TY  - JOUR
A1  - Nützel, Anna
A1  - Dahlhaus, Anne Maren
A1  - Fuchs, Angela
A1  - Gensichen, Jochen
A1  - König, Hans-Helmut
A1  - Riedel-Heller, Steffi Gerlinde
A1  - Maier, Wolfgang
A1  - Schäfer, Ingmar
A1  - Schön, Gerhard
A1  - Weyerer, Siegfried
A1  - Wiese, Birgitt
A1  - Scherer, Martin
A1  - Bussche, Hendrik van den
A1  - Bickel, Horst
T1  - Self-rated health in multimorbid older general practice patients : a cross-sectional study in Germany
T2  - BMC family practice
N2  - Background: With increasing life expectancy the number of people affected by multimorbidity rises. Knowledge of factors associated with health-related quality of life in multimorbid people is scarce. We aimed to identify the factors that are associated with self-rated health (SRH) in aged multimorbid primary care patients.
Methods: Cross-sectional study with 3,189 multimorbid primary care patients aged from 65 to 85 years recruited in 158 general practices in 8 study centers in Germany. Information about morbidity, risk factors, resources, functional status and socio-economic data were collected in face-to-face interviews. Factors associated with SRH were identified by multivariable regression analyses.
Results: Depression, somatization, pain, limitations of instrumental activities (iADL), age, distress and Body Mass Index (BMI) were inversely related with SRH. Higher levels of physical activity, income and self-efficacy expectation had a positive association with SRH. The only chronic diseases remaining in the final model were Parkinson's disease and neuropathies. The final model accounted for 35% variance of SRH. Separate analyses for men and women detected some similarities; however, gender specific variation existed for several factors.
Conclusion: In multimorbid patients symptoms and consequences of diseases such as pain and activity limitations, as well as depression, seem to be far stronger associated with SRH than the diseases themselves. High income and self-efficacy expectation are independently associated with better SRH and high BMI and age with low SRH.
KW  - Quality of life
KW  - Self-assessment
KW  - Chronic disease
KW  - Depression
KW  - Pain
KW  - Functionally-impaired elderly
KW  - General practice
Y1  - 2014
UR  - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/33298
UR  - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-332984
SN  - 1471-2296
N1  - © 2014 Nützel et al.; licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
VL  - 15
IS  - 1
PB  - BioMed Central
CY  - London
ER  -