Camargo-Casas S, Suarez-Monsalve S, Pérez ZMU, García-Peña C, Cano-Gutierrez CA

Language: English
References: 23
Page: 192-197
PDF size: 85.08 Kb.

ABSTRACT

Background: Multimorbidity and depressive symptoms (DSs) are common in older adults. Self-rated health (SRH) allows detection of elderly adults with a high burden of multimorbidity plus depression. The aim of this study was to test the association of groups of multimorbidity and DS on SRH in Colombian older adults. Methods: We conducted a cross-sectional study in 2012 in Bogotá, Colombia, called “Salud, Bienestar y Envejecimiento” (Health, Well-being, and Aging), including 2000 c mmunitydwelling adults 60 years of age or older. SRH was assessed with the question “How would you rate your health?” giving five possible answers. DSs were rated using the 15-question version of the geriatric depression scale, and multimorbidity was defined as having two or more chronic diseases. A logistic regression model was used to identify the association between grouped DS and multimorbidity with SRH. Results: Groups were distributed as follows: 678 with no DS/no multimorbidity (33.9%), 808 with only multimorbidity (40%), 128 with DS only (6.4%), and 386 with DS/multimorbidity (19.3%). An association of fair/ poor SRH with DS/multimorbidity group was found (odds ratio 5.5; 95% confidence interval 3.86-7.95, p ± 0.001) when compared to subjects without any of those conditions. Conclusion: There was an incremental association between DS and multimorbidity with SRH. An older adult referring to his or her own health with a negative connotation should alert to a higher burden of diseases, including DS.

REFERENCES

1. United Nations, World Assembly on Aging. A Neglected Area in the Field of Population and Human Rights: aging and the Aged. New York: United Nations; 1983.

2. Lee R. The demographic transition: three centuries of fundamental change. J Econ Perspect. 2003;17:167-90.

3. Omran AR. The epidemiologic transition. A theory of the epidemiology of population change. Milbank Mem Fund Q. 1971; 49:509-38.

4. van den Akker M, Buntinx F, Metsemakers JF, Roos S, Knottnerus JA. Multimorbidity in general practice: prevalence, incidence, and determinants of co-occurring chronic and recurrent diseases. J Clin Epidemiol. 1998;51:367-75.

5. Valderas JM, Starfield B, Sibbald B, Salisbury C, Roland M. Defining comorbidity: implications for understanding health and health services. Ann Fam Med. 2009;7:357-63.

6. Cesari M, Pérez-Zepeda MU, Marzetti E. Frailty and multimorbidity: different ways of thinking about geriatrics. J Am Med Dir Assoc. 2017;18:361-4.

7. Gallo JJ, Hwang S, Joo JH, et al. Multimorbidity, depression, and mortality in primary care: randomized clinical trial of an evidence- based depression care management program on mortality risk. J Gen Intern Med. 2016;31:380-6.

8. Samper-Ternent R, Reyes-Ortiz C, Ottenbacher KJ, et al. Frailty and sarcopenia in Bogotá: results from the SABE Bogotá Study. Aging Clin Exp Res. 2017;29:265-72.

9. Pérez-Zepeda MU, Belanger E, Zunzunegui MV, Phillips S, Ylli A, Guralnik J. Assessing the Validity of Self-Rated Health with the Short Physical Performance Battery: a Cross-Sectional Analysis of the International Mobility in Aging Study. PLoS One. 2016; 11:e0153855.

10. Moreno X, Huerta M, Albala C. Global self-rated health and mortality in older people. Gac Sanit. 2014;28:246-52.

11. Ambresin G, Chondros P, Dowrick C, Herrman H, Gunn JM. Selfrated health and long-term prognosis of depression. Ann Fam Med. 2014;12:57-65.

12. Chang-Quan H, Xue-Mei Z, Bi-Rong D, Zhen-Chan L, Ji-Rong Y, Qing-Xiu L. Health status and risk for depression among the elderly: a meta-analysis of published literature. Age Ageing. 2010;39:23-30.

13. Palladino R, Tayu Lee J, Ashworth M, Triassi M, Millett C. Associations between multimorbidity, healthcare utilisation and health status: evidence from 16 European countries. Age Ageing. 2016;45:431-5.

14. Samper-Ternent R. Personas con 60 y más años residentes de Bogotá. Análisis de la Encuesta SABE Bogotá 2012. 1st ed. Bogotá: Universidad Javeriana Ediciones; 2012.

15. Albala C, Lebrão ML, León Díaz EM, et al. The health, wellbeing, and aging (“SABE”) survey: methodology applied and profile of the study population. Rev Panam Salud Publica. 2005;17:307-22.

16. Yesavage JA, Brink TL, Rose TL, et al. Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res. 1982-1983;17:37-49.

17. Huntley AL, Johnson R, Purdy S, Valderas JM, Salisbury C. Measures of multimorbidity and morbidity burden for use in primary care and community settings: a systematic review and guide. Ann Fam Med. 2012;10:134-41.

18. Bacca AM, González A, Uribe-Rodríguez AF. Validación de la escala de depresión de yesavage en adultos mayores colombianos. Pensamiento Psicol. 2004;1:53-63.

19. Borda MG, Ruiz C, Gutierrez S, Ortiz A, Samper-Ternent R, Cano- Gutierrez C. Relación entre deterioro cognitivo y actividades instrumentales de la vida diaria: estudio SABE-Bogotá, Colombia. Acta Neurol Colomb. 2016;32:27-34.

20. Wechsler H, Davenport A, Dowdall G, Moeykens B, Castillo S. Health and behavioral consequences of binge drinking in college. A national survey of students at 140 campuses. JAMA. 1994; 272:1672-7.

21. O'Malley PM, Bachman JG, Johnston LD. Period, age, and cohort effects on substance use among American youth, 1976-82. Am J Public Health. 1984;74:682-8.

22. Bjerrum L, Rosholm JU, Hallas J, Kragstrup J. Methods for estimating the occurrence of polypharmacy by means of a prescription database. Eur J Clin Pharmacol. 1997;53:7-11.

23. Han B. Depressive symptoms and self-rated health in community- dwelling older adults: a longitudinal study. J Am Geriatr Soc. 2002;50:1549-56.