| Titre : | Predictors of decline in self-assessments of health among older people : a 5-year longitudinal study. (2001) |
| Auteurs : | Raija LEINONEN ; Eino HEIKKINEN ; Marja JYLHA ; The Finnish Centre for Interdisciplinary Gerontology. University of Jyväskylä. Jyväskylä. FIN |
| Type de document : | Article |
| Dans : | Social science and medicine (vol. 52, n° 9, 2001) |
| Pagination : | 1329-1341 |
| Langues: | Anglais |
| Mots-clés : | Etat santé ; Indicateur ; Activité physique ; Personne âgée ; Homme ; Autoévaluation ; Vieillissement ; Finlande ; Europe |
| Résumé : | [BDSP. Notice produite par INIST R0xeKzuO. Diffusion soumise à autorisation]. Within the framework of the Evergreen project we examined how changes in several indicators of health and functioning and physical activity predicted a decline in self-assessments of health evaluated over a 5-year period in older people by two different measurements : self-rated health (SRH) and self-assessed change in health (SACH). The study group comprised all 75-year-old persons born in 1914 (N=382) and living in Jyväskylä, a town in central Finland. At baseline in 1989,91.6%, and at follow-up 5 years later in 1994,87.3% of those eligible participated in the interview and 77.2 and 71.3%, respectively, in the examinations in the study centre, focusing on different domains of health and functional capacity. One-fifth of the subjects reported a deterioration in and one-fifth an improvement in SRH over the 5 years. The rest gave identical self-assessments of their health at baseline and at follow-up in response to the same question. Decline in SRH was associated with a decrease in physical activity and cognitive capacity. When asked directly about changes in their health (SACH), however, half the subjects said their health had declined. Negative SACH over the 5-year period was related to an increased number of chronic conditions, deterioration in functional performance and physical activity, and to the number of chronic conditions at baseline. (...) |
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