Predictive value of the Global Activity Limitation Indicator (GALI) on all-cause mortality

The Global Activity Limitation Indicator (GALI) is an instrument that measures long-term overall disability. The objective of this study was to evaluate GALI's predictive value on mortality while examining variations according to sex, age, and educational level. Longitudinal study. This longitu...

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Published in:Public health (London) 2024-05, Vol.230, p.6-11
Main Authors: Ayuso-Álvarez, A., Ortiz, C., Fontán, J., Rodríguez-Blázquez, C., Damián, J., López-Cuadrado, T., Galán, I.
Format: Article
Language:English
Subjects:
Disability
Disabled Persons
Female
GALI
Health Status
Health Status Indicators
Health Surveys
Humans
Longitudinal Studies
Male
Mortality
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creator Ayuso-Álvarez, A.
Ortiz, C.
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López-Cuadrado, T.
Galán, I.
description The Global Activity Limitation Indicator (GALI) is an instrument that measures long-term overall disability. The objective of this study was to evaluate GALI's predictive value on mortality while examining variations according to sex, age, and educational level. Longitudinal study. This longitudinal study was based on 42,991 individuals aged ≥15 years who participated in the 2011–2012 National Health Survey and the 2014 European Health Survey in Spain. These records were linked to mortality data up to December 2021. GALI assessed self-reported functional limitation in the past 6 months and classified individuals into three categories: severely limited, limited but not severely, and not limited. Incidence rate ratios (IRR) were calculated using Poisson regression models, adjusting for sociodemographic, lifestyle, and health status variables. Compared to individuals with no limitations, those with non-severe limitations had an IRR for mortality of 1.27 (95% CI: 1.16–1.38), and 2.04 (95% CI: 1.81–2.31) in those with severe limitations. Women with severe limitations exhibited a higher IRR (2.32; 95% CI: 1.98–2.71) compared to men (1.73; 95% CI: 1.45–2.08) (P for interaction = 0.005). Individuals
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ispartof Public health (London), 2024-05, Vol.230, p.6-11
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source ScienceDirect Freedom Collection 2022-2024
subjects Disability
Disabled Persons
Female
GALI
Health Status
Health Status Indicators
Health Surveys
Humans
Longitudinal Studies
Male
Mortality
title Predictive value of the Global Activity Limitation Indicator (GALI) on all-cause mortality
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