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Self-rated health in old age, related factors and survival: A 20-Year longitudinal study within the Silver-MONICA cohort
Department of Health, Education and Technology, Division of Nursing and Medical Technology, Luleå University of Technology, Luleå, Sweden.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Section of Sustainable Health.ORCID iD: 0000-0002-2807-1295
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Geriatric Medicine.
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2024 (English)In: Archives of gerontology and geriatrics (Print), ISSN 0167-4943, E-ISSN 1872-6976, Vol. 122, article id 105392Article in journal (Refereed) Published
Abstract [en]

Introduction: Self-rated health (SRH) offers insights into the evolving health demographics of an ageing population.

Aim: To assess change in SRH from old age to very old age and their associations with health and well-being factors, and to investigate the association between SRH and survival.

Methods: All participants in the MONICA 1999 re-examination born before 1940 (n = 1595) were included in the Silver-MONICA baseline cohort. The Silver-MONICA follow-up started in 2016 included participants in the Silver-MONICA baseline cohort aged 80 years or older. Data on SRH was available for 1561 participants at baseline with 446 of them also participating in the follow-up. The follow-up examination included a wide variety of measurements and tests.

Findings: Most participants rated their health as "Quite good" (54.5 %) at baseline. Over the study period, 42.6 % had stable SRH, 40.6 % had declined, and 16.8 % had improved. Changes in SRH were at follow-up significantly associated with age, pain, nutrition, cognition, walking aid use, self-paced gait speed, lower extremity strength, independence in activities of daily living, weekly physical exercise, outdoor activity, participation in organized activities, visiting others, morale, and depressive symptoms. SRH at baseline was significantly associated with survival (p < 0.05).

Conclusion: This study demonstrates associations between changes in SRH and a multitude of health- and wellbeing-related factors, as well as a relation between survival and SRH, accentuating their relevance within the ageing population.

Place, publisher, year, edition, pages
Elsevier, 2024. Vol. 122, article id 105392
Keywords [en]
Aged 80 and over, Aging/psychology, Diagnostic self evaluation, Longitudinal studies, Population characteristics, Self-rated health, Survival analysis
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:umu:diva-222682DOI: 10.1016/j.archger.2024.105392PubMedID: 38492492Scopus ID: 2-s2.0-85187986768OAI: oai:DiVA.org:umu-222682DiVA, id: diva2:1850062
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2016-01074Swedish Research Council, K2014-99X-22610-01-6Visare NorrNorrbotten County CouncilRegion VästerbottenSwedish Dementia CentreFoundation for the Memory of Ragnhild and Einar LundströmSwedish Society of MedicineKonung Gustaf V:s och Drottning Victorias FrimurarestiftelseAvailable from: 2024-04-09 Created: 2024-04-09 Last updated: 2024-07-02Bibliographically approved

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Dahlin Almevall, AlbinÖhlin, JerryGustafson, YngveNiklasson, JohanNordström, PeterRosendahl, ErikSöderberg, StefanOlofsson, Birgitta

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Dahlin Almevall, AlbinÖhlin, JerryGustafson, YngveNiklasson, JohanNordström, PeterRosendahl, ErikSöderberg, StefanOlofsson, Birgitta
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Department of Public Health and Clinical MedicineSection of Sustainable HealthGeriatric MedicineSection of PhysiotherapySection of MedicineDepartment of NursingOrthopaedicsDepartment of Diagnostics and Intervention
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Archives of gerontology and geriatrics (Print)
Public Health, Global Health, Social Medicine and Epidemiology

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