Please use this identifier to cite or link to this item:
http://hdl.handle.net/2445/65751
Title: | Impact of multimorbidity on disability and quality of life in the spanish older population |
Author: | Garin, Noe Olaya Guzmán, Beatriz Moneta, Maria Victoria Miret, Marta Lobo, Antonio Ayuso Mateos, José Luis Haro Abad, Josep Maria |
Keywords: | Malalties cròniques Morbiditat Qualitat de vida Salut pública Espanya Envelliment de la població Chronic diseases Morbidity Quality of life Public health Spain Population aging |
Issue Date: | 6-Nov-2014 |
Publisher: | Public Library of Science (PLoS) |
Abstract: | BACKGROUND: Population aging is closely related to high prevalence of chronic conditions in developed countries. In this context, health care policies aim to increase life span cost-effectively while maintaining quality of life and functional ability. There is still, however, a need for further understanding of how chronic conditions affect these health aspects. The aim of this paper is to assess the individual and combined impact of chronic physical and mental conditions on quality of life and disability in Spain, and secondly to show gender trends. METHODS: Cross-sectional data were collected from the COURAGE study. A total of 3,625 participants over 50 years old from Spain were included. Crude and adjusted multiple linear regressions were conducted to detect associations between individual chronic conditions and disability, and between chronic conditions and quality of life. Separate models were used to assess the influence of the number of diseases on the same variables. Additional analogous regressions were performed for males and females. RESULTS: All chronic conditions except hypertension were statistically associated with poor results in quality of life and disability. Depression, anxiety and stroke were found to have the greatest impact on outcomes. The number of chronic conditions was associated with substantially lower quality of life [β for 4+ diseases: -18.10 (-20.95,-15.25)] and greater disability [β for 4+ diseases: 27.64 (24.99,30.29]. In general, women suffered from higher rates of multimorbidity and poorer results in quality of life and disability. CONCLUSIONS: Chronic conditions impact greatly on quality of life and disability in the older Spanish population, especially when co-occurring diseases are added. Multimorbidity considerations should be a priority in the development of future health policies focused on quality of life and disability. Further studies would benefit from an expanded selection of diseases. Policies should also deal with gender idiosyncrasy in certain cases. |
Note: | Reproducció del document publicat a: http://dx.doi.org/10.1371/journal.pone.0111498 |
It is part of: | PLoS One, 2014, vol. 9, num. 11, p. e111498 |
URI: | http://hdl.handle.net/2445/65751 |
Related resource: | http://dx.doi.org/10.1371/journal.pone.0111498 |
ISSN: | 1932-6203 |
Appears in Collections: | Articles publicats en revistes (Psicologia Clínica i Psicobiologia) Publicacions de projectes de recerca finançats per la UE |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
649020.pdf | 249.5 kB | Adobe PDF | View/Open |
This item is licensed under a Creative Commons License