A protective personal factor against disability and dependence in the elderly: an ordinal regression analysis with nine geographically-defined samples from Spain

Background: Sense of Coherence (SOC) is defined as a tendency to perceive life experiences as comprehensible, manageable and meaningful. The construct is split in three major domains: Comprehensibility, Manageability, and Meaningfulness. SOC has been associated with successful coping strategies in t...

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Autores: Virués Ortega, Javier, Vega, Saturio, Seijo Martínez, Manuel, Saz, Pedro, Rodríguez, Fernanda, Rodriguez Laso, Angel, Perez de las Heras, Susana, Mateos, Raimundo, Martínez Martín, Pablo, Mahillo Fernandez, Ignacio, Garre Olmo, Josep, Gascón-Bayarri, Jordi, Garcia Garcia, Francisco Jose, Fernández Martínez, Manuel, Bermejo Pareja, Félix, Bergareche, Alberto, Benito León, Julián, Pedro Cuesta, Jesús de
Tipo de documento: artigo
Estado:Versão publicada
Data de publicação:2017
País:España
Recursos:Universidad de Barcelona
Repositório:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/125251
Acesso em linha:https://hdl.handle.net/2445/125251
Access Level:Acceso aberto
Palavra-chave:Discapacitats
Persones grans
People with disabilities
Older people
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spelling A protective personal factor against disability and dependence in the elderly: an ordinal regression analysis with nine geographically-defined samples from SpainVirués Ortega, JavierVega, SaturioSeijo Martínez, ManuelSaz, PedroRodríguez, FernandaRodriguez Laso, AngelPerez de las Heras, SusanaMateos, RaimundoMartínez Martín, PabloMahillo Fernandez, IgnacioGarre Olmo, JosepGascón-Bayarri, JordiGarcia Garcia, Francisco JoseFernández Martínez, ManuelBermejo Pareja, FélixBergareche, AlbertoBenito León, JuliánPedro Cuesta, Jesús deDiscapacitatsPersones gransPeople with disabilitiesOlder peopleBackground: Sense of Coherence (SOC) is defined as a tendency to perceive life experiences as comprehensible, manageable and meaningful. The construct is split in three major domains: Comprehensibility, Manageability, and Meaningfulness. SOC has been associated with successful coping strategies in the face of illness and traumatic events and is a predictor of self-reported and objective health in a variety of contexts. In the present study we aim to evaluate the association of SOC with disability and dependence in Spanish elders. Methods: A total of 377 participants aged 75 years or over from nine locations across Spain participated in the study (Mean age: 80.9 years; 65.3% women). SOC levels were considered independent variables in two ordinal logistic models on disability and dependence, respectively. Disability was established with the World health Organization-Disability Assessment Schedule 2.0 (36-item version), while dependence was measured with the Extended Katz Index on personal and instrumental activities of daily living. The models included personal (sex, age, social contacts, availability of an intimate confidant), environmental (municipality size, access to social resources) and health-related covariates (morbidity). Results: High Meaningfulness was a strong protective factor against both disability (Odds Ratio [OR] = 0.50; 95% Confidence Interval [CI] = 0.29-0.87) and dependence (OR = 0.33; 95% CI = 0.19-0.58) while moderate and high Comprehensibility was protective for disability (OR = 0.40; 95% CI = 0.22-0.70 and OR = 0.39; 95% CI = 0.21-0.74), but not for dependence. Easy access to social and health resources was also highly protective against both disability and dependence. Conclusions: Our results are consistent with the view that high levels of SOC are protective against disability and dependence in the elderly. Elderly individuals with limited access to social and health resources and with low SOC may be a group at risk for dependence and disability in Spain.BioMed Central2017info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/125251Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció del document publicat a: https://doi.org/10.1186/s12877-016-0409-9BMC Geriatrics, 2017, vol. 17, num. 42https://doi.org/10.1186/s12877-016-0409-9cc by (c) Virues Ortega et al., 2017http://creativecommons.org/licenses/by/3.0/es/info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/1252512026-05-27T06:46:51Z
dc.title.none.fl_str_mv A protective personal factor against disability and dependence in the elderly: an ordinal regression analysis with nine geographically-defined samples from Spain
title A protective personal factor against disability and dependence in the elderly: an ordinal regression analysis with nine geographically-defined samples from Spain
spellingShingle A protective personal factor against disability and dependence in the elderly: an ordinal regression analysis with nine geographically-defined samples from Spain
Virués Ortega, Javier
Discapacitats
Persones grans
People with disabilities
Older people
title_short A protective personal factor against disability and dependence in the elderly: an ordinal regression analysis with nine geographically-defined samples from Spain
title_full A protective personal factor against disability and dependence in the elderly: an ordinal regression analysis with nine geographically-defined samples from Spain
title_fullStr A protective personal factor against disability and dependence in the elderly: an ordinal regression analysis with nine geographically-defined samples from Spain
title_full_unstemmed A protective personal factor against disability and dependence in the elderly: an ordinal regression analysis with nine geographically-defined samples from Spain
title_sort A protective personal factor against disability and dependence in the elderly: an ordinal regression analysis with nine geographically-defined samples from Spain
dc.creator.none.fl_str_mv Virués Ortega, Javier
Vega, Saturio
Seijo Martínez, Manuel
Saz, Pedro
Rodríguez, Fernanda
Rodriguez Laso, Angel
Perez de las Heras, Susana
Mateos, Raimundo
Martínez Martín, Pablo
Mahillo Fernandez, Ignacio
Garre Olmo, Josep
Gascón-Bayarri, Jordi
Garcia Garcia, Francisco Jose
Fernández Martínez, Manuel
Bermejo Pareja, Félix
Bergareche, Alberto
Benito León, Julián
Pedro Cuesta, Jesús de
author Virués Ortega, Javier
author_facet Virués Ortega, Javier
Vega, Saturio
Seijo Martínez, Manuel
Saz, Pedro
Rodríguez, Fernanda
Rodriguez Laso, Angel
Perez de las Heras, Susana
Mateos, Raimundo
Martínez Martín, Pablo
Mahillo Fernandez, Ignacio
Garre Olmo, Josep
Gascón-Bayarri, Jordi
Garcia Garcia, Francisco Jose
Fernández Martínez, Manuel
Bermejo Pareja, Félix
Bergareche, Alberto
Benito León, Julián
Pedro Cuesta, Jesús de
author_role author
author2 Vega, Saturio
Seijo Martínez, Manuel
Saz, Pedro
Rodríguez, Fernanda
Rodriguez Laso, Angel
Perez de las Heras, Susana
Mateos, Raimundo
Martínez Martín, Pablo
Mahillo Fernandez, Ignacio
Garre Olmo, Josep
Gascón-Bayarri, Jordi
Garcia Garcia, Francisco Jose
Fernández Martínez, Manuel
Bermejo Pareja, Félix
Bergareche, Alberto
Benito León, Julián
Pedro Cuesta, Jesús de
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Discapacitats
Persones grans
People with disabilities
Older people
topic Discapacitats
Persones grans
People with disabilities
Older people
description Background: Sense of Coherence (SOC) is defined as a tendency to perceive life experiences as comprehensible, manageable and meaningful. The construct is split in three major domains: Comprehensibility, Manageability, and Meaningfulness. SOC has been associated with successful coping strategies in the face of illness and traumatic events and is a predictor of self-reported and objective health in a variety of contexts. In the present study we aim to evaluate the association of SOC with disability and dependence in Spanish elders. Methods: A total of 377 participants aged 75 years or over from nine locations across Spain participated in the study (Mean age: 80.9 years; 65.3% women). SOC levels were considered independent variables in two ordinal logistic models on disability and dependence, respectively. Disability was established with the World health Organization-Disability Assessment Schedule 2.0 (36-item version), while dependence was measured with the Extended Katz Index on personal and instrumental activities of daily living. The models included personal (sex, age, social contacts, availability of an intimate confidant), environmental (municipality size, access to social resources) and health-related covariates (morbidity). Results: High Meaningfulness was a strong protective factor against both disability (Odds Ratio [OR] = 0.50; 95% Confidence Interval [CI] = 0.29-0.87) and dependence (OR = 0.33; 95% CI = 0.19-0.58) while moderate and high Comprehensibility was protective for disability (OR = 0.40; 95% CI = 0.22-0.70 and OR = 0.39; 95% CI = 0.21-0.74), but not for dependence. Easy access to social and health resources was also highly protective against both disability and dependence. Conclusions: Our results are consistent with the view that high levels of SOC are protective against disability and dependence in the elderly. Elderly individuals with limited access to social and health resources and with low SOC may be a group at risk for dependence and disability in Spain.
publishDate 2017
dc.date.none.fl_str_mv 2017
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/125251
url https://hdl.handle.net/2445/125251
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.1186/s12877-016-0409-9
BMC Geriatrics, 2017, vol. 17, num. 42
https://doi.org/10.1186/s12877-016-0409-9
dc.rights.none.fl_str_mv cc by (c) Virues Ortega et al., 2017
http://creativecommons.org/licenses/by/3.0/es/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc by (c) Virues Ortega et al., 2017
http://creativecommons.org/licenses/by/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv BioMed Central
publisher.none.fl_str_mv BioMed Central
dc.source.none.fl_str_mv Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,300719

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