Self-rated health in multimorbid older general practice patients: a cross-sectional study in Germany

BMC Family Practice

Research Article

Siegfried Weyerer¹  Hans-Helmut König²  Horst Bickel³  Anna Nützel³  Wolfgang Maier⁴  Birgitt Wiese⁵  Steffi Riedel-Heller⁶  Angela Fuchs⁷  Anne Dahlhaus⁸  Jochen Gensichen⁹  Gerhard Schön^1,10  Hendrik van den Bussche^1,11  Martin Scherer^1,11  Ingmar Schäfer^1,11 

[1] Central Institute of Mental Health, Medical Faculty Mannheim/Heidelberg University, Mannheim, Germany;Department of Medical Sociology and Health Economics, University Medical Medical Center Hamburg-Eppendorf, Hamburg, Germany;Department of Psychiatry and Psychotherapy, Technical University of Munich, Munich, Germany;Department of Psychiatry and Psychotherapy, University of Bonn, Bonn, Germany;Institute for Biometry, Hannover Medical School, Hannover, Germany;Institute for Social Medicine, Occupational Health and Public Health, University of Leipzig, Leipzig, Germany;Institute of General Practice, University of Düsseldorf, Düsseldorf, Germany;Institute of General Practice, University of Frankfurt/Main, Frankfurt, Germany;Institute of General Practice, University of Jena, Jena, Germany;Institute of Medical Biometry and Epidemiology, University Medical Center Hamburg-Eppendorf, Hamburg-Eppendorf, Germany;Institute of Primary Medical Care, University Medical Center Hamburg-Eppendorf, Hamburg, Germany;

关键词: Quality of life;    Self-assessment;    Chronic disease;    Depression;    Pain;    Functionally- impaired elderly;    General practice;   

DOI  :  10.1186/1471-2296-15-1

 received in 2013-05-24, accepted in 2013-12-17,  发布年份 2014

来源: Springer

【 摘 要 】

BackgroundWith increasing life expectancy the number of people affected by multimorbidity rises. Knowledge of factors associated with health-related quality of life in multimorbid people is scarce. We aimed to identify the factors that are associated with self-rated health (SRH) in aged multimorbid primary care patients.MethodsCross-sectional study with 3,189 multimorbid primary care patients aged from 65 to 85 years recruited in 158 general practices in 8 study centers in Germany. Information about morbidity, risk factors, resources, functional status and socio-economic data were collected in face-to-face interviews. Factors associated with SRH were identified by multivariable regression analyses.ResultsDepression, somatization, pain, limitations of instrumental activities (iADL), age, distress and Body Mass Index (BMI) were inversely related with SRH. Higher levels of physical activity, income and self-efficacy expectation had a positive association with SRH. The only chronic diseases remaining in the final model were Parkinson’s disease and neuropathies. The final model accounted for 35% variance of SRH. Separate analyses for men and women detected some similarities; however, gender specific variation existed for several factors.ConclusionIn multimorbid patients symptoms and consequences of diseases such as pain and activity limitations, as well as depression, seem to be far stronger associated with SRH than the diseases themselves. High income and self-efficacy expectation are independently associated with better SRH and high BMI and age with low SRH.Trial registrationMultiCare Cohort study registration:ISRCTN89818205.

【 授权许可】

CC BY   
© Nützel et al.; licensee BioMed Central Ltd. 2014