Journal article
Self-Rated Health Trajectories in the African American Health Cohort
PloS one, Vol.7(12), pp.e53278-e53278
12/31/2012
DOI: 10.1371/journal.pone.0053278
PMCID: PMC3534051
PMID: 23300906
Abstract
Background: Self-rated health taps health holistically and dynamically blends prior health histories with current illness burdens and expectations for future health. While consistently found as an independent predictor of functional decline, sentinel health events, physician visits, hospital episodes, and mortality, much less is known about intra-individual changes in self-rated health across the life course, especially for African Americans.
Materials/Methods: Data on 998 African American men and women aged 50-64 years old were taken from a probability-based community sample that was first assessed in 2000-2001 and re-assessed 1, 2, 3, 4, 7, and 9 years later. Using an innovative approach for including decedents in the analysis, semi-parametric group-based mixture models were used to identify person-centered group trajectories of self-rated health over time. Multivariable multinomial logistic regression analysis was then used to differentiate the characteristics of AAH participants classified into the different group trajectories.
Results: Four self-rated health group trajectories were identified: persistently good health, good but declining health, persistently fair health, and fair but declining health. The main characteristics that differentiated the self-rated health trajectory groups from each other were age, education, smoking, morbidity (angina, congestive heart failure, diabetes, and kidney disease), having been hospitalized in the year prior to baseline, depressive symptoms, mobility limitations, and initial self-rated health.
Conclusions: This is the first study to examine self-rated health trajectories separately among African Americans. Four qualitatively distinct self-rated health group trajectories were identified that call into question the accuracy of prior reports that a single, average self-rated health trajectory for African Americans adequately captures their within-group heterogeneity.
Details
- Title: Subtitle
- Self-Rated Health Trajectories in the African American Health Cohort
- Creators
- Padmaja Ayyagari - University of IowaFred Ullrich - University of IowaTheodore K. Malmstrom - Saint Louis UniversityElena M. Andresen - Oregon Health & Science UniversityMario Schootman - Washington University in St. LouisJ. Philip Miller - Washington University in St. LouisDouglas K. Miller - Indiana UniversityFredric D. Wolinsky - University of Iowa
- Resource Type
- Journal article
- Publication Details
- PloS one, Vol.7(12), pp.e53278-e53278
- DOI
- 10.1371/journal.pone.0053278
- PMID
- 23300906
- PMCID
- PMC3534051
- NLM abbreviation
- PLoS One
- ISSN
- 1932-6203
- eISSN
- 1932-6203
- Publisher
- Public Library Science
- Number of pages
- 9
- Grant note
- R01 AG010436 / United States National Institutes of Health (NIH); United States Department of Health & Human Services; National Institutes of Health (NIH) - USA R01AG010436 / NATIONAL INSTITUTE ON AGING; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Aging (NIA)
- Language
- English
- Date published
- 12/31/2012
- Academic Unit
- Health Management and Policy
- Record Identifier
- 9984364450302771
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