Physical multimorbidity and wish to die among adults aged =65years: A cross-sectional analysis of the Irish Longitudinal Study on Ageing.
Por:
Smith L, Shin JI, Haro JM, Jacob L., López Sánchez GF, Tully MA, Hans Oh, Carvalho AF, Barnett Y, Butler L and Koyanagi A
Publicada:
25 jun 2022
Ahead of Print:
25 jun 2022
Resumen:
BACKGROUND: Physical multimorbidity (i.e., =2 chronic conditions) may induce feelings of wish to die (WTD), but there is limited literature on this topic, while the mediators in this association are largely unknown. Thus, the aim of the present study was to investigate this association and its mediators among older Irish adults.; METHODS: Cross-sectional, nationally representative data from Wave 1 of the Irish Longitudinal Study on Ageing 2009-2011 were analyzed. Information on self-reported lifetime diagnosis of 14 chronic physical conditions were obtained. WTD was defined as answering affirmatively to the question "In the last month, have you felt that you would rather be dead?" Multivariable logistic regression and mediation analyses were conducted.; RESULTS: Data on 2941 adults aged =65years [mean (SD) age 73.2 (5.2) years; 45.0% males] were analyzed. Physical multimorbidity was associated with 3.39 (95%CI 1.58, 7.28) times higher odds for WTD. This association was largely explained by pain (% mediated 28.1%), followed by depression (19.4%), sleep problems (18.4%), perceived stress (13.0%), loneliness (10.4%), anxiety (8.1%), and disability (7.2%).; CONCLUSIONS: Multimorbidity was associated with increased odds for WTD among Irish older adults. Addressing the identified mediators may contribute to reducing feelings of WTD among older adults with multimorbidity. Copyright © 2022 The Authors. Published by Elsevier B.V. All rights reserved.
Filiaciones:
Smith L:
Centre for Health, Performance, and Wellbeing, Anglia Ruskin University, Cambridge, UK
Shin JI:
Department of Pediatrics, Yonsei University College of Medicine, Yonsei-ro 50, Seodaemun-gu, 8044, 120-752 Seoul, Seoul, Republic of Korea
Haro JM:
Research and Development Unit, Parc Sanitari Sant Joan de Déu, CIBERSAM, 08830 Barcelona, Spain
Jacob L.:
Research and Development Unit, Parc Sanitari Sant Joan de Déu, CIBERSAM, 08830 Barcelona, Spain
Faculty of Medicine, University of Versailles Saint-Quentin-en-Yvelines, 78000 Versailles, France
López Sánchez GF:
Division of Preventive Medicine and Public Health, Department of Public Health Sciences, School of Medicine, University of Murcia, Murcia, Spain. Electronic address:
Tully MA:
School of Health Sciences, Institute of Mental Health Sciences, Ulster University, Newtownabbey BT15 1ED, Newtownabbey, UK
Hans Oh:
Suzanne Dworak Peck School of Social Work, University of Southern California, Los Angeles, CA 90007, USA
Carvalho AF:
IMPACT (Innovation in Mental and Physical Health and Clinical Treatment) Strategic Research Centre, School of Medicine, Barwon Health, Deakin University, Geelong, VIC, 3220, Australia
Barnett Y:
Centre for Health, Performance, and Wellbeing, Anglia Ruskin University, Cambridge, UK
Butler L:
Centre for Health, Performance, and Wellbeing, Anglia Ruskin University, Cambridge, UK
Koyanagi A:
Research and Development Unit, Parc Sanitari Sant Joan de Déu, CIBERSAM, 08830 Barcelona, Spain
ICREA, Pg. Lluis Companys 23, 08010 Barcelona, Spain
Centre for Health, Performance, and Wellbeing, Anglia Ruskin University, Cambridge, UK.; Department of Pediatrics, Yonsei University College of Medicine, Yonsei-ro 50, Seodaemun-gu, 8044, 120-752 Seoul, Seoul, Republic of Korea.; Research and Development Unit, Parc Sanitari Sant Joan de Deu, CIBERSAM, 08830 Barcelona, Spain.; Research and Development Unit, Parc Sanitari Sant Joan de Deu, CIBERSAM, 08830 Barcelona, Spain; Faculty of Medicine, University of Versailles Saint-Quentin-en-Yvelines, 78
hybrid, Green Accepted, Green Published
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