A global disability indicator
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Cited by (38)
Clustering of unhealthy lifestyle behaviors, self-rated health and disability
2022, Preventive MedicineCitation Excerpt :Spain enjoys the longest life expectancy at age 65 of all the members of the European Union (21.5 years) of which 9.1 are spent with disability (European Observatory on Health Systems and Policies, 2019). A common indicator for identifying and monitoring disability is called the Global Activity Limitation Index (GALI) (Robine et al., 2003; Verbrugge, 1997). Similarly to self-rated health, the GALI has been validated and it has proven to be a strong predictor of mortality in different sociodemographic groups (Berger et al., 2015).
Comparison of self-rated health and activity limitation as predictors of short term mortality in the older population
2015, Public HealthCitation Excerpt :However, the definition of disability is not unique and many frameworks exist to define disability.3 The need for a compact and inexpensive device for public health surveillance and scientific study of disablement4,5 resulted in the past 15 years in the development of a global activity limitation indicator (GALI), which identifies via one question subjects with longstanding limitations due to a health problem. The GALI has been compared with other disability instruments6 and appears to measure functioning and disabilities similarly across European countries.7
The global activity limitation index mainly measured functional disability, whereas self-rated health measured physical morbidity
2014, Journal of Clinical EpidemiologyCitation Excerpt :The success of a comprehensive indicator of health such as self-rated health (SRH) is indicative of the potential usefulness of a global indicator of function [1]. Such an indicator would be useful to describe the functional status of a population, to screen people with disabilities, and for analytical purposes as a prognostic or outcome variable [1,2]. However, it is only recently that efforts have been made to develop such a measure, initially conceived as a global disability indicator and subsequently, under the International Classification of Functioning, Disability and Health conceptual framework, as a global activity limitation indicator [3,4].
Poverty dynamics and disability: An empirical exercise using the European community household panel
2012, Journal of Socio-EconomicsHealth status and the end-of-life stage
2011, Advances in Life Course ResearchCitation Excerpt :Health status is increasingly recognized as a complex, multidimensional phenomenon (Clark, Stump & Wolinsky, 1997; Johnson & Wolinsky, 1993, 1994; Lawrence, 1995; Leinonen, Heikkinen & Jylha, 1999; Pinquart, 2001; Stump, Clark, Johnson, & Wolinsky, 1997; Wilson & Cleary, 1995; Wolinsky, 1996). In order to deal with some of the complexities, some researchers have examined the changes in individual indicators of self-rated health status (Long & Pavalko, 2004; Wolinsky, Stump, Callahan, & Johnson, 1996), advocated use of a single global disability indicator (Verbrugge, 1997; Verbrugge, Merrill, & Liu, 1999), discussed strategies of measuring morbidity with a simple count of diseases or using binary variables (Ferraro & Wilmoth, 2000), analyzed trajectories of functional limitations (Wolinsky, Armbrecht, & Wyrwich, 2000), or attempted to specify a process of disablement (Jette, 1997, 1999; Jette, Assmann, Rooks, Harris, & Crawford, 1998; Lawrence & Jette, 1996; Leinonen, Heikkinen, & Jylha, 2001; Verbrugge & Jette, 1994). Most of these research efforts have one thing in common: they link health status with chronological aging.
The Global Activity Limitation Index measured function and disability similarly across European countries
2010, Journal of Clinical EpidemiologyCitation Excerpt :Measures of disability were introduced into Health Interview Surveys, as self-rated health was felt to be too subjective (despite it correlating well with mortality and health service use [20]), and reported morbidity is sensitive to change over time, level of education, and medical advances. Disability was thought to be more objective, easier to identify by individuals, easier to report (though still subjective as self-reported), and important in determining need not only for health services but also for long-term care [21]. Disability is usually measured through basic personal-care ADL [22] and/or IADL [23], and these often take the form of a minimum of five separate questions although there is a wider range of potential items for any particular survey.