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Canadian Journal of Public Health = Revue Canadienne de Santé Publique logoLink to Canadian Journal of Public Health = Revue Canadienne de Santé Publique
. 1999 Jan 1;90(1):66–70. [Article in French] doi: 10.1007/BF03404103

Les indices de santé globale comme prédicteurs de la mortalité chez les personnes âgées: une étude prospective de six ans

Richard Lefrançois 1,, Marise Lapointe 1
PMCID: PMC6979649  PMID: 10910571

Abstract

The objective of this prospective study was to determine if certain global health indicators can predict the occurrence of mortality in a representative sample of the elderly in three age strata, after adjusting for sex. The sample, matched for age and sex, comprised 559 subjects. Structured interviews based on the OARS and SMAF were used to assess health. The cumulative number of deaths per month was then recorded over a six-year period. Cox’s multivariate model was used to express the relative mortality risk among these three age cohorts using the overall health indicators as predictors. The results indicate that these indicators are significant predictors of mortality only in the 65–72 age group. Several hypotheses are presented to explain this phenomenon: psychological adjustment to illness, internalization of prevailing social norms, or a cohort and survival effect.

Footnotes

Cette recherche a été rendue possible grâce à des subventions de la Direction générale des programmes de subvention nationale au bien-être social (#4554-29-2) et du Conseil de la recherche en sciences humaines du Canada (#492-86-0003).

Bibliographie

  • 1.Rakowski W, Fleichman JA, Mor V, Bryant SA. Self-assessments of health and mortality among older persons. Res Aging. 1993;15(1):92–116. doi: 10.1177/0164027593151005. [DOI] [Google Scholar]
  • 2.Idler EL. Age difference in self-assessments of health: Age change, cohort differences, or survivorship? J Gerontol. 1993;48(6):S289–S293. doi: 10.1093/geronj/48.6.S289. [DOI] [PubMed] [Google Scholar]
  • 3.Palmore EB, Burchett BM. Predictors of disability in the final year of life. J Aging Health. 1997;9(3):283–97. doi: 10.1177/089826439700900301. [DOI] [PubMed] [Google Scholar]
  • 4.Maddox GL, Douglas E. Self-assessment of health: A longitudinal study of elderly subjects. J Health Soc Behav. 1973;14:87–93. doi: 10.2307/2136940. [DOI] [PubMed] [Google Scholar]
  • 5.Idler EL. Self-assessed health and mortality: A review of studies. In: Maes S, Leventhal H, Johnson M, editors. International Review of Health Psychology. New York: Wiley; 1992. pp. 33–54. [Google Scholar]
  • 6.Idler EL, Stanislav VK, Lemke JH. Self-evaluated health and mortality among the elderly in New Haven, Connecticut, and Iowa and Washington Counties, Iowa, 1982-1986. Am J Epidemiol. 1990;131:91–93. doi: 10.1093/oxfordjournals.aje.a115489. [DOI] [PubMed] [Google Scholar]
  • 7.Rakowski W, Mor V, Hiris J. The association of self-rated health with two-year mortality in a sample of elderly from the Longitudinal Study of Aging (1984–1986) J Aging Health. 1991;3:527–45. doi: 10.1177/089826439100300406. [DOI] [Google Scholar]
  • 8.Leung KK, Tang LY, Lue BH. Self-rated health and mortality in Chinese institutional elderly persons. J Clin Epidemiol. 1997;50(10):1107–16. doi: 10.1016/S0895-4356(97)00153-4. [DOI] [PubMed] [Google Scholar]
  • 9.Miilunpalo S, Vuori I, Oja P, et al. Self-rated health status as a health measure: The predictive value of self-reported health status on the use of physician services and on mortality in the working-age population. J Clin Epidemiol. 1997;50(5):517–28. doi: 10.1016/S0895-4356(97)00045-0. [DOI] [PubMed] [Google Scholar]
  • 10.McCallum J, Shadbolt B, Wang D. Self-rated health and survival: A 7-year follow-up study of Australian elderly. Am J Public Health. 1994;84(7):1100–5. doi: 10.2105/AJPH.84.7.1100. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 11.Kaplan G, Barell V, Luski A. Subjective state of health and survival in elderly adults. J Gerontol. 1988;43:S114–S120. doi: 10.1093/geronj/43.4.S114. [DOI] [PubMed] [Google Scholar]
  • 12.Lefrançois R, Leclerc G, Poulin N. Vieillissement actualisé et santé. Graspa, Sherbrooke: Université de Sherbrooke; 1992. [Google Scholar]
  • 13.Morris WW, Boutelle S. Multidimensional functional assessment in two modes. The Gerontologist. 1985;25(6):638–44. doi: 10.1093/geront/25.6.638. [DOI] [PubMed] [Google Scholar]
  • 14.George LK, Fillenbaum GG. OARS methodology: A decade of experience in geriatric assessment. J Am Geriatr Soc. 1985;33(9):607–16. doi: 10.1111/j.1532-5415.1985.tb06317.x. [DOI] [PubMed] [Google Scholar]
  • 15.Fillenbaum GG, Smyer MA. The development, validity, and reliability of the OARS multidimensional functional assessment questionnaire. J Gerontol. 1981;36(4):428–34. doi: 10.1093/geronj/36.4.428. [DOI] [PubMed] [Google Scholar]
  • 16.Lefrançois R, Leclerc G, Poulin N. Étude de fiabilité de la version française du MFAQ (santé physique) La Revue canadienne du vieillissement. 1995;14(3):525–36. doi: 10.1017/S0714980800009090. [DOI] [Google Scholar]
  • 17.Hébert R, Carrier R, Bilodeau A. Le système de mesure de l’autonomie fonctionnelle (SMAF) La Revue de gériatrie. 1988;13(4):161–67. [Google Scholar]
  • 18.Desrosiers J, Bravo G, Hébert R, Dubuc N. Reliability of the revised functional autonomy measurement system (SMAF) for epidemiological research. Age Ageing. 1995;24(5):402–6. doi: 10.1093/ageing/24.5.402. [DOI] [PubMed] [Google Scholar]
  • 19.Leventhal EA. Aging and the perception of illness. Research on Aging. 1984;6:119–35. doi: 10.1177/0164027584006001007. [DOI] [PubMed] [Google Scholar]
  • 20.Dontas AS, Toupadaki N, Tzonou A, Kasviki-Charvati P. Survival in the oldest old. J Aging Health. 1996;8(2):220–37. doi: 10.1177/089826439600800204. [DOI] [PubMed] [Google Scholar]
  • 21.Barrett-Connor E, Wingard DL. Cholesterol and mortality: Thirty years of follow-up from the Framingham study. J Am Med Assoc. 1991;257:2176–80. [Google Scholar]
  • 22.Fries JF. Aging, natural death, and the compression of morbidity. N Engl J Med. 1980;303:130–35. doi: 10.1056/NEJM198007173030304. [DOI] [PubMed] [Google Scholar]
  • 23.Nusselder WJ, Mackenbach JP. Rectangularization of the survival curve in the Netherlands, 1950-1992. Gerontologist. 1996;36(6):773–82. doi: 10.1093/geront/36.6.773. [DOI] [PubMed] [Google Scholar]

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