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

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  • Thomas Puvill
  • Jolanda Lindenberg
  • Jacobijn Gussekloo
  • Anton J M de Craen
  • Joris P J Slaets
  • Rudi G J Westendorp

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

Suggested Citation

  • Thomas Puvill & Jolanda Lindenberg & Jacobijn Gussekloo & Anton J M de Craen & Joris P J Slaets & Rudi G J Westendorp, 2016. "Associations of Various Health-Ratings with Geriatric Giants, Mortality and Life Satisfaction in Older People," PLOS ONE, Public Library of Science, vol. 11(9), pages 1-13, September.
    • Handle: RePEc:plo:pone00:0163499
    DOI: 10.1371/journal.pone.0163499
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    References listed on IDEAS

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    1. Wencke Gwozdz & Alfonso Sousa-Poza, 2010. "Ageing, Health and Life Satisfaction of the Oldest Old: An Analysis for Germany," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 97(3), pages 397-417, July.
    2. White, Halbert, 1980. "A Heteroskedasticity-Consistent Covariance Matrix Estimator and a Direct Test for Heteroskedasticity," Econometrica, Econometric Society, vol. 48(4), pages 817-838, May.
    3. Kaplan, Giora & Baron-Epel, Orna, 2003. "What lies behind the subjective evaluation of health status?," Social Science & Medicine, Elsevier, vol. 56(8), pages 1669-1676, April.
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    1. Kyeongmo Kim & Thomas D. Buckley & Denise Burnette & Jin Huang & Seon Kim, 2022. "Age-Friendly Communities and Older Adults’ Health in the United States," IJERPH, MDPI, vol. 19(15), pages 1-12, July.

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