Subjective and objective health predicting mortality and institutionalization: An 18-year population-based follow-up study among community-dwelling Finnish older adults
BMC Geriatrics — Viljanen A, Salminen M, Irjala K, et al. | June 14, 2021
In this study, the relationship of objective and subjective health with mortality and institutionalization in Finnish community-dwelling older adults was explored.
Researchers assessed objective health by registered illnesses and subjective health was assessed by simple self-rated health, self-reported walking ability (400 m) and self-reported satisfaction in life in this prospective study with 10- and 18-year follow-ups. They used Cox regression models in the analyses. During 10- and 18-year follow-ups, the categorization of objective and subjective health into four health groups was good at predicting the risk of death, and seemed to also predict the risk of institutionalization in the unadjusted models during both follow-ups. As per the findings, poor subjective health had an additive effect on poor objective health in predicting mortality and could thus be applied as part of an older individual’s health assessment when screening for future adverse outcomes.
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