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Centre for Policy on Ageing | |
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Self-rated health and adverse health outcomes
— an exploration and refinement of the trajectory hypothesis | | Author(s) | Fredric D Wolinsky, William M Tierney |
| Journal title | The Journals of Gerontology Series B: Psychological sciences and social sciences, vol 53B, no 6, November 1998 |
| Pages | pp S336-S340 |
| Keywords | Health [elderly] ; Long term ; Ill health ; Death ; Attitude ; Social surveys ; United States of America. |
| Annotation | To examine the hypothesis that the relationship between poor self-rated health and adverse health outcomes simply reflects self-assessments of declining health trajectories rather than current health status, a 12-month follow-up of 786 disadvantaged adults aged 50-99 years old was conducted. Baseline markers of poor self-rated health and declining health trajectory were used to predict 12-month follow-up reports of the expectations of being hospitalised within 1 year, being placed in a nursing home within 5 years, and dying within 10 years. Hierarchical multivariate logistic regression was used with poor self-rated health entered first, standard epidemiological co-variates next, and declining health trajectory last. Poor self-rated health was not independently associated with expectations for being hospitalised, but declining health trajectory independently increased the risk of such expectations by 65-88%. Nether poor self-rated health nor declining health were independently associated with expectations for being placed in a nursing home, but both were independently associated with expectations for dying, increasing such expectations by 70-105%. The effects described appear to be independent and complementary. (RH). |
| Accession Number | CPA-990304011 A |
| Classmark | CC: 4Q: CH: CW: DP: 3F: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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