Alternative Measures of Self-Rated Health for Predicting Mortality Among Older People: Is Past or Future Orientation More Important?
Open Access
- 24 August 2013
- journal article
- research article
- Published by Oxford University Press (OUP) in The Gerontologist
- Vol. 55 (5), 836-844
- https://doi.org/10.1093/geront/gnt098
Abstract
Purpose: The purpose of this study was to compare the prognostic validity of alternative measures of health ratings, including those that tap temporal reflections, on adult mortality. Design and Methods: The study uses a national sample of 1,266 Americans 50–74 years old in 1995, with vital status tracked through 2005, to compare the effect of 3 types of health ratings on mortality: conventional indicator of self-rated health (SRH), age comparison form of SRH, and health ratings that incorporate temporal dimensions. Logistic regression was used to estimate the odds of mortality associated with alternative health ratings while adjusting for health conditions, lifestyle factors, and status characteristics and resources. Results: Self-rated health was a consistent predictor of mortality, but the respondent’s expected health rating—10 years in the future—was an independent predictor. Future health expectations were more important than past (recalled change) in predicting mortality risk: People with more negative expectations of future health were less likely to survive. Implications: The findings reveal the importance of future time perspective for older people and suggest that it is more useful to query older people about their future health expectations than about how their health has changed.Keywords
This publication has 34 references indexed in Scilit:
- Association between self-rated health and mortality: 10 years follow-up to the Pró-Saúdecohort studyBMC Public Health, 2012
- Self-rated Health Compared With Objectively Measured Health Status as a Tool for Mortality Risk Screening in Older Adults: 10-Year Follow-up of the Bambui Cohort Study of AgingAmerican Journal of Epidemiology, 2011
- Relationship between location and activity in injurious falls: an exploratory studyBMC Geriatrics, 2010
- The choice of self-rated health measures matter when predicting mortality: evidence from 10 years follow-up of the Australian longitudinal study of ageingBMC Geriatrics, 2010
- Aging and Cumulative Inequality: How Does Inequality Get Under the Skin?The Gerontologist, 2009
- The influence of a sense of time on human developmentScience, 2006
- The MOS 36-ltem Short-Form Health Survey (SF-36)Medical Care, 1992
- Self-rated health and mortality in the NHANES-I Epidemiologic Follow-up Study.American Journal of Public Health, 1990
- Self-rated health: a predictor of mortality among the elderly.American Journal of Public Health, 1982