دورية أكاديمية
Predictive value of the Global Activity Limitation Indicator (GALI) on all-cause mortality.
| العنوان: | Predictive value of the Global Activity Limitation Indicator (GALI) on all-cause mortality. |
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| المؤلفون: | Ayuso-Álvarez A; National Centre for Epidemiology, Institute of Health Carlos III, Spain; Department of Sociology, School of Economics, Universidad Autónoma de Madrid, Spain., Ortiz C; National Centre for Epidemiology, Institute of Health Carlos III, Spain., Fontán J; National Centre for Epidemiology, Institute of Health Carlos III, Spain., Rodríguez-Blázquez C; National Centre for Epidemiology, Institute of Health Carlos III, Spain., Damián J; National Centre for Epidemiology, Institute of Health Carlos III, Spain; Consortium for Biomedical Research in Neurodegenerative Diseases (CIBERNED), Spain., López-Cuadrado T; National Centre for Epidemiology, Institute of Health Carlos III, Spain; Department of Preventive Medicine and Public Health, School of Medicine, Universidad Autónoma de Madrid, Spain., Galán I; National Centre for Epidemiology, Institute of Health Carlos III, Spain; Department of Preventive Medicine and Public Health, School of Medicine, Universidad Autónoma de Madrid, Spain. Electronic address: igalan@isciii.es. |
| المصدر: | Public health [Public Health] 2024 May; Vol. 230, pp. 6-11. Date of Electronic Publication: 2024 Mar 08. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: Netherlands NLM ID: 0376507 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1476-5616 (Electronic) Linking ISSN: 00333506 NLM ISO Abbreviation: Public Health Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2003- : Amsterdam : Elsevier Original Publication: London ; New York : Academic Press |
| مواضيع طبية MeSH: | Health Status Indicators* , Disabled Persons*, Male ; Humans ; Female ; Longitudinal Studies ; Health Status ; Health Surveys |
| مستخلص: | Objectives: The Global Activity Limitation Indicator (GALI) is an instrument that measures long-term overall disability. The objective of this study was to evaluate GALI's predictive value on mortality while examining variations according to sex, age, and educational level. Study Design: Longitudinal study. Methods: This longitudinal study was based on 42,991 individuals aged ≥15 years who participated in the 2011-2012 National Health Survey and the 2014 European Health Survey in Spain. These records were linked to mortality data up to December 2021. GALI assessed self-reported functional limitation in the past 6 months and classified individuals into three categories: severely limited, limited but not severely, and not limited. Incidence rate ratios (IRR) were calculated using Poisson regression models, adjusting for sociodemographic, lifestyle, and health status variables. Results: Compared to individuals with no limitations, those with non-severe limitations had an IRR for mortality of 1.27 (95% CI: 1.16-1.38), and 2.04 (95% CI: 1.81-2.31) in those with severe limitations. Women with severe limitations exhibited a higher IRR (2.32; 95% CI: 1.98-2.71) compared to men (1.73; 95% CI: 1.45-2.08) (P for interaction = 0.005). Individuals <65 years with severe limitations showed a greater association (2.22; 95% CI: 1.58-3.10) than those ≥65 (1.49; 95% CI: 1.32-1.69) (P for interaction <0.001). Among individuals with lower educational attainment, the IRR was 2.08 (95% CI: 1.83-2.37), and 1.87 (95% CI: 1.37-2.56) for the higher education group (P for interaction = 0.017). Conclusions: GALI is a robust predictor of all-cause mortality in the general population and subgroups. The association is stronger in women, individuals <65 years, and those with lower educational levels. (Copyright © 2024 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Disability; GALI; Mortality |
| تواريخ الأحداث: | Date Created: 20240309 Date Completed: 20240416 Latest Revision: 20240416 |
| رمز التحديث: | 20240416 |
| DOI: | 10.1016/j.puhe.2024.02.006 |
| PMID: | 38460397 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1476-5616 |
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| DOI: | 10.1016/j.puhe.2024.02.006 |