This study examined the association between mortality and nonresponse to questions about health status (both refusals and "don't know" responses) using a national sample of persons aged 70 and over. Data were drawn from the 1984-1990 Longitudinal Study of Aging. Three time points of vital status were used as the outcome indicators (1984-1986,1984-1988,1984-1990). Five self-assessment questions were examined; three of the five questions had bivariate odds ratios that indicated significant associations between a nonresponse and all three mortality indexes. Results of the study suggest that nonresponses by older persons can convey meaningful information. Research on self-assessments of health in later life should not routinely exclude nonresponses as missing data, even if they are an infrequent response.
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References
1.
Bortner, R. W. , & Hultsch, D. F. (1972). Personal time perspective in adulthood. Developmental Psychology, 7, 98-103.
2.
Colsher, P. L. , & Wallace, R. B. (1989). Data quality and age: Health and psycho-behavioral correlates of item nonresponse and inconsistent responses. Journal of Gerontology: Psychological Sciences, 44, P45-P52.
3.
Colsher, P. L. , & Wallace, R. B. (1990). Health and social antecedents of relocation in rural elderly persons. Journal of Gerontology: Social Sciences, 45, S32-S38.
4.
Fitti, J. E. , & Kovar, M. G. (1987). The Supplement on Aging to the 1984 National Health Interview Survey (Vital and Health Statistics, Series 1, No. 21) Hyattsville, MD: National Center for Health Statistics. (DHHS Publication No. PHS 87-1323)
5.
Garrard, J. , Skay, C., Ratner, E. R., Kane, R. L., & Chan, H.C.W. (1989). Nonresponse to survey questions by elderly in nursing homes. In F. J. Fowler, Jr. (Ed.), Health survey research methods (pp. 129-137). National Center for Health Services Research and Health Care Technology Assessment. (DHHS Publication No. PHS 89-3447)
6.
Gould, R. L. (1972). The phases of adult life: A study in developmental psychology. American Journal of Psychiatry, 129, 521-531.
7.
Guadagnoli, E. , & Cleary, P. D. (1992). Age-related item nonresponse in surveys of recently discharged patients. Journal of Gerontology: Psychological Sciences, 47, P206-P212.
8.
Hooker, K. (1992). Possible selves and perceived health in older adults and college students. Journal of Gerontology: Psychological Sciences, 47, P85-P95.
9.
Idler, E. L. , & Angel, R. J. (1990). Self-rated health and mortality in the NHANES-I Epidemiologic Follow-Up Study. American Journal of Public Health, 80, 446-452.
10.
Idler, E. L. , & Kasl, S. V. (1991). Health perceptions and survival: Do global evaluations of health status really predict mortality?Journal of Gerontology: Social Sciences, 46, S55-S65.
11.
Idler, E. L. , Kasl, S. V., & Lemke, J. H. (1990). Self-evaluated health and mortality among the elderly in New Haven, Connecticut and Iowa and Washington Counties, Iowa, 1982-1986. American Journal of Epidemiology, 131, 91-103.
12.
Kaplan, G. , Barell, V., & Lusky, A. (1988). Subjective state of health and survival in elderly adults. Journal of Gerontology: Social Sciences, 43, S14-S120.
13.
Kaplan, G. A. , & Camacho, T. (1983). Perceived health and mortality: A nine-year follow-up of the Human Population Laboratory cohort. American Journal of Epidemiology, 117, 292-304.
14.
Kastenbaum, R. (1966). On the meaning of time in later life. Journal of Individual Psychology, 109, 9-25.
15.
Kovar, M. G. (1989). Collecting health data from and about older people: The Longitudinal Study of Aging. In F. J. Fowler, Jr. (Ed), Health survey research methods (pp. 115-119). National Center for Health Services Research and Health Care Technology Assessment. (DHHS Publication No. PHS 89-3447).
16.
Kovar, M. G. , Fitti, J. E., & Chyba, M. M. (1992). The Longitudinal Study of Aging: 1984-1990. Washington, DC: National Center for Health Statistics. (DHHS Publication No. PHS 92-1304)
17.
Lee, D. J. , & Markides, K. S. (1990). Activity and mortality among aged persons over an eight-year period. Journal of Gerontology: Social Sciences, 45, S39-S42.
18.
Lemke, J. H. , & Drube, G. A. (1992). Issues in handling in complete data in surveys of the elderly. In R. B. Wallace & R. F. Woolson (Eds.), The epidemiologic study of the elderly (pp. 358-370). New York: Oxford University Press.
19.
Markson, E. (1973). Readjustment to time in old age: A life cycle approach. Psychiatry, 36, 37-48.
20.
Mossey, J. M. , & Shapiro, E. (1982). Self-rated health: A predictor of mortality among the elderly. American Journal of Public Health, 72, 800-808.
21.
Nagi, S. Z. (1976). An epidemiology of disability among adults in the United States. Milbank Memorial Fund Quarterly, 54, 439-468.
22.
Office of Vital and Health Statistics Systems . (1991). The Longitudinal Study of Aging public use file: Version 4 (National Center for Health Statistics, Hyattsvile, MD).
23.
Rakowski, W. (1982). Temporal context and the perceptions of geriatric patients. Social Science & Medicine, 16, 241-244.
24.
Rakowski, W. , Fleishman, J., Mor, V., & Bryant, S. A. (1993). Self-assessments of health and mortality among older persons: Do questions other than global self-rated health predict mortality?Research on Aging, 15, 92-116.
25.
Rakowski, W. , & Hickey, T. (1992). Mortality and the attribution of health problems to aging among older adults. American Journal of Public Health, 82, 1139-1141.
26.
Rakowski, W. , Mor, V., & Hiris, J. (1991). The association of self-rated health with mortality in a sample of well-elderly from the Longitudinal Study of Aging (1984-1986). Journal of Aging and Health, 3, 527-545.
27.
Roos, N. P. , & Havens, B. (1991). Predictors of successful aging: A twelve-year study of Manitoba elderly. American Journal of Public Health, 81, 63-68.
28.
Schoenbom, C. (1991). 199O National Health Interview Survey of Health Promotion and Disease Prevention: Sample person file. Hyattsville, MD: National Center for Health Statistics.
29.
Shah, B. (1989). SUDAAN: Professional software for survey data analysis. Research Triangle Park, NC: Research Triangle Institute.
30.
Wolinsky, E. D. , & Johnson, R. J. (1992). Perceived health status and mortality among older men and women. Journal of Gerontology: Social Sciences, 47, S304-S312.
