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Title: | Multimorbidity, Depressive Symptoms and Self-reported Health in Older Adults: A Secondary Analysis of the SABE Bogotá Study |
metadata.dc.creator: | Daniela Camargo SILVIA LILIANA SUAREZ MONSALVE MARIO ULISES PEREZ ZEPEDA María del Carmen García Peña Carlos Cano Gutiérrez |
Keywords: | MEDICINA Y CIENCIAS DE LA SALUD;Ciencias médicas;Ciencias clínicas;Geriatría;Multimorbilidad;Multimorbidity;Depresión;Depression;Autoevaluación diagnóstica;Diagnostic self evaluation;Envejecimiento;Aging |
metadata.dc.date: | 2018 |
Publisher: | Comisión Coordinadora de Institutos Nacionales de Salud y Hospitales de Alta Especialidad (CCINSHAE) |
Description: | 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 community-dwelling 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. |
URI: | http://repositorio.inger.gob.mx/jspui/handle/20.500.12100/17260 |
Appears in Collections: | 1. Artículos |
Files in This Item:
File | Description | Size | Format | |
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Revista de Investigación Clínica. (2564-8896) vol. 70 (2018).pdf | 101.22 kB | Adobe PDF | View/Open |