Do Older People Benefit from Having a Confidant? An Oklahoma Physicians Resource/Research Network (OKPRN) Study
| Autor: | Frank H. Lawler, James W. Mold, Laine H. McCarthy |
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| Rok vydání: | 2013 |
| Předmět: |
Male
Gerontology Friends Kaplan-Meier Estimate Social support Interpersonal relationship Quality of life Surveys and Questionnaires Humans Medicine Family Interpersonal Relations Longitudinal Studies Prospective Studies Prospective cohort study Survival rate Aged Proportional Hazards Models Aged 80 and over Proportional hazards model business.industry Public Health Environmental and Occupational Health Social Support Health Surveys Survival Rate Quality of Life Marital status Female Independent Living Family Practice business Independent living |
| Zdroj: | The Journal of the American Board of Family Medicine. 26:9-15 |
| ISSN: | 1558-7118 1557-2625 |
| DOI: | 10.3122/jabfm.2013.01.120051 |
| Popis: | The objective was to determine whether having a confidant was associated with improved health-related quality of life (HRQoL) or survival in older, community-dwelling individuals.This prospective cohort study included 23 family physician members of the Oklahoma Physicians Research/Resource Network in 9 practices and 852 community-dwelling adults 65 or older participating in the Oklahoma Longitudinal Assessment of Health Outcomes of Mature Adults Studies. Longitudinal models analyzed changes in self-administered Quality of Well-Being (QWB-SA) scores over an average (S.D.) of 2.51 (1.28) years. Cox proportional hazards models assessed variables possibly associated with mortality over an average survival time (+/-S.D.) of 9.22 (3.24) years. We controlled for chronic illnesses, baseline age, gender, marital status, income, race, BMI, education and specified Medical Outcomes Study Short Form-36 (SF-36) domain scores.Initially, 740 participants (87%) had a confidant. Being married was strongly associated with having a confidant (91.9% vs. 77.8%, p0.0001). A confidant was associated with better SF-36 domain scores (p0.0001), less morbidity, higher baseline QWB-SA scores and favorable changes in QWB-SA (p0.0001). Unadjusted risk of death (37.8% vs 46.4%, p=0.08) was not lower. Kaplan-Meier confidant status survival curves were not statistically different (p=0.16).Older people with a confidant demonstrated enhanced HRQoL maintenance over the short term, but not greater survival. |
| Databáze: | OpenAIRE |
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