Abstract
Self-reported health, a widely used measure of general health status in population studies, can be affected by certain demographic variables such as gender, race/ethnicity and education. This cross-sectional assessment of the current health status of older adult residents was conducted in an inner-city Houston neighborhood in May, 2007. A survey instrument, with questions on chronic disease prevalence, health limitations/functional status, self-reported subjective health status in addition to demographic data on households was administered to a systematic random sample of residents. Older adults (>60 years of age) were interviewed (weighted N = 127) at their homes by trained interviewers. The results indicated that these residents, with low literacy levels, low household income and a high prevalence of frequently reported chronic diseases (hypertension, diabetes and arthritis) also reported non-participation in community activities, volunteerism and activities centered on organized religion, thus, potentially placing them at risk for social isolation. Women reported poorer self-reported health and appeared to fare worse in all health limitation indicators and reported greater structural barriers in involvement with their community. Blacks reported worse health outcomes on all indicators than other sub-groups, an indication that skills training in chronic disease self-management and in actively eliciting support from various sources may be beneficial for this group. Therefore, the use of self-reported health with a broad brush as an indicator of “true” population health status is not advisable. Sufficient consideration should be given to the racial/ethnic and gender differences and these should be accounted for.
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Jones, D., Franklin, C., Butler, B. T., Williams, P., Wells, K. B., & Rodriguez, M. A. (2006). The building wellness project: A case history of partnership, power sharing and compromise. Ethnicity and Disease, 16, S54–S66.
Rowe, J. W., & Kahn, R. L. (1998). Successful aging. Aging, 5, 142–144.
Putnam, R. (2000). Bowling alone: The collapse and revival of American community. New York: Simon and Schuster.
Brown, S., Nesse, R. M., Vonokur, A. D., & Smith, D. M. (2003). Providing social support may be more beneficial than receiving it: Results from a prospective study of mortality. Psychological Science, 14, 320–327.
Brown, W. M., Consedine, N. S., & Magai, C. (2005). Altruism relates to health in an ethnically diverse sample of older adults. Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 60, 143–152.
Wilkie, R., Peat, G., Thomas, E., & Croft, P. (2006). The prevalence of person perceived participation restriction in community dwelling older adults. Quality of Life Research, 15, 1471–1479.
Glass, T. A., de Leon, C. M., Marottoli, R. A., & Berkman, L. F. (1999). Population based study of social and productive activities as predictors of survival among elderly Americans. British Medical Journal, 319, 478–483.
Turner, R. J., & Turner, J. B. (1999). Social integration and support. In C. S. Aneshensel & J. C. Phelan (Eds.), Handbook of the sociology of mental Health. New York: Kluwer.
Berkman, L. F. (1995). The role of social relations in health promotion. Psychosomatic Medicine, 57, 245–254.
Berkman, L. F., & Kawachi, I. (2000). A historical framework for social epidemiology. In L. F. Berkman & I. Kawachi (Eds.), Social epidemiology. Oxford: Oxford University Press.
Herzog, A. R., Franks, M. M., Markus, H. R., & Holmberg, D. (1998). Activities and well-being in older adults: Effects of self-concept and educational attainment. Psychology and Aging, 13, 179–185.
Dowd, J. B., & Zajacova, A. (2007). Does the predictive power of self rated health for subsequent mortality risk vary by socioeconomic status in the US? International Journal of Epidemiology, 36, 1214–1221.
Pan, L., Mukhtar, Q., Geiss, S. L., Rivera, M., Alfaro-Correa, A., & Sniegowski, R. (2006). Self-rated fair or poor health among adults with diabetes–United States, 1996–2005. Mortality and Morbidity Weekly, 15, 1224–1227.
Phillips, L. J. Hammock, R. L., & Blanton, J. M. (2005). Predictors of self rated health status among Texas residents. Preventing chronic disease: Public Health Research, Practice, and Policy. Accessed March 15, 2009. Available from: URL: http://www.cdc.gov/pcd/issues/2005/oct/04_0147.htm.
Skarupski, K., de Leon, C., & Bienias, J. (2007). Black White differences in health related quality of life among older adults. Quality of Life Research, 16, 287–296.
Zunker, C., & Cummins, J. (2004). Elderly health disparities on the U.S.–Mexico border. Journal of Cross Cultural Gerontology, 19, 13–25.
Marra, C. A., Lynd, L. D., Esdaile, J. M., Kopec, J., & Anis, A. H. (2004). The impact of low family income on self reported health outcomes in patients with rheumatoid arthritis within a publicly funded health care environment. Rheumatology, 43, 1390–1397.
Ferraro, K. F., Farmer, M. M., & Wybraniec, J. A. (1997). Health trajectories: Long term dynamics among black and white adults. Journal of Health and Social Behavior, 38, 38–54.
Franks, P., Gold, M. R., & Fiscella, K. (2003). Sociodemographics, self rated health, and mortality in the US. Social Science and Medicine, 56, 2505–2514.
Lee, S. J., Moody-Ayers, S. Y., Landefeld, C. S., et al. (2007). The relationship between self-rated health and mortality in older black and white Americans. Journal of the American Geriatrics Society, 55, 1624–1629.
Singh-Manoux, A., Gueguen, A., Martikainen, P., Ferrie, J., Marmot, M., & Shipley, M. (2007). Self-rated health and mortality: Short and long term associations in the Whitehall II study. Psychosomatic Medicine, 69, 138–143.
Khawaja, M. Tewtel-Salem, M., & Obeid, M. S. (2006). Civic engagement, gender and self rated health in poor communities: evidence from Jordan’s refugee camp study. Health Sociology Review. Accessed April 20, 2009. Available from: http://www.accessmylibrary.com/coms2/summary_0286-32155221_ITM.
Asfar, T., Ahmad, B., Rastam, S., Mulloli, T. P., Ward, K., & Maziak, W. (2007). Self-rated health and its determinants among adults in Syria: A model from the Middle East. BMC Public Health, 7, 177.
Sorkin, D., Tan, A. L., Hays, R. D., Mangione, C. M., & Ngo-Metzger, Q. (2008). Self-reported health status of vietnamese and non-hispanic white older adults in California. Journal of American Geriatric Society, 56, 1543–1548.
World Health Organization. (1991). Training for mid-level managers: The EPI coverage survey. Geneva: WHO Expanded Programme on Immunization, WHO/EPI/MLM/91.10.
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This research was not supported by external funding. We would like to acknowledge the support of our staff and colleagues from Houston Department of Health and Human Services, who participated in this project.
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Banerjee, D., Perry, M., Tran, D. et al. Self-reported Health, Functional Status and Chronic Disease in Community Dwelling Older Adults: Untangling the Role of Demographics. J Community Health 35, 135–141 (2010). https://doi.org/10.1007/s10900-009-9208-y
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DOI: https://doi.org/10.1007/s10900-009-9208-y