A protective personal factor against disability and dependence in the elderly: an ordinal regression analysis with nine geographically-defined samples from Spain

BMC Geriatrics

Research Article

Saturio Vega¹  Jordi Gascon²  Pedro Saz³  Alberto Bergareche⁴  Francisco Jose Garcia-Garcia⁵  Josep Garre-Olmo⁶  Susana Perez de las Heras⁷  Angel Rodriguez-Laso⁸  Jesus de Pedro-Cuesta⁹  Ignacio Mahillo-Fernandez⁹  Pablo Martinez-Martin⁹  Javier Virues-Ortega^1,10  Felix Bermejo-Pareja^1,11  Julian Benito-Leon^1,11  Manuel Seijo-Martinez^1,12  Fernanda Rodriguez^1,13  Manuel Fernandez-Martinez^1,14  Raimundo Mateos^1,15 

[1] Arévalo Health Centre, Avila, Spain;Dementia Diagnosis and Treatment Unit, Neurology Department, Bellvitge University Teaching Hospital, Barcelona, Spain;Department of Medicine and Psychiatry, Zaragoza University, Zaragoza, Spain;Department of Neurology, Hospital Universitario Donostia, San Sebastián Guipuzcoa, Spain;Biodonostia Research Institute, Area of Neurosciences, and CIBERNED, Carlos III Health Institute, Madrid, Spain;Geriatrics Unit. Virgen del Valle Geriatric Hospital, Toledo, Spain;Girona Biomedical Research Institute Institut d’Assistència Sanitària, Salt, Spain;Llodio Health Center, Day Medical Center, Oroityu-Getxo-Vizcaya, Spain;Madrid Regional Health Authority, Madrid, Spain;National Centre for Epidemiology and CIBERNED, Carlos III Institute of Health, Madrid, Spain;National Centre for Epidemiology and CIBERNED, Carlos III Institute of Health, Madrid, Spain;School of Psychology, The University of Auckland, Room 335B Level 3 Bldg 301 Science Centre 23 Symonds St Private Bag 92019, 1010, Auckland, New Zealand;Neurology Department, 12 de Octubre University Teaching Hospital and CIBERNED, Madrid, Spain;Neurology Unit, Salnés Hospital, Pontevedra, Spain;Neurology Unit, Segovia Hospital, Segovia, Spain;Neurology Unit, Virgen del Camino Hospital, Pamplona, Spain;Psychiatry Department, University of Santiago de Compostela, Santiago de Compostela, Spain;

关键词: Sense of coherence;    Disability;    Dependence;    Katz index;    WHODAS 2.0;   

DOI  :  10.1186/s12877-016-0409-9

 received in 2016-07-02, accepted in 2016-12-31,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundSense of Coherence (SOC) is defined as a tendency to perceive life experiences as comprehensible, manageable and meaningful. The construct is split in three major domains: Comprehensibility, Manageability, and Meaningfulness. SOC has been associated with successful coping strategies in the face of illness and traumatic events and is a predictor of self-reported and objective health in a variety of contexts. In the present study we aim to evaluate the association of SOC with disability and dependence in Spanish elders.MethodsA total of 377 participants aged 75 years or over from nine locations across Spain participated in the study (Mean age: 80.9 years; 65.3% women). SOC levels were considered independent variables in two ordinal logistic models on disability and dependence, respectively. Disability was established with the World health Organization-Disability Assessment Schedule 2.0 (36-item version), while dependence was measured with the Extended Katz Index on personal and instrumental activities of daily living. The models included personal (sex, age, social contacts, availability of an intimate confidant), environmental (municipality size, access to social resources) and health-related covariates (morbidity).ResultsHigh Meaningfulness was a strong protective factor against both disability (Odds Ratio [OR] = 0.50; 95% Confidence Interval [CI] = 0.29–0.87) and dependence (OR = 0.33; 95% CI = 0.19–0.58) while moderate and high Comprehensibility was protective for disability (OR = 0.40; 95% CI = 0.22–0.70 and OR = 0.39; 95%CI = 0.21–0.74), but not for dependence. Easy access to social and health resources was also highly protective against both disability and dependence.ConclusionsOur results are consistent with the view that high levels of SOC are protective against disability and dependence in the elderly. Elderly individuals with limited access to social and health resources and with low SOC may be a group at risk for dependence and disability in Spain.

【 授权许可】

CC BY   
© The Author(s). 2017