Abstract
The aim of this study was to examine if there are differences in self-rated health (SRH) between older people in St. Petersburg, Russia, and Tampere, Finland. Two SRH measures were examined: a global measure without any frame of reference, and an age-comparative SRH with an explicitly elicited reference of age peers. The Tampere data, consisting of 737 60–89-year-old respondents, came from the Tampere Longitudinal Study on Ageing (TamELSA) in 1989. The St. Petersburg data, consisting of 1,168 people aged 60–89 years, came from the Planning of Medical and Social Services within Elder Care in St. Petersburg project (IPSE) in 2000. In both cities the data were collected by same structured questionnaire. Self-rated health, both global and comparative, was better in Tampere than in St. Petersburg when symptoms, chronic diseases and functional ability were adjusted for. Also, the association of chronic diseases with global SRH was different in St. Petersburg and Tampere. In addition to the real differences in the prevalence and seriousness of health problems, the differences in SRH may be caused by different ways of evaluating health. Our conclusion is that self-rated health is sensitive to cultural and social factors. Direct comparisons between different countries should be made with caution, and the differences in language use must be taken into account when interpreting the results.
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References
Appels A, Bosma H, Grabauskas V, Gostautas A, Sturmans F (1996) Self-rated health and mortality in a Lithuanian and a Dutch population. Soc Sci Med 42:681–689
Bardage C, Plujim SMF, Pedersen NL, Deeg DJH, Jylhä M, Noale M, Blumstein T, Otero A (2005) Self-rated health among older adults. A cross-national comparison. Eur J Ageing 2:149–158
Baron-Epel O, Kaplan G (2001) General subjective health status or age-related subjective health status: does it make a difference. Soc Sci Med 53:1371–1381
Benyamini Y, Idler EL (1999) Community studies reporting association between self-rated health and mortality. Additional studies, 1995–1998. Res Aging 21:392–401
Bobak M, Pikhart H, Hertzman C, Rose R, Marmot M (1998) Socioeconomic factors, perceived control and self-reported health in Russia. A cross-sectional survey. Soc Sci Med 47:269–279
Bobak M, Pikhart H, Rose R, Hertzman C, Marmot M (2000) Socioeconomic factors, material inequalities, and perceived control in self-rated health: cross-sectional data from seven post-communist countries. Soc Sci Med 51:1343–1350
Bobak M, Kristenson M, Pikhart H, Marmot M (2004) Life span and disability: a cross sectional comparison of Russian and Swedish community based data. BMJ 329(7469):767–769
Börsch-Supan A, Hank K, Jürges H (2005) A new comprehensive and international view on ageing: introducing the “Survey of Health, Ageing and Retirement in Europe”. Eur J Ageing 2:245–253
Bosma H, Appels A (1996) Differences in mortality between Lithuanian and Dutch middle-aged men. Results of the Kaunas–Rotterdam Intervention Study. In: Hertzman C, Kelly S, Bobak M (eds) East-west life expectancy gap in Europe. Environmental and non-environmental determinants. Kluwer Academic Publishers, Amsterdam
de Bruin A, Picavet HSJ, Nossikov A(1996) Health interview surveys: towards international harmonization of methods and instruments. WHO Regional Publications, European Series nS58, Copenhagen
Carlson P (1998) Self-perceived health in east and west Europe. Another European health divide. Soc Sci Med 46:1355–1366
Carlson P (2000) An unhealthy decade. In: Elanders Gotab AB Acta Universitatis Stockholmiensis, Stockholm
Carlson P (2004) The European health divide: a matter of financial or social capital. Soc Sci Med 59:1985–1992
Dening TR, Chi L-Y, Brayne C, Huppert FA, Paykel ES, O’Connor DW (1998) Changes in self-rated health, disability and contact of services in a very elderly cohort: a 6-year follow-up study. Age Ageing 27:23–33
Farmer MM, Ferraro KF (1997) Distress and perceived health: mechanisms of health decline. J Health Soc Behav 38:298–311
Gilmore ABC, McKee M, Rose R (2002) Determinants of and inequalities in self-perceived health in Ukraine. Soc Sci Med 55:2177–2188
Heidrich J, Liese AD, Löwell H, Keil U (2002) Self-rated health and its relation to all-cause mortality and cardiovascular mortality in Southern Germany. Results from the MONICA Augsburg Cohort Study 1984–1999. Ann Epidemiol 12:338–345
Heikkinen E, Waters E, Brzezinsky ZJ (1983) The elderly in eleven countries. A sociomedical study. Series Public Health in Europe. World Health Organization, Copenhagen
Idler EL, Benyamini Y (1997) Self-rated health and mortality: a review of twenty-seven community studies. J Health Soc Behav 38:21–37
Idler EL, Kasl S (1995) Self-ratings of health. Do they also predict change in functional ability? J Gerontol 50B:S344–S353
Jylhä M, Jokela J, Tolvanen E, Heikkinen E, Heikkinen R-L, Koskinen S, Leskinen E, Lyyra A-L, Pohjolainen P (1992) The Tampere longitudinal study on ageing. Description of the study. Basic results on health and functional ability. Scand J Soc Med 47(Suppl)
Jylhä M, Guralnik JM, Ferucci L, Jokela J, Heikkinen E (1998) Is self-rated health comparable across cultures and genders? J Gerontol Psych Sci Soc Sci 53B:S144–S152
Kaplan GA, Kamacho T (1983) Perceived health and mortality: a nine-year-follow up of the Human Population Laboratory Cohort. Am J Epidemiol 117:292–304
Lee Y, Shinkai S (2003) A comparison of correlates of self-rated health and functional disability of older persons in the Far East: Japan and Korea. Arch Gerontol Geriatr 37:63–76
Mossey JM, Shapiro E (1982) Self-rated health: a predictor of mortality among the elderly. Am J Pub Health 72:800–808
Palosuo H (2000a) Health-related lifestyles and alienation in Moscow and Helsinki. Soc Sci Med 51:1325–1341
Palosuo H (2000b) How good is “normal “health? An exercise in Russian–Finnish comparative survey methodology. Idäntutkimus—The Finnish Review of East-European Studies 7:41–70
Palosuo H, Uutela A, Zhuraleva I, Lakomova N (1998) Social patterning of ill health in Helsinki and Moscow. Soc Sci Med 46:1121–1136
Demographic situation in St. Petersburg (2000) Economic developments report. St. Petersburg, Petersburgkomstat
Pietilä I, Rytkönen M (2008) Coping with stress and by stress: Russian men and women talking about transition, stress and health. Soc Sci Med 66:327–338
Pietilä I, Dorofeyev V, Lenskaya L, Lomakina E, Nikula S, Plotkin Y, Pohjolainen P, Pushkova E, Sihvola T, Valvanne J, Zalmanov I (2002) Development Plan for Elder Care Services of St. Petersburg. Age Institute Reports 2/2002, Helsinki
Pikhart H, Bobak M, Pajak A, Malyutiuna S, Kubinova R, Topor R, Sebakova H, Nikitin Y, Marmot M (2004) Psychosocial factors at work and depression in three countries of Central and Eastern Europe. Soc Sci Med 58:1475–1482
Ries N (1997) Russian talk. Culture and conversation during Perestroika. Cornell University Press, Ithaca
Robine J-M, Jagger C, The Euro-Reves group (2003) Creating a coherent set of indicators to monitor health across Europe. Eur J Pub Health 13(3 Suppl):6–14
Vuorisalmi M (2007) Examining self-rated health in old age Methodological study of survey questions Acta Universatitis Tamperensis 1272. Tampere University press, Tampere
Vuorisalmi M, Lintonen T, Jylhä M (2005) Global self-rated health data from a longitudinal study predicted mortality better than comparative self-rated health in old age. J Clin Epidemiol 58:680–687
Vuorisalmi M, Lintonen T, Jylhä M (2006) Comparative vs. global self-rated health; associations with age and functional ability. Aging Clin Exp Res 18:211–217
Acknowledgments
This study was supported by grants from the Juho Vainio Foundation and the Finnish Cultural Foundation to Merja Vuorisalmi, and by the Medical Research Fund of the Tampere University Hospital and the Signe and Ane Foundation to Marja Jylhä. We also thank the Academy of Finland for their finanacial support of the project Health, Values and Changing Society in Russia within Russia in Flux research program.
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Vuorisalmi, M., Pietilä, I., Pohjolainen, P. et al. Comparison of self-rated health in older people of St. Petersburg, Russia, and Tampere, Finland: how sensitive is SRH to cross-cultural factors?. Eur J Ageing 5, 327–334 (2008). https://doi.org/10.1007/s10433-008-0093-5
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DOI: https://doi.org/10.1007/s10433-008-0093-5