N Hoeymans1, E J Feskens, D Kromhout, G A van den Bos. 1. Department of Chronic Disease and Environmental Epidemiology, National Institute of Public Health and the Environment, Bilthoven, The Netherlands. Nancy.Hoeymans@rivm.nl
Abstract
BACKGROUND: The aim of the study was to investigate the contribution of chronic conditions and disabilities to poor self-rated health from the perspectives of the patient and the population: (a) What is the impact of seven somatic chronic conditions on self-rated health, independent of disabilities? and (b) To what extent can poor self-rated health be attributed to the selected chronic conditions and disabilities? METHODS: Data came from the 1990 (n = 509), 1993 (n = 381), and 1995 (n = 340) surveys of the Zutphen Elderly Study. Odds ratios (OR) and population attributable risks (PAR) were calculated to quantify the contribution of chronic conditions and disabilities to poor self-rated health. RESULTS: From the patient perspective, stroke was most strongly associated with poor self-rated health (OR = 3.5, 95% confidence interval: 1.8-6.9). From the population perspective, 63% of poor self-rated health could be attributed to the selected chronic conditions, with respiratory symptoms (28%), musculoskeletal complaints (24%), and coronary heart disease (13%) making the largest contribution. A total of 73% could be attributed to chronic conditions and disabilities. CONCLUSIONS: In this population of elderly men, stroke resulted in the largest losses in self-rated health in individual patients, whereas the largest contributions to poor self-rated health in the population were made by respiratory symptoms and musculoskeletal complaints.
BACKGROUND: The aim of the study was to investigate the contribution of chronic conditions and disabilities to poor self-rated health from the perspectives of the patient and the population: (a) What is the impact of seven somatic chronic conditions on self-rated health, independent of disabilities? and (b) To what extent can poor self-rated health be attributed to the selected chronic conditions and disabilities? METHODS: Data came from the 1990 (n = 509), 1993 (n = 381), and 1995 (n = 340) surveys of the Zutphen Elderly Study. Odds ratios (OR) and population attributable risks (PAR) were calculated to quantify the contribution of chronic conditions and disabilities to poor self-rated health. RESULTS: From the patient perspective, stroke was most strongly associated with poor self-rated health (OR = 3.5, 95% confidence interval: 1.8-6.9). From the population perspective, 63% of poor self-rated health could be attributed to the selected chronic conditions, with respiratory symptoms (28%), musculoskeletal complaints (24%), and coronary heart disease (13%) making the largest contribution. A total of 73% could be attributed to chronic conditions and disabilities. CONCLUSIONS: In this population of elderly men, stroke resulted in the largest losses in self-rated health in individual patients, whereas the largest contributions to poor self-rated health in the population were made by respiratory symptoms and musculoskeletal complaints.
Authors: Carolien L van den Brink; Marja Tijhuis; Geertrudis A M van den Bos; Simona Giampaoli; Aulikki Nissinen; Daan Kromhout Journal: Am J Public Health Date: 2005-09-29 Impact factor: 9.308
Authors: Nahal Mavaddat; Rianne van der Linde; Richard Parker; George Savva; Ann Louise Kinmonth; Carol Brayne; Jonathan Mant Journal: PLoS One Date: 2016-02-29 Impact factor: 3.240
Authors: William Ian Andrew Bonner; Robert Weiler; Rotimi Orisatoki; Xinya Lu; Mustafa Andkhoie; Dana Ramsay; Mohsen Yaghoubi; Megan Steeves; Michael Szafron; Marwa Farag Journal: Int J Equity Health Date: 2017-06-06