Determinants of self-rated health items with different points of reference: implications for health measurement of older adults.

Abstract:

OBJECTIVE:This study assessed whether three commonly used self-rated health (SRH) items (global, age-comparative, and self-comparative) are equivalent measures of health perception for older adults. METHOD:Regression analyses were used to simultaneously contrast the associations between physical, psychological, and social factors relating to health for three SRH items, in a large ( N = 2,034) population-based sample of older adults (65 years and older) from the Australian Longitudinal Study of Aging. RESULTS:Health perceptions were more positive for the age-comparative SRH measure, compared to the pessimistic ratings of the self-comparative measure, particularly for the oldest-old adults. Different patterns of associations between the health factors and SRH measures were found. DISCUSSION:These results show the three SRH items are not equivalent measures of health and cannot be used interchangeably. The reference point of the SRH item has a considerable influence on health perceptions of older adults as it encapsulates unique health information.

journal_name

J Aging Health

authors

Sargent-Cox KA,Anstey KJ,Luszcz MA

doi

10.1177/0898264308321035

subject

Has Abstract

pub_date

2008-09-01 00:00:00

pages

739-61

issue

6

eissn

0898-2643

issn

1552-6887

pii

0898264308321035

journal_volume

20

pub_type

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