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Table 4 Independent effects of physical, psychological, cognitive and social variables on reporting of poor or fair SRH compared to good or excellent SRH among those with and without stroke in the population of England and Wales aged 65 years and older*

From: What determines the self-rated health of older individuals with stroke compared to other older individuals? A cross-sectional analysis of the Medical Research Council Cognitive Function and Aging Study

 

Individuals with stroke

Individuals without stroke

Stroke: no stroke

 

OR

95% CI

OR

95% CI

OR

95% CI

Socio-demographic

 

Sex

 

Male vs Female

1.2

0.8-1.9

1.1

0.9-1.2

1.1

0.7-1.8

Age group

 

64-74

1.0

Ref.

1.0

Ref.

  

75-84

0.8

0.5-1.2

0.8

0.7-0.9

1.0

0.6-1.5

85+

0.5

0.2-1.0

0.4

0.3-0.5

1.2

0.6-2.8

Marital status

 

Not married vs currently married

0.6

0.3-1.1

1.0

0.8-1.2

0.6

0.3-1.2

Social class

 

Manual

2.1

1.3-3.2

1.5

1.3-1.7

1.4

0.9-2.2

Health behaviour

 

Smoking

 

Never smoked

1.0

Ref

1.0

Ref

-

-

Former smoker

0.8

0.5-1.4

1.1

0.9-1.2

0.8

0.5-1.3

Current smoker

1.1

0.6-2.0

1.1

0.6-1.3

1.0

0.5-1.9

Alcohol drinker

 

Ever v Never

1.7

0.9-3.5

0.8

0.7-1.0

2.1

1.0-4.3

Co-morbidities

 

High Blood Pressure

 

Yes

1.3

0.9-1.9

1.4

1.3-1.6

0.9

0.6-1.4

Angina

 

Yes

1.4

0.8-2.4

2.0

1.7-2.4

0.7

0.4-1.2

Heart Attack

 

Yes

1.3

0.8-2.4

1.7

1.4-2.0

0.8

0.4-1.4

Diabetes

 

Yes

3.5

1.5-8.1

1.7

1.3-2.1

2.1

0.9-5.0

Head injury

 

Yes

1.7

1.0-3.1

1.3

1.1-1.6

1.3

0.7-2.3

Physical

 

Time since stroke

 

<1 year

1.7

0.8-3.3

-

   

1-2 years

1.3

0.8-2.2

-

   

3-5 years

1.2

0.7-2.0

-

   

> 5 years

1.0

Ref.

-

   

Disabilities

 

Not disabled

1.0

Ref.

1.0

Ref.

  

IADL

1.6

0.9-2.9

3.0

2.6-3.5

0.5

0.3-1.0

ADL

2.0

1.2-3.4

3.9

3.2-4.8

0.5

0.3-0.9

Psychological

 

Depression diagnosis

 

Yes

2.0

1.0-3.8

1.6

1.4-1.9

1.2

0.6-2.4

Cognition

 

MMSE

 

26-30

1.0

Ref.

1.0

Ref.

  

22-25

1.2

0.8-2.0

1.0

0.9-1.2

1.2

0.7-2.0

18-21

1.5

0.8-3.0

1.0

0.8-1.3

1.5

0.7-3.0

Verbal Fluency

      

Per 1 animal named less

1.1

1.0-1.1

1.0

1.0-1.1

1.0

1.0-1.1

Social

 

Lives alone

 

Alone vs living witgh others

1.4

0.7-2.5

1.1

0.9-1.3

1.3

0.7-2.4

Sees children and relatives

 

Less than weekly vs weekly or more

1.3

0.8-2.1

1.1

0.9-1.2

1.2

0.7-2.0

Sees neighbours

 

Less than weekly vs weekly or more

0.7

0.4-1.2

0.9

0.8-1.1

0.8

0.4-1.3

Has friends

      

No

1.1

0.7-1.9

1.3

1.2-1.6

0.8

0.5-1.4

Attends meetings

 

None

1.0

Ref.

1.0

Ref.

  

Yes, occasionally

0.4

0.2-1.0

0.9

0.7-1.1

0.5

0.2-1.1

Yes, frequently

1.0

0.6-1.5

0.9

0.8-1.0

1.1

0.7-1.7

Out and about as much as would like

 

No

2.6

1.7-4.1

2.9

2.5-3.3

0.9

0.6-1.5

  1. *odds ratios and 95% CI’s estimated by multiple logistic regression adjusted for all other variables in the model.
  2. interaction of each independent variable with stroke (i.e. ratio between the effects among those with and without stroke). Statistically significant effects and interactions at p<0.05 are in bold.
  3. Social variables missing for approximately 20% of participants.