Self-Reported Health Among Older Bangladeshis: How Good a Health Indicator Is It?
Purpose: This study examines the value of self-reported health (SRH) as an indicator of underlying health status in a developing country setting. Design and Methods: Logistic regression methods with adjustments for multistage sampling are used to examine the factors associated with SRH in 2,921 men...
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| Veröffentlicht in: | The Gerontologist 2003-12, Vol.43 (6), p.856-863 |
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| creator | Rahman, M. Omar Barsky, Arthur J. |
| description | Purpose: This study examines the value of self-reported health (SRH) as an indicator of underlying health status in a developing country setting. Design and Methods: Logistic regression methods with adjustments for multistage sampling are used to examine the factors associated with SRH in 2,921 men and women aged 50 and older in rural Bangladesh. Results: SRH incorporates multiple dimensions of health status (including physical disability assessed by measured physical performance; self-reported limitations in activities of daily living, or ADLs; self-reported chronic morbidity; and self-reported acute morbidity), severity, comorbidity, and trajectory in a similar fashion for both men and women and for different age groups. Older individuals are more likely to report poor SRH than their younger counterparts, and women report significantly worse SRH than their male peers at each age group. In both cases, this disadvantage can be fully accounted for by differences in measured physical performance, ADL limitations, and chronic and acute morbidity. Implications: Among older Bangladeshis, SRH is an easily recorded, multifaceted, nuanced indicator of underlying health status that is significantly associated with measured physical performance. Moreover, SRH appears to be independent of age- and gender-related norms. |
| doi_str_mv | 10.1093/geront/43.6.856 |
| format | Article |
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Omar ; Barsky, Arthur J.</creator><creatorcontrib>Rahman, M. Omar ; Barsky, Arthur J.</creatorcontrib><description>Purpose: This study examines the value of self-reported health (SRH) as an indicator of underlying health status in a developing country setting. Design and Methods: Logistic regression methods with adjustments for multistage sampling are used to examine the factors associated with SRH in 2,921 men and women aged 50 and older in rural Bangladesh. Results: SRH incorporates multiple dimensions of health status (including physical disability assessed by measured physical performance; self-reported limitations in activities of daily living, or ADLs; self-reported chronic morbidity; and self-reported acute morbidity), severity, comorbidity, and trajectory in a similar fashion for both men and women and for different age groups. Older individuals are more likely to report poor SRH than their younger counterparts, and women report significantly worse SRH than their male peers at each age group. In both cases, this disadvantage can be fully accounted for by differences in measured physical performance, ADL limitations, and chronic and acute morbidity. Implications: Among older Bangladeshis, SRH is an easily recorded, multifaceted, nuanced indicator of underlying health status that is significantly associated with measured physical performance. 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Omar</creatorcontrib><creatorcontrib>Barsky, Arthur J.</creatorcontrib><title>Self-Reported Health Among Older Bangladeshis: How Good a Health Indicator Is It?</title><title>The Gerontologist</title><addtitle>The Gerontologist</addtitle><description>Purpose: This study examines the value of self-reported health (SRH) as an indicator of underlying health status in a developing country setting. Design and Methods: Logistic regression methods with adjustments for multistage sampling are used to examine the factors associated with SRH in 2,921 men and women aged 50 and older in rural Bangladesh. Results: SRH incorporates multiple dimensions of health status (including physical disability assessed by measured physical performance; self-reported limitations in activities of daily living, or ADLs; self-reported chronic morbidity; and self-reported acute morbidity), severity, comorbidity, and trajectory in a similar fashion for both men and women and for different age groups. Older individuals are more likely to report poor SRH than their younger counterparts, and women report significantly worse SRH than their male peers at each age group. In both cases, this disadvantage can be fully accounted for by differences in measured physical performance, ADL limitations, and chronic and acute morbidity. Implications: Among older Bangladeshis, SRH is an easily recorded, multifaceted, nuanced indicator of underlying health status that is significantly associated with measured physical performance. Moreover, SRH appears to be independent of age- and gender-related norms.</description><subject>Activities of Daily Living</subject><subject>ADLs</subject><subject>Age Differences</subject><subject>Aged</subject><subject>Aging</subject><subject>Aging (Individuals)</subject><subject>Attitude to Health</subject><subject>Bangladesh</subject><subject>Comorbidity</subject><subject>Cross-Sectional Studies</subject><subject>Daily Living Skills</subject><subject>Developing countries</subject><subject>Developing country</subject><subject>Developing Nations</subject><subject>Diseases</subject><subject>Elderly</subject><subject>Evaluation Methods</subject><subject>Female</subject><subject>Foreign Countries</subject><subject>Gender</subject><subject>Gender Differences</subject><subject>Gerontology</subject><subject>Health</subject><subject>Health Status Indicators</subject><subject>Humans</subject><subject>LDCs</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Measurement Techniques</subject><subject>Middle Aged</subject><subject>Middle Aged Adults</subject><subject>Older Adults</subject><subject>Older people</subject><subject>Physical Activity Level</subject><subject>Physical Health</subject><subject>Rural Areas</subject><subject>Rural Population</subject><subject>Self Disclosure</subject><issn>0016-9013</issn><issn>1758-5341</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BHHNA</sourceid><recordid>eNqN0c1rFDEYBvAgil1Xz15EBg_eZjfv5NuLtLXdXSmW-gHiJWSSzHba2cmazKL9702ZbQUvFQIhPL-8h_dB6CXgGWBF5msfQz_MKZnxmWT8EZqAYLJkhMJjNMEYeKkwkAP0LKUrnN9VJZ6iA6ACUyLZBF188V1TfvbbEAfviqU33XBZHG5Cvy7OO-djcWT6dWecT5dtelcsw69iEYIrzJ1d9a61ZgixWKViNbx_jp40pkv-xf6eom-nJ1-Pl-XZ-WJ1fHhWWgZkKGvwdQ3YCs-I4Q1XtSHMgVNVUztaA0jhlZKqorICK2oqnVXScuC1VU5IMkVvx7nbGH7ufBr0pk3Wd53pfdglLYAqIQU8CDlIBVL-DyQAFLOHIQbMGMcZvvkHXoVd7PNadJX747kGldF8RDaGlKJv9Da2GxNvNGB927IeW9aUaK5zy_nH6_3YXb3x7q_f15rBqxH42Nr7-OSjrCjJZ4rKMW7T4H_f5yZeay6IYHr5_Yf-RD7IBVxwfUT-AIdtuVw</recordid><startdate>20031201</startdate><enddate>20031201</enddate><creator>Rahman, M. Omar</creator><creator>Barsky, Arthur J.</creator><general>Oxford University Press</general><general>Gerontological Society of America</general><scope>BSCLL</scope><scope>7SW</scope><scope>BJH</scope><scope>BNH</scope><scope>BNI</scope><scope>BNJ</scope><scope>BNO</scope><scope>ERI</scope><scope>PET</scope><scope>REK</scope><scope>WWN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U3</scope><scope>7U4</scope><scope>ASE</scope><scope>BHHNA</scope><scope>DWI</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>WZK</scope><scope>7X8</scope></search><sort><creationdate>20031201</creationdate><title>Self-Reported Health Among Older Bangladeshis: How Good a Health Indicator Is It?</title><author>Rahman, M. Omar ; Barsky, Arthur J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c513t-b1ebb10c7e53a6f69ba35d1d92fbd4b1187e998924821c7b48dc98c616bc9d783</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Activities of Daily Living</topic><topic>ADLs</topic><topic>Age Differences</topic><topic>Aged</topic><topic>Aging</topic><topic>Aging (Individuals)</topic><topic>Attitude to Health</topic><topic>Bangladesh</topic><topic>Comorbidity</topic><topic>Cross-Sectional Studies</topic><topic>Daily Living Skills</topic><topic>Developing countries</topic><topic>Developing country</topic><topic>Developing Nations</topic><topic>Diseases</topic><topic>Elderly</topic><topic>Evaluation Methods</topic><topic>Female</topic><topic>Foreign Countries</topic><topic>Gender</topic><topic>Gender Differences</topic><topic>Gerontology</topic><topic>Health</topic><topic>Health Status Indicators</topic><topic>Humans</topic><topic>LDCs</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Measurement Techniques</topic><topic>Middle Aged</topic><topic>Middle Aged Adults</topic><topic>Older Adults</topic><topic>Older people</topic><topic>Physical Activity Level</topic><topic>Physical Health</topic><topic>Rural Areas</topic><topic>Rural Population</topic><topic>Self Disclosure</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rahman, M. 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Omar</au><au>Barsky, Arthur J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ824324</ericid><atitle>Self-Reported Health Among Older Bangladeshis: How Good a Health Indicator Is It?</atitle><jtitle>The Gerontologist</jtitle><addtitle>The Gerontologist</addtitle><date>2003-12-01</date><risdate>2003</risdate><volume>43</volume><issue>6</issue><spage>856</spage><epage>863</epage><pages>856-863</pages><issn>0016-9013</issn><eissn>1758-5341</eissn><coden>GRNTA3</coden><abstract>Purpose: This study examines the value of self-reported health (SRH) as an indicator of underlying health status in a developing country setting. Design and Methods: Logistic regression methods with adjustments for multistage sampling are used to examine the factors associated with SRH in 2,921 men and women aged 50 and older in rural Bangladesh. Results: SRH incorporates multiple dimensions of health status (including physical disability assessed by measured physical performance; self-reported limitations in activities of daily living, or ADLs; self-reported chronic morbidity; and self-reported acute morbidity), severity, comorbidity, and trajectory in a similar fashion for both men and women and for different age groups. Older individuals are more likely to report poor SRH than their younger counterparts, and women report significantly worse SRH than their male peers at each age group. In both cases, this disadvantage can be fully accounted for by differences in measured physical performance, ADL limitations, and chronic and acute morbidity. Implications: Among older Bangladeshis, SRH is an easily recorded, multifaceted, nuanced indicator of underlying health status that is significantly associated with measured physical performance. 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| subjects | Activities of Daily Living ADLs Age Differences Aged Aging Aging (Individuals) Attitude to Health Bangladesh Comorbidity Cross-Sectional Studies Daily Living Skills Developing countries Developing country Developing Nations Diseases Elderly Evaluation Methods Female Foreign Countries Gender Gender Differences Gerontology Health Health Status Indicators Humans LDCs Logistic Models Male Measurement Techniques Middle Aged Middle Aged Adults Older Adults Older people Physical Activity Level Physical Health Rural Areas Rural Population Self Disclosure |
| title | Self-Reported Health Among Older Bangladeshis: How Good a Health Indicator Is It? |
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