000061663 001__ 61663
000061663 005__ 20190709135443.0
000061663 0247_ $$2doi$$a10.1186/s12877-016-0409-9
000061663 0248_ $$2sideral$$a99152
000061663 037__ $$aART-2017-99152
000061663 041__ $$aeng
000061663 100__ $$aVirues-Ortega, J.
000061663 245__ $$aA protective personal factor against disability and dependence in the elderly: an ordinal regression analysis with nine geographically-defined samples from Spain
000061663 260__ $$c2017
000061663 5060_ $$aAccess copy available to the general public$$fUnrestricted
000061663 5203_ $$aBackground
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 Spanishelders.
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.
000061663 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000061663 590__ $$a2.866$$b2017
000061663 591__ $$aGERONTOLOGY$$b7 / 36 = 0.194$$c2017$$dQ1$$eT1
000061663 591__ $$aGERIATRICS & GERONTOLOGY$$b27 / 53 = 0.509$$c2017$$dQ3$$eT2
000061663 592__ $$a1.257$$b2017
000061663 593__ $$aGeriatrics and Gerontology$$c2017$$dQ1
000061663 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000061663 700__ $$aVega, S.
000061663 700__ $$aSeijo-Martinez, M.
000061663 700__ $$0(orcid)0000-0002-6427-6845$$aSaz, P.$$uUniversidad de Zaragoza
000061663 700__ $$aRodriguez, F.
000061663 700__ $$aRodriguez-Laso, A.
000061663 700__ $$ade Las Heras, S.P.
000061663 700__ $$aMateos, R.
000061663 700__ $$aMartinez-Martin, P.
000061663 700__ $$aMahillo-Fernandez, I.
000061663 700__ $$aGarre-Olmo, J.
000061663 700__ $$aGascon, J.
000061663 700__ $$aGarcia-Garcia, F.J.
000061663 700__ $$aFernandez-Martinez, M.
000061663 700__ $$aBermejo-Pareja, F.
000061663 700__ $$aBergareche, A.
000061663 700__ $$aBenito-Leon, J.
000061663 700__ $$ade Pedro-Cuesta, J.
000061663 7102_ $$11007$$2745$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Psiquiatría
000061663 773__ $$g17, 1 (2017), 1-10$$pBMC geriatr.$$tBMC geriatrics$$x1471-2318
000061663 8564_ $$s583761$$uhttp://zaguan.unizar.es/record/61663/files/texto_completo.pdf$$yVersión publicada
000061663 8564_ $$s90186$$uhttp://zaguan.unizar.es/record/61663/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
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000061663 951__ $$a2019-07-09-11:37:14
000061663 980__ $$aARTICLE