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Self-assessment of health: how socioeconomic, functional, and emotional dimensions influence self-rated health among Italian nonagenarians

Author

Listed:
  • Cosmo Strozza

    (University of Southern Denmark
    University of Rome Sapienza)

  • Viviana Egidi

    (University of Rome Sapienza)

  • Federica Vannetti

    (IRCCS Fondazione Don Carlo Gnocchi)

  • Francesca Cecchi

    (IRCCS Fondazione Don Carlo Gnocchi
    University of Florence)

  • Claudio Macchi

    (IRCCS Fondazione Don Carlo Gnocchi
    University of Florence)

  • Patrizio Pasqualetti

    (University of Rome Sapienza)

Abstract

Self-Rated Health (SRH) is currently one of the most popular indicators of population health. Studies show that SRH has a strong association with physical functioning, well-being, and mortality across a variety of populations and ages. Despite its wide use, the different elements that act and interact when an individual assesses their own health are still not clear. To date, only one study has focused on the process of self-assessment of health among the oldest-old individuals. The aim of this paper is to explore direct and indirect effects of socioeconomic status, presence of disease, functional health, and emotional health on the good self-assessment of health among Italian nonagenarians. By applying Structural Equation Modelling (SEM) on Mugello Study data, we find a strong direct effect of both emotional and functional health on SRH, confirming their key roles in the process of self-assessment of health among the oldest-old individuals. Furthermore, we find indirect effects of socioeconomic status, presence of disease, and functional health on SRH. This is in line with existing literature on younger adults and elderly people.

Suggested Citation

  • Cosmo Strozza & Viviana Egidi & Federica Vannetti & Francesca Cecchi & Claudio Macchi & Patrizio Pasqualetti, 2024. "Self-assessment of health: how socioeconomic, functional, and emotional dimensions influence self-rated health among Italian nonagenarians," Quality & Quantity: International Journal of Methodology, Springer, vol. 58(6), pages 5257-5273, December.
    • Handle: RePEc:spr:qualqt:v:58:y:2024:i:6:d:10.1007_s11135-023-01724-6
    DOI: 10.1007/s11135-023-01724-6
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    References listed on IDEAS

    as
    1. Linda Enroth & Marijke Veenstra & Marja Aartsen & Agnete Aslaug Kjær & Charlotte Juul Nilsson & Stefan Fors, 2019. "Are there educational disparities in health and functioning among the oldest old? Evidence from the Nordic countries," European Journal of Ageing, Springer, vol. 16(4), pages 415-424, December.
    2. Natalia Golini & Viviana Egidi, 2016. "The Latent Dimensions of Poor Self-Rated Health: How Chronic Diseases, Functional and Emotional Dimensions Interact Influencing Self-Rated Health in Italian Elderly," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 128(1), pages 321-339, August.
    3. Lazarevič, Patrick & Brandt, Martina, 2020. "Diverging ideas of health? Comparing the basis of health ratings across gender, age, and country," Social Science & Medicine, Elsevier, vol. 267(C).
    4. Eric M. Vogelsang, 2014. "Self-Rated Health Changes and Oldest-Old Mortality," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 69(4), pages 612-621.
    5. Rosseel, Yves, 2012. "lavaan: An R Package for Structural Equation Modeling," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 48(i02).
    6. Siddhivinayak Hirve & Johan Oud & Somnath Sambhudas & Sanjay Juvekar & Yulia Blomstedt & Stephen Tollman & Stig Wall & Nawi Ng, 2014. "Unpacking Self-Rated Health and Quality of Life in Older Adults and Elderly in India: A Structural Equation Modelling Approach," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 117(1), pages 105-119, May.
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    8. Jordi Alonso & Gemma Vilagut & Núria D Adroher & Somnath Chatterji & Yanling He & Laura Helena Andrade & Evelyn Bromet & Ronny Bruffaerts & John Fayyad & Silvia Florescu & Giovanni de Girolamo & Oye G, 2013. "Disability Mediates the Impact of Common Conditions on Perceived Health," PLOS ONE, Public Library of Science, vol. 8(6), pages 1-13, June.
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