| Titre : | Association of comorbidity with disability in older women : The women's Health and aging study. (1999) |
| Auteurs : | L.P. FRIED ; K. BANDEEN-ROCHE ; J.M. GURALNIK ; J.D. KASPER ; The Johns Hopkins Medical Institutions. Baltimore. MD. USA |
| Type de document : | Article |
| Dans : | Journal of clinical epidemiology (vol. 52, n° 1, 1999) |
| Pagination : | 27-37 |
| Langues: | Anglais |
| Mots-clés : | Etats Unis ; Amérique ; Morbidité [épidémiologie] ; Epidémiologie ; Personne âgée ; Homme ; Femme ; Etat santé ; Prévalence ; Questionnaire ; Autoquestionnaire ; Autoévaluation ; Morbidité ; Incapacité ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST wtR0xu8Z. Diffusion soumise à autorisation]. There is substantial evidence that physical disability results from chronic diseases and that the number of chronic diseases is associated with the presence and severity of disability. There is some evidence that interactions between specific diseases are of import in causing disability. Beyond arthritis, however, little is known of the disease pairs that may be important to focus on in future research. This study explores the associations between multiple disease pairs and different types of physical disability, with the objective of hypothesis development regarding the importance of disease interactions. The study population comprised a representative sample of 3841 women 65 years and older living in Baltimore, screened for participation in the Women's Health and Aging Study. The study design was cross-sectional. An interviewer-administered screening questionnaire was administered regarding self-reported physical disability in 15 tasks of daily life, history of physician diagnosis of 14 chronic diseases, and MiniMental State examination. Task difficulty was empirically grouped into six subsets of minimally overlapping disabilities, with a comparison group consisting of those with no difficulty in any task subset. Multiple logistic regression models were fit assessing the relationship of major chronic diseases and of interactions of disease pairs with each disability subtype and with any disability, adjusting for confounders. (...) |
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