Health perception and health status in advanced old age: A paradox of association

Henchoz, Karine; Cavalli, Stefano; Girardin, Myriam

doi:10.1016/j.jaging.2007.03.002

Cited by 91 publications

(99 citation statements)

References 30 publications

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“…5,17 Observa-se que as avaliações positivas tendem a ser superiores às negativas em maior proporção do que quando essa medida é tomada sem se fazer referência direta à comparação social. 4,18 Proposições advindas da literatura gerontológica apontam para a possibilidade de que haja crenças negativas compartilhadas a respeito da velhice, e, assim, ao se comparar com outros indivíduos considerados idosos, julgam-se em condições melhores de saúde do que os demais. 19,20 A percepção de saúde seguiu a mesma direção dos resultados obtidos em outros estudos em relação aos indicadores de funcionalidade.…”

Section: Discussionunclassified

“…1,3 Também na velhice, a autoavaliação de saúde depende especialmente da maneira como a pessoa concebe a ideia de uma boa saúde, não apenas a respeito dos problemas físicos que se relacionam com o processo do envelhecimento, mas também envolvendo os sentimentos de controle, autonomia e funcionalidade no cotidiano. 4 Estudos apontam que essa avaliação, na velhice, está associada tanto ao bem-estar 5,6 quanto aos indicadores de morbidade, de declínio funcional e de mortalidade. 7 Os idosos tendem a avaliar positivamente seu estado de saúde, e parte da explicação se dá pelos mecanismos subjetivos de comparação social.…”

Section: Introductionunclassified

See 1 more Smart Citation

The association between self-rated health and functional capacity indicators

Belmonte¹,

Pivetta²,

Batistoni³

et al. 2017

Geriatr., Gerontol. Aging

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a RESUMOOBJETIVO: Analisar a autoavaliação de saúde e identificar suas relações com a capacidade funcional e as medidas objetivas de força muscular e mobilidade em amostra idosa residente na comunidade. MÉTODO: Estudo transversal de base populacional com dados provenientes do banco eletrônico do Estudo de Fragilidade em Idosos Brasileiros (Fibra), realizado entre os anos de 2008 e 2009, em que foram recrutados 2.558 idosos da comunidade, residentes na área urbana. A variável dependente foi a autoavaliação de saúde comparada aos pares etários na velhice. As razões de chances, ajustadas pelas variáveis sociodemográficas e de saúde, foram estimadas por meio de regressão logística multinomial. As análises foram conduzidas no programa Stata 14.0. RESULTADOS: A média de idade dos idosos foi de 72,3 anos (DP ± 5,5), e 65,6% eram mulheres. Quando comparados a alguém da mesma idade, 70,2% avaliaram a sua saúde como melhor, 23,4% como igual e 6,4% como pior. Pelo modelo de regressão, verificou-se, no modelo ajustado, diferença estatisticamente significativa em relação à autoavaliação da saúde -sendo pior nos idosos dependentes nas atividades instrumentais (OR = 2,19; IC95% 1,22-3,92) e com menor força de preensão (OR = 0,96; IC95% 0,93-0,99). Avaliar a saúde como melhor apresentou diferença significativa com a velocidade de marcha (OR = 0,88; IC95% 0,81-0,94). CONCLUSÃO: Foram encontradas associações da autoavaliação de saúde e atividades instrumentais de vida diária, velocidade de marcha e força de preensão. Esses resultados reforçam a funcionalidade como um importante indicador de saúde, além de proporcionar a ampliação da abordagem da autoavaliação de saúde incluindo critérios de comparação social. PALAVRAS-CHAVE: saúde do idoso; autoavaliação; atividades cotidianas; idoso; prevalência. ABSTRACT OBJECTIVE:To evaluate self-rated health and to identify its relationship with functional capacity, objective measures of muscle strength, and mobility in a sample of community-dwelling elderly adults. METHOD: A cross-sectional, population-based study using data from the "Fragility Study on Brazilian Elderly" (Fibra) electronic database, carried out between 2008 and 2009, in which 2,558 community-dwelling elderly were recruited. The dependent variable was self-rated health compared with peers of the same age, among the elderly. The odd ratios were adjusted for sociodemographic and health variables and were estimated through multinomial logistic regression. The analyses were carried out using the program Stata 14.0. RESULTS: The average age of the elderly participants was 72.3 years old (SD ± 5.5) and 65.6% of them were women. When comparing with someone of the same age, 70.2% of the participants rated their health as better than the other's; 23.4% of them rated it as equal, and 6.4% of the elderly rated it as worse. The adjusted regression model showed that the odd ratios were more important when rating health as worse among the elderly participants who were dependent on instrumental activities (OR = 2.19; 95%CI 1.22-3.92) and h...

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Section: Discussionunclassified

Section: Introductionunclassified

The association between self-rated health and functional capacity indicators

Belmonte¹,

Pivetta²,

Batistoni³

et al. 2017

Geriatr., Gerontol. Aging

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“…We include the presence of physical diseases, the maintenance of normal functioning and selfassessments of health in the assessment of physical health. This is important as the gap between perceived and objective health status widens with age (Henchoz, Cavalli, & Girardin, 2008).…”

Section: The Present Studymentioning

confidence: 99%

Positive mental health : measurement, relevance and implications

Lamers¹

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“…The cognitive processes underlying SRH may also involve a social comparison (Jylhä, 2009) in which individuals may use similar-aged peers who seem worse off as key referents (Heckhausen, 1999). As a result, older adults might enhance the perception of their own health by comparing themselves with same-aged peers in poorer health (Cheng et al, 2007;Heckhausen, 1999;Henchoz et al, 2008). This study aimed to examine the congruence between SRH and having MetS in older adult women and whether characteristics of women's social networks might help explain this congruency.…”

Section: Gap In Literaturementioning

confidence: 99%

Do Our Friends and Relatives Help Us Better Assess Our Health? Examining the Role of Social Networks in the Correspondence Between Self-Rated Health and Having Metabolic Syndrome

Sabatier

Moore

2015

Sage Open

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If individuals believe they are healthier than they actually are, they may feel less compelled to improve their health. This study aims to examine the importance of a person’s connections in the correspondence between a person’s self-reported health (SRH) and having metabolic syndrome (MetS). Participants of the Kingston Senior Women’s Study ( n = 100, 65 years of age and older) completed a questionnaire on their social background, psychosocial conditions, health behaviors, and health. Participants also provided physiological measures and medical information. Health overestimation was defined as reporting high SRH yet being diagnosed with MetS. Logistic regression was used to examine whether a person’s social networks increased the odds of health overestimation. About a third reported a high SRH and had MetS (36%), that is, overestimated their health. Participants had more than four social network ties on average, with a maximum of six reported ties. When control variables were accounted for, participants with larger network size had lower odds of health overestimation (odds ratio [OR] = 0.46, 95% confidence interval [CI] = [0.26, 0.80]). Women with larger social networks may have greater access to information about their own health, leading possibly to more accurate assessments. Such information may be conveyed via feedback from ties or via a more representative perception of what constitutes good health when self-assessing one’s health.

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Health perception and health status in advanced old age: A paradox of association

Cited by 91 publications

References 30 publications

The association between self-rated health and functional capacity indicators

The association between self-rated health and functional capacity indicators

Positive mental health : measurement, relevance and implications

Do Our Friends and Relatives Help Us Better Assess Our Health? Examining the Role of Social Networks in the Correspondence Between Self-Rated Health and Having Metabolic Syndrome

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