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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:...

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Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
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.
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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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