Characterizing self-rated health during a period of changing health status
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.
If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
As the access to this document is restricted, you may want to look for a different version under "Related research" (further below) or search for a different version of it.
Volume (Year): 71 (2010)
Issue (Month): 9 (November)
|Contact details of provider:|| Web page: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description|
|Order Information:|| Postal: http://www.elsevier.com/wps/find/supportfaq.cws_home/regional|
References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- 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.
- 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.
- 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.
- 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.
- 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 S181-S190.
- 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.
When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:71:y:2010:i:9:p:1636-1643. See general information about how to correct material in RePEc.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Shamier, Wendy)
If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.
If references are entirely missing, you can add them using this form.
If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.
If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.
Please note that corrections may take a couple of weeks to filter through the various RePEc services.