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Assessing the Validity of Self-Rated Health with the Short Physical Performance Battery: A Cross-Sectional Analysis of the International Mobility in Aging Study

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  • Mario U Pérez-Zepeda
  • Emmanuelle Belanger
  • Maria–Victoria Zunzunegui
  • Susan Phillips
  • Alban Ylli
  • Jack Guralnik

Abstract

Objective: The aim of this study was to explore the validity of self-rated health across different populations of older adults, when compared to the Short Physical Performance Battery. Design: Cross-sectional analysis of the International Mobility in Aging Study. Setting: Five locations: Saint-Hyacinthe and Kingston (Canada), Tirana (Albania), Manizales (Colombia), and Natal (Brazil). Participants: Older adults between 65 and 74 years old (n = 1,995). Methods: The Short Physical Performance Battery (SPPB) was used to measure physical performance. Self-rated health was assessed with one single five-point question. Linear trends between SPPB scores and self-rated health were tested separately for men and women at each of the five international study sites. Poor physical performance (independent variable) (SPPB less than 8) was used in logistic regression models of self-rated health (dependent variable), adjusting for potential covariates. All analyses were stratified by gender and site of origin. Results: A significant linear association was found between the mean scores of the Short Physical Performance Battery and ordinal categories of self-rated health across research sites and gender groups. After extensive control for objective physical and mental health indicators and socio-demographic variables, these graded associations became non-significant in some research sites. Conclusion: These findings further confirm the validity of SRH as a measure of overall health status in older adults.

Suggested Citation

  • Mario U Pérez-Zepeda & Emmanuelle Belanger & Maria–Victoria Zunzunegui & Susan Phillips & Alban Ylli & Jack Guralnik, 2016. "Assessing the Validity of Self-Rated Health with the Short Physical Performance Battery: A Cross-Sectional Analysis of the International Mobility in Aging Study," PLOS ONE, Public Library of Science, vol. 11(4), pages 1-11, April.
    • Handle: RePEc:plo:pone00:0153855
    DOI: 10.1371/journal.pone.0153855
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    References listed on IDEAS

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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. Jylhä, Marja, 2009. "What is self-rated health and why does it predict mortality? Towards a unified conceptual model," Social Science & Medicine, Elsevier, vol. 69(3), pages 307-316, August.
    3. Thomas R. Miller & Fredric D. Wolinsky, 2007. "Self-Rated Health Trajectories and Mortality Among Older Adults," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 62(1), pages 22-27.
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    2. Kwok-kin Fung & Shirley Suet-lin Hung & Daniel W. L. Lai & Michelle H. Y. Shum & Hong-wang Fung & Langjie He, 2023. "Access to Information and Communication Technology, Digital Skills, and Perceived Well-Being among Older Adults in Hong Kong," IJERPH, MDPI, vol. 20(13), pages 1-11, June.
    3. Vonneilich, Nico & Lüdecke, Daniel & von dem Knesebeck, Olaf, 2020. "Educational inequalities in self-rated health and social relationships – analyses based on the European Social Survey 2002-2016," Social Science & Medicine, Elsevier, vol. 267(C).
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