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Self-Rated Health: When and How to Use It in Studies Among Older People?

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International Handbook of Health Expectancies

Part of the book series: International Handbooks of Population ((IHOP,volume 9))

Abstract

Self-rated health (SRH) is a simple and pragmatic tool that researchers often use to measure overall health status. However, there is a need for more specific recommendations regarding when and how SRH should be used. SRH measured at one point in time likely reflects underlying health status, even in groups with a high level of morbidity. With regard to longitudinal studies and clinical trials however, many older people do not appear to change their SRH over time, resulting in a more stable SRH than would be expected based on declines or improvements in other health indicators. The added value of including SRH in studies as a measure of health thus depends on the specific aims and design of the study. This chapter discusses the discrepancies between health status and SRH in different study designs of older people, and proposes practical recommendations for using SRH in future studies on ageing.

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References

  • Ahmad, F., Jhajj, A. K., Stewart, D. E., et al. (2014). Single item measures of self-rated mental health: A scoping review. BMC Health Services Research, 14(1), 398.

    Article  Google Scholar 

  • Ahmed, S., Mayo, N. E., Wood-Dauphinee, S., et al. (2004). Response shift in the assessment of health-related quality of life post-stroke. Journal of Clinical Epidemiology, 57, 561–570.

    Article  Google Scholar 

  • Bamia, C., Orfanos, P., Juerges, H., et al. (2017). Self-rated health and all-cause and cause-specific mortality of older adults: Individual data meta-analysis of prospective cohort studies in the CHANCES consortium. Maturitas, 103, 37–44.

    Article  Google Scholar 

  • Barclay-Goddard, R., Epstein, J. D., & Mayo, N. E. (2009). Response shift: A brief overview and proposed research priorities. Quality of Life Research, 18(3), 335–346.

    Article  Google Scholar 

  • Bardage, C., Pluijm, S. M. F., Pedersen, N. L., et al. (2005). Self-rated health among older adults: A cross-national comparison. European Journal of Ageing, 2, 149–158.

    Article  Google Scholar 

  • Bath, P. A. (1999). Self-rated health as a risk factor for prescribed drug use and future health and social service use in older people. The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 54(11), M565–M570.

    Article  Google Scholar 

  • Benyamini, Y., Leventhal, E. A., & Leventhal, H. (2003). Elderly people’s ratings of the importance of health-related factors to their self-assessments of health. Social Science & Medicine, 56(8), 1661–1667.

    Article  Google Scholar 

  • Bowling, A., & Windsor, J. (2008). The effects of question order and response-choice on self-rated health status in the English Longitudinal Study of Ageing (ELSA). Journal of Epidemiology and Community Health, 62(1), 81–85.

    Article  Google Scholar 

  • Croezen, S., Burdorf, A., & van Lenthe, F. H. (2016). Self-perceived health in older Europeans: Does the choice of survey matter? European Journal of Public Health, 26(4), 686–692.

    Article  Google Scholar 

  • Doblhammer, G., & Kytir, J. (2001). Compression or expansion of morbidity? Trends in healthy-life expectancy in the elderly Austrian population between 1978 and 1998. Social Science & Medicine, 52(3), 385–391.

    Article  Google Scholar 

  • Dowd, J. B. (2012). Whiners, deniers, and self-rated health: What are the implications for measuring health inequalities? A commentary on Layes, et al. Social Science & Medicine, 75(1), 10–13.

    Article  Google Scholar 

  • Dowd, J. B., & Zajacova, A. (2010). Does self-rated health mean the same thing across socioeconomic groups? Evidence from biomarker data. Annals of Epidemiology, 20(10), 743–749.

    Article  Google Scholar 

  • Fayers, P. M., & Sprangers, M. A. G. (2002). Understanding self-rated health. Lancet, 359(9302), 187–188.

    Article  Google Scholar 

  • Galenkamp, H., Braam, A. W., Huisman, M., et al. (2011). Somatic multimorbidity and self-rated health in the older population. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 66B(3), 380–386.

    Article  Google Scholar 

  • Galenkamp, H., Deeg, D. J., Braam, A. W., et al. (2012a). ‘How was your health 3 years ago?’ predicting mortality in older adults using a retrospective change measure of self-rated health. Geriatrics & Gerontology International, 13(3), 678–686.

    Article  Google Scholar 

  • Galenkamp, H., Huisman, M., Braam, A. W., et al. (2012b). Estimates of prospective change in self-rated health in older people were biased due to potential recalibration response shift. Journal of Clinical Epidemiology, 65, 978–988.

    Article  Google Scholar 

  • Galenkamp, H., Deeg, D. J. H., Huisman, M., et al. (2013a). Is self-rated health still sensitive for changes in disease and functioning among nonagenarians? The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 68(5), 848–858.

    Article  Google Scholar 

  • Galenkamp, H., Braam, A. W., Huisman, M., et al. (2013b). Seventeen-year time trend in poor self-rated health in older adults: Changing contributions of chronic diseases and disability. European Journal of Public Health, 23, 511–517.

    Article  Google Scholar 

  • Garbarski, D. (2016). Research in and prospects for the measurement of health using self-rated health. Public Opinion Quarterly, 80(4), 977–997.

    Article  Google Scholar 

  • Garbarski, D., Schaeffer, N. C., & Dykema, J. (2015). The effects of question order and response option order on self-rated health. Quality of Life Research, 24, 1443–1453.

    Article  Google Scholar 

  • Garbarski, D., Dykema, J., Croes, K. D., et al. (2017). How participants report their health status: Cognitive interviews of self-rated health across race/ethnicity, gender, age, and educational attainment. BMC Public Health, 17, 771.

    Article  Google Scholar 

  • Grol-Prokopczyk, H., Freese, J., & Hauser, R. M. (2011). Using anchoring vignettes to assess group differences in general self-rated health. Journal of Health and Social Behavior, 52(2), 246–261.

    Article  Google Scholar 

  • Hays, J. C., Schoenfeld, D. E., & Blazer, D. G. (1996). Determinants of poor self-rated health in late life. The American Journal of Geriatric Psychiatry, 4(3), 188–196.

    Article  Google Scholar 

  • Hu, Y., van Lenthe, F. J., Borsboom, G. J., et al. (2016). Trends in socioeconomic inequalities in self-assessed health in 17 European countries between 1990 and 2010. Journal of Epidemiology and Community Health, 70, 644–652.

    Article  Google Scholar 

  • Huisman, M., & Deeg, D. J. H. (2010). A commentary on Marja Jylhä’s “What is self-rated health and why does it predict mortality? Towards a unified conceptual model” (69:3, 2009, 307-316). Social Science & Medicine, 70(5), 652–654.

    Article  Google Scholar 

  • Idler, E., Leventhal, H., McLaughlin, J., et al. (2004). In sickness but not in health: Self-ratings, identity, and mortality. Journal of Health and Social Behavior, 45(3), 336–356.

    Article  Google Scholar 

  • Johnson, R. J., & Wolinsky, F. D. (1993). The structure of health status among older adults: Disease, disability, functional limitation, and perceived health. Journal of Health and Social Behavior, 34(2), 105–121.

    Article  Google Scholar 

  • Jürges, H., Avendano, M., & Mackenbach, J. P. (2008). Are different measures of self-rated health comparable? An assessment in five European countries. European Journal of Epidemiology, 23(12), 773–781.

    Article  Google Scholar 

  • Jylhä, M. (2009). What is self-rated health and why does it predict mortality? Towards a unified conceptual model. Social Science & Medicine, 69(3), 307–316.

    Article  Google Scholar 

  • Jylhä, M., Volpato, S., & Guralnik, J. A. (2006). Self-rated health showed a graded association with frequently used biomarkers in a large population sample. Journal of Clinical Epidemiology, 59(5), 465–471.

    Article  Google Scholar 

  • Lang, T., & Delpierre, C. (2009). ‘How are you?’: What do you mean? European Journal of Public Health, 19(4), 353.

    Article  Google Scholar 

  • Leinonen, R., Heikkinen, E., & Jylhä, M. (1998). Self-rated health and self-assessed change in health in elderly men and women – a five-year longitudinal study. Social Science & Medicine, 46(4–5), 591–597.

    Article  Google Scholar 

  • Leinonen, R., Heikkinen, E., & Jylhä, M. (2002). Changes in health, functional performance and activity predict changes in self-rated health: A 10-year follow-up study in older people. Archives of Gerontology and Geriatrics, 35(1), 79–92.

    Article  Google Scholar 

  • Manor, O., Matthews, S., & Power, C. (2000). Dichotomous or categorical response? Analysing self-rated health and lifetime social class. International Journal of Epidemiology, 29(1), 149–157.

    Article  Google Scholar 

  • Menec, V. H., & Chipperfield, J. G. (2001). A prospective analysis of the relation between self-rated health and health care use among elderly Canadians. Canadian Journal on Aging-Revue Canadienne du Vieillissement, 20(3), 293–306.

    Article  Google Scholar 

  • Mossey, J. M., & Shapiro, E. (1982). Self-rated health: A predictor of mortality among the elderly. American Journal of Public Health, 72(8), 800–808.

    Article  Google Scholar 

  • Parker, M. G., & Thorslund, M. (2007). Health trends in the elderly population: Getting better and getting worse. Gerontologist, 47(2), 150–158.

    Article  Google Scholar 

  • Peck, R. C. (1968). Psychological developments in the second half of life. In B. L. Neugarten (Ed.), Middle age and aging: A reader in social psychology (pp. 88–92). Chicago: University of Chicago Press.

    Google Scholar 

  • Picard, M., Juster, R., & Sabison, C. (2013). Is the whole greater than the sum of the parts? Self-rated health and transdisciplinarity. Health, 5, 24–30.

    Article  Google Scholar 

  • Robine, J. M., & Jagger, C. (2003). Creating a coherent set of indicators to monitor health across Europe: The euro-REVES 2 project. European Journal of Public Health, 13(suppl 3), 6–14.

    Article  Google Scholar 

  • Rodin, J., & McAvay, G. (1992). Determinants of change in perceived health in a longitudinal study of older adults. Journal of Gerontology, 47(6), 373–384.

    Article  Google Scholar 

  • Schnittker, J. (2005). When mental health becomes health: Age and the shifting meaning of self-evaluations of general health. The Milbank Quarterly, 83(3), 397–423.

    Article  Google Scholar 

  • Schwartz, C. E., & Sprangers, M. A. G. (2010). Guidelines for improving the stringency of response shift research using the thentest. Quality of Life Research, 19(4), 455–464.

    Article  Google Scholar 

  • Simon, J. G., de Boer, J. B., Joung, I. M. A., et al. (2005). How is your health in general? A qualitative study on self-assessed health. European Journal of Public Health, 15(2), 200–208.

    Article  Google Scholar 

  • Sprangers, M. A. G., & Schwartz, C. E. (1999). Integrating response shift into health-related quality of life research: A theoretical model. Social Science & Medicine, 48(11), 1507–1515.

    Article  Google Scholar 

  • World Health Organisation. (1948). Constitution of the World Health Organisation. In Basic Documents. Geneva.

    Google Scholar 

  • World Health Organisation. (2002). Active ageing: A policy framework. WHO reference number: WHO/NMH/NPH/02.8. Geneva.

    Google Scholar 

  • Zack, M. M., Moriarty, D. G., Stroup, D. F., et al. (2004). Worsening trends in adult health-related quality of life and self-rated health-United States, 1993–2001. Public Health Reports, 119(5), 493–505.

    Article  Google Scholar 

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Correspondence to Henrike Galenkamp .

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Galenkamp, H., Braam, A.W., Huisman, M., Deeg, D.J.H. (2020). Self-Rated Health: When and How to Use It in Studies Among Older People?. In: Jagger, C., Crimmins, E.M., Saito, Y., De Carvalho Yokota, R.T., Van Oyen, H., Robine, JM. (eds) International Handbook of Health Expectancies. International Handbooks of Population, vol 9. Springer, Cham. https://doi.org/10.1007/978-3-030-37668-0_12

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  • DOI: https://doi.org/10.1007/978-3-030-37668-0_12

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