Influence of response options on self-perceived health status

  • Maria Isolina Santiago-PérezEmail author
  • Mónica Pérez-Ríos
  • Alberto Malvar
  • Xurxo Hervada
Hints & Kinks

Health is a dynamic and multidimensional concept that includes different quality of life domains such as physical health, psychological health, social relationships or environment (Larson 1999). From a public health perspective, having an indicator that objectifies the population’s health status is valuable. However, it is essential to take into account that the collection of information about the health status of a population relies heavily on subjective measures such as self-perceived health, which is a person’s global and subjective appraisal of his/her health status. Apart from its limitations, this indicator is useful both at population and individual levels, and a large number of studies have found evidence at its association with other domains of health status and found it to be a powerful predictor of future morbidity and mortality (Blank and Diderichsen 1996; Kaplan et al. 1996; Idler and Benyamini 1997; Benyamini and Idler 1999; Nery Guimarães et al. 2012). Self-perceived...


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Human participants and/or animals rights

Research involving human participants and/or animals: not applicable.

Informed consent

The study was conducted by telephone, and accordingly agreement to participate implies consent.


  1. Benyamini Y, Idler EL (1999) Community studies reporting association between self-rated health and mortality: additional studies, 1995–1998. Res Aging 21:392–401CrossRefGoogle Scholar
  2. Blank N, Diderichsen F (1996) The prediction of different experiences of long-term illness: a longitudinal approach in Sweden. J Epidemiol Community Health 50:156–161CrossRefGoogle Scholar
  3. Fleiss JL (1981) Statistical methods for rates and proportions. Wiley, New YorkGoogle Scholar
  4. Idler EL, Benyamini Y (1997) Self-rated health and mortality: a review of twenty-seven community studies. J Health Soc Behav 38:21–37CrossRefGoogle Scholar
  5. Kaplan GA, Goldberg DE, Everson SA, Cohen RD, Salonen R, Tuomilehto J, Salonen J (1996) Perceived health status and morbidity and mortality: evidence from the Kuopio ischaemic heart disease risk factor study. Int J Epidemiol 25:259–265CrossRefGoogle Scholar
  6. Larson JS (1999) The conceptualization of health. Med Care Res Rev 56:123–136CrossRefGoogle Scholar
  7. Nery Guimarães JM, Chor D, Loureiro Werneck G, Sá Carvalho M, Medina Coeli C, Lopes CS, Faerstein E (2012) Association between self-rated health and mortality: 10 years follow-up to the Pró-Saúde cohort study. BMC Public Health 12:676CrossRefGoogle Scholar
  8. Robine JM, Jagger C, Euro-REVES Group (2003) Creating a coherent set of indicators to monitor health across Europe: the Euro-REVES 2 project. Eur J Public Health 13(3 Suppl):6–14CrossRefGoogle Scholar
  9. SICRI: Sistema de Información sobre Condutas de Risco de Galicia. Dirección Xeral de Saúde Pública. Consellería de Sanidade. Xunta de Galicia.ón-sobre-Condutas-de-Risco
  10. Silva LC (1997) Cultura estadística e investigación científica en el campo de la salud: una mirada crítica. Díaz de Santos, MadridGoogle Scholar
  11. World Health Organization, Statistics Netherlands (1996) Health interview surveys: towards international harmonization of methods and instruments. European series, Nº 58. WHO Regional Office for Europe, WHO Regional Publications, CopenhagenGoogle Scholar

Copyright information

© Swiss School of Public Health (SSPH+) 2019

Authors and Affiliations

  • Maria Isolina Santiago-Pérez
    • 1
    Email author
  • Mónica Pérez-Ríos
    • 1
    • 2
  • Alberto Malvar
    • 1
  • Xurxo Hervada
    • 1
  1. 1.Epidemiology UnitGalician Directorate for Public HealthSantiago de CompostelaSpain
  2. 2.Department of Preventive Medicine and Public HealthUniversity of Santiago de CompostelaSantiago de CompostelaSpain

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