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Poor Self-Rated Health and Associated Factors among Older Persons in Malaysia: A Population-Based Study
Objective: This study aims to determine the prevalence of poor self-rated health (SRH) in Malaysia and its association with sociodemographic characteristics, lifestyle behavior, chronic diseases, depression, and functional limitations in activities of daily living (ADLs) among older persons. Design:...
Autores principales: | , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10002035/ https://www.ncbi.nlm.nih.gov/pubmed/36901351 http://dx.doi.org/10.3390/ijerph20054342 |
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author | Sahril, Norhafizah Chan, Yee Mang Chan, Ying Ying Ahmad, Noor Ani Kassim, Mohd Shaiful Azlan Shahein, Nik Adilah Rezali, Muhammad Solihin Abd Razak, Mohamad Aznuddin Tahir, Fatin Athirah Ab Wahab, Nor’ain Shamsuddin, Norliza Adnan, Muhammad Azri Adam Khalil, Muhamad Khairul Nazrin Liew, Siaw Hun |
author_facet | Sahril, Norhafizah Chan, Yee Mang Chan, Ying Ying Ahmad, Noor Ani Kassim, Mohd Shaiful Azlan Shahein, Nik Adilah Rezali, Muhammad Solihin Abd Razak, Mohamad Aznuddin Tahir, Fatin Athirah Ab Wahab, Nor’ain Shamsuddin, Norliza Adnan, Muhammad Azri Adam Khalil, Muhamad Khairul Nazrin Liew, Siaw Hun |
author_sort | Sahril, Norhafizah |
collection | PubMed |
description | Objective: This study aims to determine the prevalence of poor self-rated health (SRH) in Malaysia and its association with sociodemographic characteristics, lifestyle behavior, chronic diseases, depression, and functional limitations in activities of daily living (ADLs) among older persons. Design: Cross-sectional. Setting, participants, and outcome measures: We used data from the National Health and Morbidity Survey 2018, a nationwide community-based study. This study was conducted using a two-stage stratified cluster sampling design. Older persons were defined as persons aged 60 years and above. SRH was assessed using the question “How do you rate your general health?” and the answers were “very good”, “good”, “moderate”, “not good”, and “very bad”. SRH was then grouped into two categories; “Good” (very good and good) and “Poor” (moderate, not good, and very bad). Descriptive and logistic regression analyses were conducted using SPSS version 25.0. Results: The prevalence of poor SRH among older persons was 32.6%. Poor SRH was significantly related to physical inactivity, depression, and limitations in activities of daily living (ADLs). Multiple logistic regression revealed that poor SRH was positively associated with those who had depression (aOR 2.92, 95% CI:2.01,4.24), limitations in ADLs (aOR 1.82, 95% CI: 1.31, 2.54), low individual income (aOR 1.66, 95% CI:1.22, 2.26), physical inactivity (aOR 1.40, 95% CI:1.08, 1.82), and hypertension (aOR 1.23, 95% CI:1.02, 1.49). Conclusions: Older persons with depression, limitations in ADLs, low income, physical inactivity, and hypertension were significantly associated with poor SRH. These findings provide information to aid health personnel and policymakers in the development and implementation of health promotion and disease prevention programs, as well as adequate evidence in planning different levels of care for the older population. |
format | Online Article Text |
id | pubmed-10002035 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-100020352023-03-11 Poor Self-Rated Health and Associated Factors among Older Persons in Malaysia: A Population-Based Study Sahril, Norhafizah Chan, Yee Mang Chan, Ying Ying Ahmad, Noor Ani Kassim, Mohd Shaiful Azlan Shahein, Nik Adilah Rezali, Muhammad Solihin Abd Razak, Mohamad Aznuddin Tahir, Fatin Athirah Ab Wahab, Nor’ain Shamsuddin, Norliza Adnan, Muhammad Azri Adam Khalil, Muhamad Khairul Nazrin Liew, Siaw Hun Int J Environ Res Public Health Article Objective: This study aims to determine the prevalence of poor self-rated health (SRH) in Malaysia and its association with sociodemographic characteristics, lifestyle behavior, chronic diseases, depression, and functional limitations in activities of daily living (ADLs) among older persons. Design: Cross-sectional. Setting, participants, and outcome measures: We used data from the National Health and Morbidity Survey 2018, a nationwide community-based study. This study was conducted using a two-stage stratified cluster sampling design. Older persons were defined as persons aged 60 years and above. SRH was assessed using the question “How do you rate your general health?” and the answers were “very good”, “good”, “moderate”, “not good”, and “very bad”. SRH was then grouped into two categories; “Good” (very good and good) and “Poor” (moderate, not good, and very bad). Descriptive and logistic regression analyses were conducted using SPSS version 25.0. Results: The prevalence of poor SRH among older persons was 32.6%. Poor SRH was significantly related to physical inactivity, depression, and limitations in activities of daily living (ADLs). Multiple logistic regression revealed that poor SRH was positively associated with those who had depression (aOR 2.92, 95% CI:2.01,4.24), limitations in ADLs (aOR 1.82, 95% CI: 1.31, 2.54), low individual income (aOR 1.66, 95% CI:1.22, 2.26), physical inactivity (aOR 1.40, 95% CI:1.08, 1.82), and hypertension (aOR 1.23, 95% CI:1.02, 1.49). Conclusions: Older persons with depression, limitations in ADLs, low income, physical inactivity, and hypertension were significantly associated with poor SRH. These findings provide information to aid health personnel and policymakers in the development and implementation of health promotion and disease prevention programs, as well as adequate evidence in planning different levels of care for the older population. MDPI 2023-02-28 /pmc/articles/PMC10002035/ /pubmed/36901351 http://dx.doi.org/10.3390/ijerph20054342 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Sahril, Norhafizah Chan, Yee Mang Chan, Ying Ying Ahmad, Noor Ani Kassim, Mohd Shaiful Azlan Shahein, Nik Adilah Rezali, Muhammad Solihin Abd Razak, Mohamad Aznuddin Tahir, Fatin Athirah Ab Wahab, Nor’ain Shamsuddin, Norliza Adnan, Muhammad Azri Adam Khalil, Muhamad Khairul Nazrin Liew, Siaw Hun Poor Self-Rated Health and Associated Factors among Older Persons in Malaysia: A Population-Based Study |
title | Poor Self-Rated Health and Associated Factors among Older Persons in Malaysia: A Population-Based Study |
title_full | Poor Self-Rated Health and Associated Factors among Older Persons in Malaysia: A Population-Based Study |
title_fullStr | Poor Self-Rated Health and Associated Factors among Older Persons in Malaysia: A Population-Based Study |
title_full_unstemmed | Poor Self-Rated Health and Associated Factors among Older Persons in Malaysia: A Population-Based Study |
title_short | Poor Self-Rated Health and Associated Factors among Older Persons in Malaysia: A Population-Based Study |
title_sort | poor self-rated health and associated factors among older persons in malaysia: a population-based study |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10002035/ https://www.ncbi.nlm.nih.gov/pubmed/36901351 http://dx.doi.org/10.3390/ijerph20054342 |
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