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dc.contributor.authorLisko, Inna
dc.contributor.authorTörmäkangas, Timo
dc.contributor.authorJylhä, Marja
dc.date.accessioned2020-03-31T06:26:55Z
dc.date.available2020-03-31T06:26:55Z
dc.date.issued2020
dc.identifier.citationLisko, I., Törmäkangas, T., & Jylhä, M. (2020). Structure of self-rated health among the oldest old : analyses in the total population and those living with dementia. <i>SSM : Population Health</i>, <i>11</i>, Article 100567. <a href="https://doi.org/10.1016/j.ssmph.2020.100567" target="_blank">https://doi.org/10.1016/j.ssmph.2020.100567</a>
dc.identifier.otherCONVID_35105643
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/68399
dc.description.abstractNo previous study has explored the structure of self-rated health (SRH), a measure holding strong predictive value for future health events, in the oldest old or in individuals with dementia. The aim was to construct a structural equation model of SRH for oldest old in general and for oldest old with dementia, and to explore direct and indirect associations between health-related factors and SRH. Cross-sectional data from the Vitality 90+, a population-based study in the city of Tampere, Finland, was used. Data were gathered by a mailed questionnaire in 2014. Altogether 1299 nonagenarians, of which 408 had self-reported dementia or cognitive decline, were included. Structural equation models were constructed for all participants and separately for participants with dementia. Diseases (heart disease, stroke, diabetes, arthritis, hip fracture, cancer and dementia for the model for all), dizziness, hearing, vision, mobility, activities of daily living, fatigue, depression and SRH were included in the models. Among all participants, fatigue, depression, problems in mobility, dizziness, deficits in vision and heart disease were directly associated with poor SRH. Among participants with dementia, only fatigue, dizziness and deficits in vision were directly associated with poor SRH. Among all participants, dementia and arthritis were indirectly associated with poor SRH through problems in mobility, depression and fatigue. Among the oldest old, the effects of diseases on SRH were mainly manifested through the consequences of diseases, namely fatigue, dizziness, deficits in vision and problems in mobility. Depression has an important direct and indirect role, and dementia and arthritis an important indirect role in the structure of SRH. Dementia weakens many of the direct and indirect associations for SRH.en
dc.format.mimetypeapplication/pdf
dc.languageeng
dc.language.isoeng
dc.publisherElsevier
dc.relation.ispartofseriesSSM : Population Health
dc.rightsCC BY-NC-ND 4.0
dc.subject.otherFinland
dc.subject.otherself-assessed health
dc.subject.otherperceived health
dc.subject.otherstructural equation modelling
dc.subject.othercognition
dc.subject.othernonagenarians
dc.titleStructure of self-rated health among the oldest old : analyses in the total population and those living with dementia
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-202003312613
dc.contributor.laitosLiikuntatieteellinen tiedekuntafi
dc.contributor.laitosFaculty of Sport and Health Sciencesen
dc.contributor.oppiaineGerontologian tutkimuskeskusfi
dc.contributor.oppiaineHyvinvoinnin tutkimuksen yhteisöfi
dc.contributor.oppiaineGerontology Research Centeren
dc.contributor.oppiaineSchool of Wellbeingen
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.type.coarhttp://purl.org/coar/resource_type/c_2df8fbb1
dc.description.reviewstatuspeerReviewed
dc.relation.issn2352-8273
dc.relation.volume11
dc.type.versionpublishedVersion
dc.rights.copyright© 2020 The Author(s)
dc.rights.accesslevelopenAccessfi
dc.relation.grantnumber286536
dc.subject.ysokoettu terveys
dc.subject.ysokognitio
dc.subject.ysomuistisairaat
dc.subject.ysoikääntyneet
dc.format.contentfulltext
jyx.subject.urihttp://www.yso.fi/onto/yso/p21377
jyx.subject.urihttp://www.yso.fi/onto/yso/p642
jyx.subject.urihttp://www.yso.fi/onto/yso/p27121
jyx.subject.urihttp://www.yso.fi/onto/yso/p2433
dc.rights.urlhttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.relation.doi10.1016/j.ssmph.2020.100567
dc.relation.funderSuomen Akatemiafi
dc.relation.funderResearch Council of Finlanden
jyx.fundingprogramTutkijatohtori, SAfi
jyx.fundingprogramPostdoctoral Researcher, AoFen
jyx.fundinginformationThis study was financially supported by the Academy of Finland (the Centre of Excellence in Research of Ageing and Care and the project number 287372 to MJ; grant number 286536 to TT) and by the Competitive State Research Financing of the Expert Responsibility area of Tampere University Hospital to MJ.
dc.type.okmA1


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