The present study examined how self-rated health was influenced by sociodemographic characteristics, physical health indicators, and sociocultural resources among four racial/ethnic groups of older adults. The data source was the Survey of Older Floridians, a statewide sample of Whites (n = 503), African Americans (n = 360), Cubans (n = 328), and non-Cuban Hispanics (n = 241) who were age 65 and older. Hierarchical regression models of self-rated health were estimated to explore the direct effects of the predictor variables as well as their interactive roles in each racial/ethnic group. Compared to Whites, racial/ethnic minority older adults rated their health more poorly. Although physical health indicators were significant predictors of self-rated health across all groups, the authors found group-specific predictors and interactions. Findings show similarities and differences in predictors of self-rated health across diverse racial/ethnic groups and suggest the importance of understanding group-specific factors in efforts to improve older adults’ perceived and actual health.
Acevedo-GarciaD.BatesL. M.OsypukT. L.McArdleN.2010. “The Effect of Immigrant Generation and Duration on Self-Rated Health among US Adults 2003–2007.” Social Science and Medicine71:1161-72. doi:10.1016/j.socscimed.2010.05.034
2.
Agency for Healthcare Research and Quality (2011). 2010 National healthcare disparities report. Retrieved March 1, 2012, from http://www.ahrq.gov/qual/nhdr10/nhdr10.pdf
3.
AikenL. S.WestS. G.1991. Multiple Regression: Testing and Interpreting Interactions. Newbury Park, CA: Sage.
4.
American Association for Public Opinion Research. (2000). Standard Definitions: Final Dispositions of Case Codes and Outcome Rates for Surveys. Lenexa, Kansas: AAPOR.
5.
AmstadterA. B.BegleA. M.CislerJ. M.HernandezM. A.MuzzyW.AciernoR.2010. “Prevalence and Correlates of Poor Self-Rated Health in the United States: The National Elder Mistreatment Study.” American Journal of Geriatric Psychiatry18:615-23. doi:10.1097/JGP.0b013e3181ca7ef2
6.
AugustK. J.SorkinD. H.2010. “Racial and Ethnic Disparities in Indicators of Physical Health Status: Do They Still Exist Throughout Late Life?”Journal of American Geriatrics Society58:2009-15. doi:10.1111/j.1532-5415.2010.03033.x
7.
BorrellL.DalloF.2008. “Self-Rated Health and Race among Hispanic and Non-Hispanic Adults.” Journal of Immigrant and Minority Health10:229-38. doi:10.1007/s10903-007-9074-6
8.
BzostekS.GoldmanN.PebleyA.2007. “Why Do Hispanics in the USA Report Poor Health?”Social Science and Medicine65:990-1003. doi:10.1016/j.socscimed.2007.04.028
9.
ChiswickB.MillerP.2001. “A Model of Destination-Language Acquisition: Application to Male Immigrants in Canada.” Demography38:391-409. doi:10.1353/dem.2001.0025
10.
CummingsJ. L.JacksonP. B.2008. “Race, Gender, and SES Disparities in Self-Assessed Health, 1974–2004.” Research on Aging30:137-67. doi:10.1177/0164027507311835
11.
DickinsonW. J.PotterG. G.HybelsC. F.McQuoidD. R.SteffensD. C. (2011). Change in stress and social support as predictors of cognitive decline in older adults with and without depression. International Journal of Geriatric Psychiatry, 26(12), 1267-1274. doi: 10.1002/gps.2676
12.
DunlopD. D.SongJ.ManheimL. M.DaviglusM. L.ChangR. W.2007. “Racial/Ethnic Differences in the Development of Disability among Older Adults.” American Journal of Public Health97:2209-15. doi:10.2105/ajph.2006.106047
13.
EllisonC. G.1995. “Race, Religious Involvement and Depressive Symptomatology in a Southeastern U.S. Community.” Social Science and Medicine40:1561-72. doi:10.1016/0277-9536(94)00273-v
14.
FinchB. K.VegaW. A.2003. “Acculturation Stress, Social Support, and Self-Rated Health among Latinos in California.” Journal of Immigrant Health5:109-17. doi:10.1023/a:1023987717921
15.
GalloL.SmithT.CoxC.2006. “Socioeconomic Status, Psychosocial Processes, and Perceived Health: An Interpersonal Perspective.” Annals of Behavioral Medicine31:109-19. doi:10.1207/s15324796abm3102_2
16.
HochhausenL.PerryD.LeH.-N.2010. “Neighborhood Context and Acculturation among Central American Immigrants.” Journal of Immigrant and Minority Health12:806-9. doi:10.1007/s10903-008-9201-z
17.
IdlerE. L.BenyaminiY.1997. “Self-Rated Health and Mortality: A Review of Twenty-Seven Community Studies.” Journal of Health and Social Behavior38:21-37.
18.
JangY.Borenstein-GravesA.HaleyW. E.SmallB. J.MortimerJ. A.2003. “Determinants of a Sense of Mastery in African American and White Older Adults.” Journals of Gerontology: Social Sciences 58B:S221-24.
19.
JangY.ChiribogaD. A.HerreraJ. R.BranchL. G.2009. “Self-Rating of Poor Health: A Comparison of Cuban Elders in Havana and Miami.” Journal of Cross Cultural Gerontology24:181-91. doi:10.1007/s10823-009-9094-x
20.
JangY.ChiribogaD. A.KimG.PhillipsK.2008. “Depressive Symptoms in Four Racial and Ethnic Groups: The Survey of Older Floridians (SOF).” Research on Aging30:488-502. doi:10.1177/0164027508316617
21.
JerantA.ArellanesR.FranksP.2008. “Health Status among US Hispanics: Ethnic Variation, Nativity, and Language Moderation.” Medical Care46:709-17. doi:710.1097/MLR.1090b1013e3181789431.
22.
KandulaN. R.LauderdaleD. S.BakerD. W.2007. “Differences in Self-Reported Health among Asians, Latinos, and Non-Hispanic Whites: The Role of Language and Nativity.” Annals of Epidemiology17:191-98. doi:10.1016/j.annepidem.2006.10.005
23.
KatzS.1983. “Assessing Self-Maintenance: Activities of Daily Living, Mobility, and Instrumental Activities of Daily Living.” Journal of American Geriatrics Society31:721-27.
24.
KawachiI.KennedyB. P.GlassR.1999. “Social Capital and Self-Rated Health: A Contextual Analysis.” American Journal of Public Health89:1187-93.
25.
Kelley-MooreJ. A.FerraroK. F.2004. “The Black/White Disability Gap: Persistent Inequality in Later Life?”Journals of Gerontology Series B: Psychological Sciences and Social Sciences59:S34-S43. doi:10.1093/geronb/59.1.S34
26.
KendigH.BrowningC. J.YoungA. E.2000. “Impacts of Illness and Disability on the Well-Being of Older People.” Disability and Rehabilitation22:15-22.
27.
KoenigH. G.McCulloughM. E.LarsonD. B.2001. Handbook of Religion and Health. New York: Oxford University Press.
28.
KrauseN.1987. “Satisfaction with Social Support and Self-Rated Health in Older Adults.” The Gerontologist27:301-8. doi:10.1093/geront/27.3.301
29.
KrauseN.2002. “Church-Based Social Support and Health in Old Age.” Journals of Gerontology Series B: Psychological Sciences and Social Sciences57:S332-47. doi:10.1093/geronb/57.6.S332
30.
KrauseN.2006. “Exploring the Stress-Buffering Effects of Church-Based and Secular Social Support on Self-Rated Health in Late Life.” Journals of Gerontology Series B: Psychological Sciences and Social Sciences61:S35-S43.
31.
KrauseN.BastidaE.2011. “Religion, Suffering, and Self-Rated Health among Older Mexican Americans.” Journals of Gerontology Series B: Psychological Sciences and Social Sciences 66B:207-16. doi:10.1093/geronb/gbq086
32.
LawtonM. P.BrodyE. M.1969. “Assessment of Older People: Self-Maintaining and Instrumental Activities of Daily Living.” The Gerontologist9:179-86. doi:10.1093/geront/9.3_Part_1.179
33.
LeeS. J.Moody-AyersS. Y.LandefeldC. S.WalterL. C.LindquistK.SegalM. R.CovinskyK. E.2007. “The Relationship between Self-Rated Health and Mortality in Older Black and White Americans.” Journal of the American Geriatrics Society55:1624-29. doi:10.1111/j.1532-5415.2007.01360.x
34.
LiangJ.QuiñonesA. R.BennettJ. M.YeW.XuX.ShawB. A.OfstedalM. B.2010. “Evolving Self-Rated Health in Middle and Old Age: How Does It Differ across Black, Hispanic, and White Americans?”Journal of Aging and Health22:3-26. doi:10.1177/0898264309348877
35.
LitwinH.2006. “Social Networks and Self-Rated Health: A Cross-Cultural Examination among Older Israelis.” Journal of Aging and Health18:335-58. doi:10.1177/0898264305280982
36.
LouieG. H.WardM. M.2011. “Socioeconomic and Ethnic Differences in Disease Burden and Disparities in Physical Function in Older Adults.” American Journal of Public Health101:1322-29. doi:10.2105/ajph.2010.199455
37.
MaselM. C.HowreyB.PeekM. K.2011. “The Effect of Acculturation on Frailty among Older Mexican Americans.” Journal of Aging and Health23:704-13. doi:10.1177/0898264310391786
38.
MezukB.RaffertyJ. A.KershawK. N.HudsonD.AbdouC. M.LeeH.EatonW. W.JacksonJ. S.2010. “Reconsidering the Role of Social Disadvantage in Physical and Mental Health: Stressful Life Events, Health Behaviors, Race, and Depression.” American Journal of Epidemiology172:1238-49. doi:10.1093/aje/kwq283
39.
MusickM. A.1996. “Religion and Subjective Health among Black and White Elders.” Journal of Health and Social Behavior37:221-37.
40.
NordenfeltL.2007. “The Concepts of Health and Illness Revisited.” Medicine, Health Care and Philosophy10:5-10. doi:10.1007/s11019-006-9017-3
PfeifferE.1975. “A Short Portable Mental Status Questionnaire for the Assessment of Organic Brain Deficit in Elderly Patients.” Journal of American Geriatrics Society23:433-41.
43.
ReadJ. G.GormanB. K.2006. “Gender Inequalities in US Adult Health: The Interplay of Race and Ethnicity.” Social Science and Medicine62:1045-65. doi:DOI:10.1016/j.socscimed.2005.07.009
44.
Reyes-OrtizC. A.PelaezM.KoenigH. G.MulliganT.2007. “Religiosity and Self-Rated Health among Latin American and Caribbean Elders.” International Journal of Psychiatry in Medicine37:425-43.
45.
SalomonJ. A.NordhagenS.OzaS.MurrayC. J. L.2009. “Are Americans Feeling Less Healthy? The Puzzle of Trends in Self-Rated Health.” American Journal of Epidemiology170:343-51. doi:10.1093/aje/kwp144
46.
SambamoorthiU.McAlpineD. D.2003. “Racial, Ethnic, Socioeconomic, and Access Disparities in the Use of Preventive Services among Women.” Preventive Medicine37:475-84.
47.
SchnittkerJ.2007. “Working More and Feeling Better: Women’s Health, Employment, and Family Life, 1974–2004.” American Sociological Review72:221-38.
48.
SchoeniR. F.MartinL. G.AndreskiP. M.FreedmanV. A.2005. “Persistent and Growing Socioeconomic Disparities in Disability among the Elderly: 1982–2002.” American Journal of Public Health95:2065-70. doi:10.2105/ajph.2004.048744
49.
SeemanT. E.MerkinS. S.CrimminsE. M.KarlamanglaA. S.2010. “Disability Trends among Older Americans: National Health and Nutrition Examination Surveys, 1988–1994 and 1999–2004.” American Journal of Public Health100:100-107.
50.
UmbersonD.MontezJ. K.2010. “Social Relationships and Health: A Flashpoint for Health Policy.” Journal of Health and Social Behavior51:S54-S66. doi:10.1177/0022146510383501
51.
WangC.SatarianoW. A.2007. “Self-Rated Current and Future Health Independently Predict Subsequent Mortality in an Aging Population. Journals of Gerontology Series A: Biological Sciences and Medical Sciences62:1428-34.
52.
WareJ.Jr., ed. 2004. SF-36 Health Survey Update. Mahwah, NJ: Lawrence Erlbaum.
53.
WarnerD. F.BrownT. H.2011. “Understanding How Race/Ethnicity and Gender Define Age-Trajectories of Disability: An Intersectionality Approach.” Social Science and Medicine72:1236-48. doi:10.1016/j.socscimed.2011.02.034
54.
YaoL.RobertS. A.2008. “The Contributions of Race, Individual Socioeconomic Status, and Neighborhood Socioeconomic Context on the Self-Rated Health Trajectories and Mortality of Older Adults.” Research on Aging30:251-73. doi:10.1177/0164027507311155
