Ocampo-Chaparro José M, Zapata-Ossa Helmer de J, Cubides-Munévar Angela M, Curcio Carmen L, Villegas Juan de D, Reyes-Ortiz Carlos A
Departamento de Medicina Familiar, Universidad del Valle, Cali, Colombia
Escuela de Medicina, Fundación Universitaria San Martín, Grupo de Investigación en Salud Pública (GISAP), Cali, Colombia.
Colomb Med (Cali). 2013 Dec 31;44(4):224-31. eCollection 2013 Oct.
Self-rated health (SRH) has beeen considered an important marker of quality of life and an independent predictor of mortality in older adults.
To determine the prevalence of poor SRH and identify risk factors associated with poor SRH among older adults residing in the Commune 18 of the city of Cali, Colombia, in 2009.
A population-based cross-sectional study with a single-stage cluster sampling design. Sample included 314 persons aged 60 and older. The dependent variable, SRH was dichotomized into good (excellent, very good, good) and poor (fair, poor). Independent variables were sociodemographic, biological, mental, functional and geriatric syndromes. Logistic regression was used for multivariate statistical modeling.
Overall, 40.1% reported poor SRH (women 42.9%, men 35.0%). Factors independently associated with poor SRH were diabetes mellitus, depression, fear of falling and frailty syndrome (frail and pre-frail vs. non-frail). Widowed men reported poorer health than married men while other marital status (single/separated/divorced) was associated with better self-rated health in women.
Potential modifiable factors such as depression and frailty syndrome are important determinants for poor SRH in Colombian older adults.
自评健康（SRH）被认为是生活质量的重要指标，也是老年人死亡率的独立预测因素。
确定2009年居住在哥伦比亚卡利市第18公社的老年人中自评健康状况不佳的患病率，并识别与自评健康状况不佳相关的风险因素。
采用基于人群的横断面研究，采用单阶段整群抽样设计。样本包括314名60岁及以上的人。因变量自评健康被分为良好（优秀、非常好、好）和不佳（一般、差）。自变量包括社会人口统计学、生物学、心理、功能和老年综合征。采用逻辑回归进行多变量统计建模。
总体而言，40.1%的人报告自评健康状况不佳（女性为42.9%，男性为35.0%）。与自评健康状况不佳独立相关的因素有糖尿病、抑郁症、害怕跌倒和衰弱综合征（虚弱和前期虚弱与非虚弱相比）。丧偶男性报告的健康状况比已婚男性差，而其他婚姻状况（单身/分居/离婚）与女性更好的自评健康相关。
抑郁症和衰弱综合征等潜在可改变因素是哥伦比亚老年人自评健康状况不佳的重要决定因素。
