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Characterizing self-rated health during a period of changing health status

Listed author(s):
  • Perruccio, Anthony V.
  • Badley, Elizabeth M.
  • Hogg-Johnson, Sheilah
  • Davis, Aileen M.
Registered author(s):

    Self-rated health (SRH) is among the most frequently assessed health perceptions. The purpose of this study was to assess the tenability of the recently proposed distinctions of SRH, as a spontaneous assessment of overall health, or as an enduring self-concept. Individuals (n = 449) undergoing total joint replacement for hip or knee osteoarthritis in Toronto, Canada were followed over 6 months of recovery. Health questionnaires, completed pre-surgery, and at 3 and 6 months post-surgery, included measures of pain, physical function, sports/recreation, fatigue, anxiety, depression, social participation, passive/active recreation, and community access. Structural equation modeling was used for the analyses. SRH was found to be responsive to current and changing mental well-being throughout the six months of recovery. Current SRH strongly predicted future SRH. In this clinical sample undergoing significant changes in health status, SRH displayed both enduring and spontaneous features; evidence is provided that both operate simultaneously. SRH may prove to be a simple yet critical health measure for identifying individuals who would benefit most from targeted interventions for improving overall health.

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    File URL: http://www.sciencedirect.com/science/article/pii/S0277-9536(10)00615-5
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    Article provided by Elsevier in its journal Social Science & Medicine.

    Volume (Year): 71 (2010)
    Issue (Month): 9 (November)
    Pages: 1636-1643

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    Handle: RePEc:eee:socmed:v:71:y:2010:i:9:p:1636-1643
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    1. Zunzunegui, M. V. & Koné, A. & Johri, M. & Béland, F. & Wolfson, C. & Bergman, H., 2004. "Social networks and self-rated health in two French-speaking Canadian community dwelling populations over 65," Social Science & Medicine, Elsevier, vol. 58(10), pages 2069-2081, May.
    2. Cockerham, William C. & Kunz, Gerhard & Lueschen, Guenther, 1988. "Psychological distress, perceived health status, and physician utilization in America and west Germany," Social Science & Medicine, Elsevier, vol. 26(8), pages 829-838, January.
    3. Kathleen A. Cagney & Christopher R. Browning & Ming Wen, 2005. "Racial Disparities in Self-Rated Health at Older Ages: What Difference Does the Neighborhood Make?," Journals of Gerontology: Series B, Gerontological Society of America, vol. 60(4), pages 181-190.
    4. Leinonen, Raija & Heikkinen, Eino & Jylhä, Marja, 2001. "Predictors of decline in self-assessments of health among older people -- a 5-year longitudinal study," Social Science & Medicine, Elsevier, vol. 52(9), pages 1329-1341, May.
    5. Kaplan, Giora & Baron-Epel, Orna, 2003. "What lies behind the subjective evaluation of health status?," Social Science & Medicine, Elsevier, vol. 56(8), pages 1669-1676, April.
    6. Bailis, Daniel S. & Segall, Alexander & Chipperfield, Judith G., 2003. "Two views of self-rated general health status," Social Science & Medicine, Elsevier, vol. 56(2), pages 203-217, January.
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