期刊
GERONTOLOGIST
卷 45, 期 2, 页码 216-221出版社
OXFORD UNIV PRESS INC
DOI: 10.1093/geront/45.2.216
关键词
change in self-rated health; mortality; disabled older women; time-dependent covariates
类别
Purpose: Our study assessed whether change in self-rated health is a stronger predictor of mortality than baseline self-rated health and the most recent self-rated health (prior to death or loss to follow-up) among disabled older women. Design and Methods: The Women's Health and Aging Study examined disabled older women at baseline and every 6 months for 3 years. During the follow-up period, 253 out of the 905 examined participants died. Cox regression models with time-dependent covariates were used. Results: After baseline characteristics were adjusted for, baseline self-rated health was not related to mortality. After covariates at the most recent observation and covariates measured only at baseline were controlled for, the most recent self-rated health was not associated with mortality either. After time-dependent covariates and covariates measured only at baseline were adjusted for, decline in self-rated health was significantly associated with increased mortality. Implications: Change in self-rated health is a stronger predictor of mortality than self-rated health at baseline and at the most recent observation. Older women with fair health are worse off if they are on a declining health trajectory than if their fair health is stable. Family caregivers and clinicians need to closely monitor change in self-rated health among disabled older women.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据