Self-Rated Health and Mortality: A Review of Twenty-Seven Community Studies

Institute for Health, Health Care Policy, and Aging Research, Rutgers, State University of New Jersey, New Brunswick 08903, USA.
Journal of Health and Social Behavior (Impact Factor: 2.72). 04/1997; 38(1):21-37. DOI: 10.2307/2955359
Source: PubMed


We examine the growing number of studies of survey respondents' global self-ratings of health as predictors of mortality in longitudinal studies of representative community samples. Twenty-seven studies in U.S. and international journals show impressively consistent findings. Global self-rated health is an independent predictor of mortality in nearly all of the studies, despite the inclusion of numerous specific health status indicators and other relevant covariates known to predict mortality. We summarize and review these studies, consider various interpretations which could account for the association, and suggest several approaches to the next stage of research in this field.

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    • "In this research , the SOMS had high construct validity ; namely , the correlation coefficients between the SOMS and SOC were high , indicating a certain level of concur - rent validity . SOC as well as the sense of mastery had stress - moderating effects ( Idler and Benyamini 1997 ) . Moreover , SOMS - 5 and SOMS - 7 were associated with MHI - 5 , SRH , and life satisfaction as mental health out - comes . "
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    ABSTRACT: The aims of this research were to develop a Japanese version of Pearlin and Schooler's Sense of Mastery Scale (SOMS) and evaluate its reliability and validity. This survey targeted 4,000 men and women aged 25-74 living in Japan as of January 1, 2014, categorized them according to the region and size of the city in which they lived, randomly extracted 200 municipalities, and randomly extracted individuals after categorizing for sex and age based on the resident registries of each municipality. 2,067 survey responses were collected (response rate 51.7%). We used weighted 7-item (SOMS-7) and 5-item (SOMS-5) versions that excludes two reverse items (item6 and 7) from SOMS-7 of the SOMS. From the item analysis, the item-total correlation coefficients of the two reverse items (items 6 and 7) were .03 and .34. The Cronbach's alpha coefficient was also .69 in SOM-7 and .77 in SOMS-5. The partial correlation coefficients between SOMS and the sense of coherence, mental health inventory, self-rated health, and life satisfaction were all significant (p < 0.001). The SOMS showed high construct validity. SOMS-5 has sufficient reliability.
    SpringerPlus 12/2015; 4(1):399. DOI:10.1186/s40064-015-1186-1
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    • "Information on time of arrival in the host country allowed us to classify immigrants in different periods of immigration (before 1945, 1945–1989, after 1989). Self-rated health is the indicator most widely used to assess immigrant health, since it captures overall health status (Idler and Benyamini 1997) and is robust in predicting mortality and morbidity (Kaplan et al. 1996) and the need for healthcare (Fylkesnes 1993). Mitrushina and Satz (1991) also found this indicator to be a good measure of health status among the elderly. "
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    • "An overview of the current research A taxonomy of HBs can serve many purposes, such as explaining cognitive differences associated with them, identifying factors influencing multiple behaviors by delineating a set of related HBs, and explaining the heterogeneity in the findings of evaluations of behavior change interventions. Conceptual typologies, based on experts' notions (e.g., Vickers et al., 1990), offer important insights into HB attributes, but do not necessarily reflect laypeople's perspectives , which might have predictive power beyond other factors (e.g., Idler and Benyamini, 1997). Results from behavior frequency reports may reflect patterns with important clinical significance (e.g., Rothman and Salovey, 1997), which can differ markedly from perceptions (e.g., a physically active person may have less time for watching television, without perceiving a connection between the two behaviors). "
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    ABSTRACT: Objective: Health behaviors (HBs) are major determinants of health, illness, and mortality. Theoretical efforts aimed at understanding their nature and the processes involved in their initiation and maintenance have largely ignored differences among them. Therefore, the objective of this research was to establish a reliable and valid common-sense taxonomy of HBs. Methods: The first study created a comprehensive list of 66 HBs based on the views of laypeople (N = 70), health professionals (N = 30), and a literature review. In the second study, a sample of laypeople (N = 268) selected the most important HBs. In the third study, a similarity card-sorting technique was administered to a representative sample (N = 450) in an effort to uncover the structure of HBs. The fourth study replicated the structure (N = 627) and assessed its stability and generalizability. Results: A complete list of 66 HBs was developed, of which 45 were judged as most important. Classifications of HBs identified two main categories: psychosocial, including psychological, social, and work issues; and physical, composed of risk avoidance, nutritional habits, and prevention. The hierarchical classification further separated each category into distinguishable clusters and subclusters. The results were replicated, and additional analyses revealed a high level of stability of the taxonomy across different demographic sub-groups. Conclusions: The taxonomy can provide a framework for research and a map for program developers looking for meaningful links between specific groups of HBs and particular behavior change techniques. This should optimize the cost-effectiveness of promotion and intervention programs, and thus increase health and decrease health-care burden.
    Social Science [?] Medicine 10/2015; 146:1-10. DOI:10.1016/j.socscimed.2015.10.004 · 2.89 Impact Factor
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