meaning of social support for functional status among the oldest old. Finding ways to sustain social support in highest age may be a promising approach in order to postpone functional decline.

show abstract

Section: Methodsmentioning

confidence: 99%

Social Support and Functional Decline in the Oldest Old

et al. 2021

Self Cite

View full text Add to dashboard Cite

show abstract

“…Generally, various studies have investigated the determinants of health-related quality of life (HRQOL) among individuals in old age [ 2 – 4 ]. Studies also exist investigating the association between HRQOL and driving restrictions in late life [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Driving status and health-related quality of life among the oldest old: a population-based examination using data from the AgeCoDe–AgeQualiDe prospective cohort study

et al. 2020

Self Cite

View full text Add to dashboard Cite

Background It is almost unknown whether the driving status is associated with HRQOL among individuals in highest age. Aims Based on a multicenter prospective cohort study, the objective of this study was to examine whether the driving status is associated with health-related quality of life (HRQOL) among the oldest old in Germany. Methods Cross-sectional data from follow-up wave 9 (n = 544) were derived from the “Study on Needs, health service use, costs and health-related quality of life in a large sample of oldest-old primary care patients (85+)” (AgeQualiDe). Average age was 90.3 years (± 2.7; 86 to 101 years). The current driver status (no; yes) was used in our analysis. The EuroQoL EQ-5D questionnaire was used to assess HRQOL in this study. Results Regression analysis showed that being a current driver was associated with the absence of problems in ‘self-care’ [OR 0.41 (95%-CI 0.17 to 0.98)], and ‘usual activities’ [OR 0.48 (0.26 to 0.90)], whereas it was not significantly associated with problems in ‘pain/discomfort’ [OR 0.82 (0.47 to 1.45)] and ‘anxiety/depression’ [OR 0.71 (0.36 to 1.39)]. Being a current driver was marginally significantly associated with the absence of problems in ‘mobility’ [OR 0.60 (0.34 to 1.06)]. While being a current driver was not associated with the EQ-VAS in the main model, it was positively associated with the driving status (β = 5.00, p < .05) when functional impairment was removed from the main model. Discussion Our findings provide first evidence for an association between driving status and HRQOL among the oldest old. Conclusions Future longitudinal studies are required to evaluate a possible causal relationship between driving status and HRQOL in very old individuals.

show abstract

“…the regression models showed that there was no any statistically significant differences among cognitive function, less depressive symptoms and better HRQoL among participants in private health insurance. [ 27 ] Also, Strine et al . showed that besides health behaviors, HRQoL is positively correlated with levels of life satisfaction.…”

Section: Discussionmentioning

confidence: 99%

Life and health satisfaction and their association toward health-related quality of life, body mass index and chronic diseases in Iran

Karyani

Gebru

Dizaj

et al. 2019

J Edu Health Promot

View full text Add to dashboard Cite

Unterschiede in Kognition, Depressivität und gesundheitsbezogener Lebensqualität zwischen Versicherten der GKV und PKV im hohen Alter

Abstract: There are no differences between members of private health insurance and SHI regarding cognitive function, depressive symptoms and health-related quality of life in very old age.

Cited by 5 publications

References 23 publications

Social Support and Functional Decline in the Oldest Old

Social Support and Functional Decline in the Oldest Old

Driving status and health-related quality of life among the oldest old: a population-based examination using data from the AgeCoDe–AgeQualiDe prospective cohort study

Life and health satisfaction and their association toward health-related quality of life, body mass index and chronic diseases in Iran

Contact Info

Product

Resources

About