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

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  • Perruccio, Anthony V.
  • Badley, Elizabeth M.
  • Hogg-Johnson, Sheilah
  • Davis, Aileen M.

Abstract

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.

Suggested Citation

  • Perruccio, Anthony V. & Badley, Elizabeth M. & Hogg-Johnson, Sheilah & Davis, Aileen M., 2010. "Characterizing self-rated health during a period of changing health status," Social Science & Medicine, Elsevier, vol. 71(9), pages 1636-1643, November.
    • Handle: RePEc:eee:socmed:v:71:y:2010:i:9:p:1636-1643
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    2. Gunasekara, Fiona Imlach & Carter, Kristie & Blakely, Tony, 2012. "Comparing self-rated health and self-assessed change in health in a longitudinal survey: Which is more valid?," Social Science & Medicine, Elsevier, vol. 74(7), pages 1117-1124.
    3. Elena Pirani & Silvana Salvini, 2014. "Is temporary employment damaging to health? A longitudinal study on Italian workers," Econometrics Working Papers Archive 2014_08, Universita' degli Studi di Firenze, Dipartimento di Statistica, Informatica, Applicazioni "G. Parenti".
    4. Spuling, Svenja M. & Wolff, Julia K. & Wurm, Susanne, 2017. "Response shift in self-rated health after serious health events in old age," Social Science & Medicine, Elsevier, vol. 192(C), pages 85-93.
    5. Pirani, Elena & Salvini, Silvana, 2015. "Is temporary employment damaging to health? A longitudinal study on Italian workers," Social Science & Medicine, Elsevier, vol. 124(C), pages 121-131.
    6. Vie, Tina Løkke & Hufthammer, Karl Ove & Holmen, Turid Lingaas & Meland, Eivind & Breidablik, Hans Johan, 2014. "Is self-rated health a stable and predictive factor for allostatic load in early adulthood? Findings from the Nord Trøndelag Health Study (HUNT)," Social Science & Medicine, Elsevier, vol. 117(C), pages 1-9.

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