Self-Rated Health: Changes, Trajectories, and Their Antecedents Among African Americans

Fredric D. Wolinsky; Thomas R. Miller; Theodore K. Malmstrom; J. Philip Miller; Mario Schootman; Elena M. Andresen; Douglas K. Miller

doi:10.1177/0898264307310449

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Self-Rated Health: Changes, Trajectories, and Their Antecedents Among African Americans

Journal article

Open access

Peer reviewed

Self-Rated Health: Changes, Trajectories, and Their Antecedents Among African Americans

Fredric D. Wolinsky, Thomas R. Miller, Theodore K. Malmstrom, J. Philip Miller, Mario Schootman, Elena M. Andresen and Douglas K. Miller

Journal of aging and health, Vol.20(2), pp.143-158

03/2008

DOI: 10.1177/0898264307310449

PMCID: PMC2673048

PMID: 18192487

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Abstract

Objective: Little is known about changes in self-rated health (SRH) among African Americans. Method: We examined SRH changes and trajectories among 998 African Americans 49 to 65 years old who we reinterviewed annually for 4 years, using multinomial logistic regression and mixed effect models. Results: Fifty-five percent had the same SRH at baseline and 4 years later, 25% improved, and 20% declined. Over time, men were more likely to report lower SRH levels, individuals with hypertension were less likely to report lower SRH levels, and those with congestive heart failure at baseline were more likely to report higher SRH levels. Lower SRH trajectory intercepts were observed for those with lower socioeconomic status, poorer health habits, disease history, and worse functional status. Those with better cognitive status had higher SRH trajectory intercepts. Discussion: The decline in SRH levels among 49- to 65-year-old African Americans is comparable to that of Whites.

African Americans

self-rated health

longitudinal modeling

Details

Title: Subtitle: Self-Rated Health: Changes, Trajectories, and Their Antecedents Among African Americans
Creators: Fredric D. Wolinsky - University of Iowa
Thomas R. Miller - University of Iowa
Theodore K. Malmstrom - Saint Louis University
J. Philip Miller - Washington University in St. Louis
Mario Schootman - Washington University in St. Louis
Elena M. Andresen - University of Florida Health Science Center
Douglas K. Miller - Indiana University
Resource Type: Journal article
Publication Details: Journal of aging and health, Vol.20(2), pp.143-158
Publisher: SAGE Publications
DOI: 10.1177/0898264307310449
PMID: 18192487
PMCID: PMC2673048
ISSN: 0898-2643
eISSN: 1552-6887
Language: English
Date published: 03/2008
Academic Unit: Health Management and Policy
Record Identifier: 9984364435102771

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