ArticleBMC family practice2014
Self-rated health in multimorbid older general practice patients: a cross-sectional study in Germany.
Article in BMC family practice, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Factors contributing to self-rated health in community-dwelling independent 75-year-old Finns: a population-based cross-sectional cohort study.BMC geriatrics · 2025Trial
- Understanding the conditions included in data-driven patterns of multimorbidity: a scoping review.European journal of public health · 2024Article
- Illness Perception and the Severity of Depression and Anxiety Symptoms in Patients with Multimorbidity: Observational Cohort Studies.Journal of clinical medicine · 2023Article
- Investigating the relationship between self-perception of fracture risk and prior fracture: findings from the Hertfordshire Cohort Study.Aging clinical and experimental research · 2023Article
- How do individual, social, environmental, and resilience factors shape self-reported health among community-dwelling older adults: a qualitative case study.BMC geriatrics · 2023Article
- Exploring multimorbidity clusters in relation to healthcare use and its impact on self-rated health among older people in India.PLOS global public health · 2023Article
- Factors related to self-rated health: a survey among patients and their general practitioners.Scandinavian journal of primary health care · 2022Article
- Self-Rated Health and Pain Problems in Mothers of Healthy Children or Children Requiring Outpatient Observation or Hospitalisation: A Pilot Cross-Sectional Study.International journal of environmental research and public health · 2021Article
- Symptom burden in multimorbidity: a population-based combined questionnaire and registry study from Denmark.BMJ open · 2021Article
- Multimorbidity, physical frailty, and self-rated health in older patients with atrial fibrillation.BMC geriatrics · 2020Article
- Patient Input in Regional Healthcare Planning-A Meaningful Contribution.International journal of environmental research and public health · 2019Article
- New horizons in multimorbidity in older adults.Age and ageing · 2017Review
- Relationship between health-related quality of life, perceived family support and unmet health needs in adult patients with multimorbidity attending primary care in Portugal: a multicentre cross-sectional study.Health and quality of life outcomes · 2016Article
- Use of a C1 Inhibitor Concentrate in Adults ≥65 Years of Age with Hereditary Angioedema: Findings from the International BerinertDrugs & aging · 2016Observational
- Positive attitude toward life, emotional expression, self-rated health, and depressive symptoms among centenarians and near-centenarians.Aging & mental health · 2016Article
- Predicting Self-Rated Health in Diabetes and Chronic Heart Failure - A Multiple Mediation Model.Frontiers in public health · 2015Article
- Older patients' perceived burdens of their health problems: a cross-sectional analysis in 74 German general practices.Patient preference and adherence · 2015Article
- Multimorbidity frameworks impact the composition of patterns and their associations with patient-reported outcomes among people with HIV.Journal of multimorbidity and comorbidityArticle
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Authors and funding
14 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWith 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.
methodsCross-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.
resultsDepression, 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.
conclusionIn 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.
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