A Joint Model for Disability, Self-Rated Health, and Mortality Among Medicare Beneficiaries-Differences by Chronic Disease and Race/Ethnicity.

ABSTRACT:

Objectives

Quantifying interdependence in multiple patient-centered outcomes is important for understanding health declines among older adults.

Methods

Medicare-linked National Health and Aging Trends Study data (2011-2015) were used to estimate a joint longitudinal logistic regression model of disability in activities of daily living (ADL), fair/poor self-rated health (SRH), and mortality. We calculated personalized concurrent risk (PCR) and typical concurrent risk (TCR) using regression coefficients.

Results

For fair/poor SRH, highest odds were associated with COPD. For mortality, highest odds were associated with dementia, hip fracture, and kidney disease. Dementia and hip fracture were associated with highest odds of ADL disability. Hispanic respondents had highes

SUBMITTER: Quinones AR 

PROVIDER: S-EPMC11446605 | biostudies-literature | 2024 Dec

REPOSITORIES: biostudies-literature