Self-rated health and adverse health outcomes

An exploration and refinement of the trajectory hypothesis

Fredric D. Wolinsky, William M. Tierney

Research output: Contribution to journalArticle

54 Citations (Scopus)

Abstract

Objectives. 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. Methods. 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 hospitalized within one year, being placed in a nursing home within five years, and dying within ten years. Hierarchical multivariable logistic regression was used with poor self-rated health entered first, standard epidemiologic covariates entered next, and declining health trajectory entered last. Results. Poor self-rated health was not independently associated with expectations for being hospitalized, but declining health trajectory independently increased the risk of such expectations by 65-88%. Neither poor self-rated health nor declining health trajectory 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%. Discussion. The relationship between poor self-rated health and adverse outcomes is not a simple reflection of unmeasured self-assessments of impending decline or doom. Rather, the effects of poor self-rated health and declining health trajectory appear to be independent and complementary.

Original languageEnglish
JournalJournals of Gerontology - Series B Psychological Sciences and Social Sciences
Volume53
Issue number6
StatePublished - Nov 1998

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Health
health
self-assessment
nursing home
Nursing Homes
dying
Vulnerable Populations
Health Status
health status
Logistic Models
logistics
regression

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Aging
  • Psychology(all)

Cite this

Self-rated health and adverse health outcomes : An exploration and refinement of the trajectory hypothesis. / Wolinsky, Fredric D.; Tierney, William M.

In: Journals of Gerontology - Series B Psychological Sciences and Social Sciences, Vol. 53, No. 6, 11.1998.

Research output: Contribution to journalArticle

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