Bibliographische Angaben zur Publikation
Modelling the association of disability according to the WHO International Classification of Functioning, Disability and Health (ICF) with mortality in the British Women's Heart and Health Study
Dale, C.; Prieto-Merino, D.; Kuper, Hannah; Adamson, J.; Bowling, A.; Ebrahim, S.; Casas, J. P.
British Medical Association
Journal of Epidemiology and Community Health, 2012, Volume 66 (Number 2), Seite 170-175, London: Eigenverlag, ISSN: 0143-005X (Print); 1470-2738 (Online)
International Classification of Functioning, Disability and Health (ICF
) is now the dominant model for exploring the social consequences of a health condition. This paper investigates the association of the different ICF
disability domains with mortality.
Data are from the British Women Heart and Health Study, a large (n equals 4157) prospectively studied cohort of women randomly selected from 23 towns aged 64-83 years in 2003. Scores were calculated to describe the cumulative load of impairments, limitations and restrictions within each ICF
domain. Cox proportional hazards regression was used to calculate mortality HRs per unit score increase within each ICF
domain. Adjustments were made for age, town, living status, socioeconomic status, lifestyle behaviours and health conditions.
domain was associated with mortality after controlling for lifestyle factors and health conditions. However, only complex activities (HR
equals 1.09, 95 per cent CI 1.01 to 1.18) and participation (HR
equals 1.10, 95 per cent CI 1.04 to 1.16) were independent predictors of mortality following adjustment for all other disability domains and potential confounders.
Results suggest that difficulties with complex activities or social participation could be used to identify and target women at high risk of dying. Interventions to facilitate complex activities or improve social participation may help to delay mortality in elderly women.
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Journal of Epidemiology and Community Health
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