Associations of Various Health-Ratings with Geriatric Giants, Mortality and Life Satisfaction in Older People

Publikation: Bidrag til tidsskriftTidsskriftartikelfagfællebedømt

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Associations of Various Health-Ratings with Geriatric Giants, Mortality and Life Satisfaction in Older People. / Puvill, Thomas; Lindenberg, Jolanda; Gussekloo, Jacobijn; de Craen, Anton J M; Slaets, Joris P J; Westendorp, Rudi G J.

I: P L o S One, Bind 11, Nr. 9, e0163499, 22.09.2016, s. 1-13.

Publikation: Bidrag til tidsskriftTidsskriftartikelfagfællebedømt

Harvard

Puvill, T, Lindenberg, J, Gussekloo, J, de Craen, AJM, Slaets, JPJ & Westendorp, RGJ 2016, 'Associations of Various Health-Ratings with Geriatric Giants, Mortality and Life Satisfaction in Older People', P L o S One, bind 11, nr. 9, e0163499, s. 1-13. https://doi.org/10.1371/journal.pone.0163499

APA

Puvill, T., Lindenberg, J., Gussekloo, J., de Craen, A. J. M., Slaets, J. P. J., & Westendorp, R. G. J. (2016). Associations of Various Health-Ratings with Geriatric Giants, Mortality and Life Satisfaction in Older People. P L o S One, 11(9), 1-13. [e0163499]. https://doi.org/10.1371/journal.pone.0163499

Vancouver

Puvill T, Lindenberg J, Gussekloo J, de Craen AJM, Slaets JPJ, Westendorp RGJ. Associations of Various Health-Ratings with Geriatric Giants, Mortality and Life Satisfaction in Older People. P L o S One. 2016 sep. 22;11(9):1-13. e0163499. https://doi.org/10.1371/journal.pone.0163499

Author

Puvill, Thomas ; Lindenberg, Jolanda ; Gussekloo, Jacobijn ; de Craen, Anton J M ; Slaets, Joris P J ; Westendorp, Rudi G J. / Associations of Various Health-Ratings with Geriatric Giants, Mortality and Life Satisfaction in Older People. I: P L o S One. 2016 ; Bind 11, Nr. 9. s. 1-13.

Bibtex

@article{a2dfafd124af476b94baa4b69b52ac84,
title = "Associations of Various Health-Ratings with Geriatric Giants, Mortality and Life Satisfaction in Older People",
abstract = "Self-rated health is routinely used in research and practise among general populations. Older people, however, seem to change their health perceptions. To accurately understand these changed perceptions we therefore need to study the correlates of older people's self-ratings. We examined self-rated, nurse-rated and physician-rated health's association with common disabilities in older people (the geriatric giants), mortality hazard and life satisfaction. For this, we used an age-representative population of 501 participant aged 85 from a middle-sized city in the Netherlands: the Leiden 85-plus Study. Participants with severe cognitive dysfunction were excluded. Participants themselves provided health ratings, as well as a visiting physician and a research nurse. Visual acuity, hearing loss, mobility, stability, urinal and faecal incontinence, cognitive function and mood (depressive symptoms) were included as geriatric giants. Participants provided a score for life satisfaction and were followed up for vital status. Concordance of self-rated health with physician-rated (k = .3 [.0]) and nurse-rated health (k = .2 [.0]) was low. All three ratings were associated with the geriatric giants except for hearing loss (all p < 0.001). Associations were equal in strength, except for depressive symptoms, which showed a stronger association with self-rated health (.8 [.1] versus .4 [.1]). Self-rated health predicted mortality less well than the other ratings. Self-rated health related stronger to life satisfaction than physician's and nurse's ratings. We conclude that professionals' health ratings are more reflective of physical health whereas self-rated health reflects more the older person's mental health, but all three health ratings are useful in research.",
author = "Thomas Puvill and Jolanda Lindenberg and Jacobijn Gussekloo and {de Craen}, {Anton J M} and Slaets, {Joris P J} and Westendorp, {Rudi G J}",
year = "2016",
month = sep,
day = "22",
doi = "10.1371/journal.pone.0163499",
language = "English",
volume = "11",
pages = "1--13",
journal = "PLoS ONE",
issn = "1932-6203",
publisher = "Public Library of Science",
number = "9",

}

RIS

TY - JOUR

T1 - Associations of Various Health-Ratings with Geriatric Giants, Mortality and Life Satisfaction in Older People

AU - Puvill, Thomas

AU - Lindenberg, Jolanda

AU - Gussekloo, Jacobijn

AU - de Craen, Anton J M

AU - Slaets, Joris P J

AU - Westendorp, Rudi G J

PY - 2016/9/22

Y1 - 2016/9/22

N2 - Self-rated health is routinely used in research and practise among general populations. Older people, however, seem to change their health perceptions. To accurately understand these changed perceptions we therefore need to study the correlates of older people's self-ratings. We examined self-rated, nurse-rated and physician-rated health's association with common disabilities in older people (the geriatric giants), mortality hazard and life satisfaction. For this, we used an age-representative population of 501 participant aged 85 from a middle-sized city in the Netherlands: the Leiden 85-plus Study. Participants with severe cognitive dysfunction were excluded. Participants themselves provided health ratings, as well as a visiting physician and a research nurse. Visual acuity, hearing loss, mobility, stability, urinal and faecal incontinence, cognitive function and mood (depressive symptoms) were included as geriatric giants. Participants provided a score for life satisfaction and were followed up for vital status. Concordance of self-rated health with physician-rated (k = .3 [.0]) and nurse-rated health (k = .2 [.0]) was low. All three ratings were associated with the geriatric giants except for hearing loss (all p < 0.001). Associations were equal in strength, except for depressive symptoms, which showed a stronger association with self-rated health (.8 [.1] versus .4 [.1]). Self-rated health predicted mortality less well than the other ratings. Self-rated health related stronger to life satisfaction than physician's and nurse's ratings. We conclude that professionals' health ratings are more reflective of physical health whereas self-rated health reflects more the older person's mental health, but all three health ratings are useful in research.

AB - Self-rated health is routinely used in research and practise among general populations. Older people, however, seem to change their health perceptions. To accurately understand these changed perceptions we therefore need to study the correlates of older people's self-ratings. We examined self-rated, nurse-rated and physician-rated health's association with common disabilities in older people (the geriatric giants), mortality hazard and life satisfaction. For this, we used an age-representative population of 501 participant aged 85 from a middle-sized city in the Netherlands: the Leiden 85-plus Study. Participants with severe cognitive dysfunction were excluded. Participants themselves provided health ratings, as well as a visiting physician and a research nurse. Visual acuity, hearing loss, mobility, stability, urinal and faecal incontinence, cognitive function and mood (depressive symptoms) were included as geriatric giants. Participants provided a score for life satisfaction and were followed up for vital status. Concordance of self-rated health with physician-rated (k = .3 [.0]) and nurse-rated health (k = .2 [.0]) was low. All three ratings were associated with the geriatric giants except for hearing loss (all p < 0.001). Associations were equal in strength, except for depressive symptoms, which showed a stronger association with self-rated health (.8 [.1] versus .4 [.1]). Self-rated health predicted mortality less well than the other ratings. Self-rated health related stronger to life satisfaction than physician's and nurse's ratings. We conclude that professionals' health ratings are more reflective of physical health whereas self-rated health reflects more the older person's mental health, but all three health ratings are useful in research.

U2 - 10.1371/journal.pone.0163499

DO - 10.1371/journal.pone.0163499

M3 - Journal article

C2 - 27658060

VL - 11

SP - 1

EP - 13

JO - PLoS ONE

JF - PLoS ONE

SN - 1932-6203

IS - 9

M1 - e0163499

ER -

ID: 166166230