Factors Associated with the Maintenance of Good Self-Rated Health

Hirdes, John P.; Forbes, W. F.

doi:10.1177/089826439300500105

Cited by 70 publications

(46 citation statements)

References 45 publications

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“…That is, older adults' perceptions of their health status are generally self-determining (DeSalvo, Bloser, Reynolds, He, & Muntner, 2006). Studies have shown that older adults with poor perceptions of health are less likely to engage in exercise routines (Rakowski & Mor, 1992) and self-care (Haug, Wykle, & Namazi, 1989) and are more likely to have health risk behaviors, such as smoking and heavy alcohol consumption (Hirdes & Forbes, 1993). Self-rating of health may hold the key to understanding the influences of various psychocognitive factors (e.g., self-efficacy, motivation, personal values, preferences) on health-promoting behaviors of older adults (DeSalvo et al, 2006).…”

Section: Discussionmentioning

confidence: 99%

Personal Factors Predictive of Health-Related Lifestyles of Community-Dwelling Older Adults

Peralta-Catipon

Hwang

2011

The American Journal of Occupational Therapy

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We explored personal factors that can predict health-related lifestyles of community-dwelling older adults. A convenience sample of 253 older adults was recruited to complete the Health Enhancement Lifestyle Profile (HELP), a comprehensive measure of health-promoting behaviors. Data were analyzed through univariate correlational/comparative statistics followed by stepwise multiple regression analysis to determine significant predictor variables for different aspects of health-related lifestyle. Personal health conditions, including the number of chronic diseases or impairments and self-rated health, were two strong predictors for the HELP (R 2 5 .571, p < .0001). Demographic characteristics, including age, gender, race, education, and employment status, also demonstrated varied degrees of capability for predicting the different HELP scales (e.g., Exercise, Diet, Leisure). When developing individualized plans for older adults in community settings, occupational therapists should consider the clients' strengths and vulnerabilities potentially derived from personal health factors and demographic attributes to yield more effective lifestyle interventions.

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Section: Discussionmentioning

confidence: 99%

Personal Factors Predictive of Health-Related Lifestyles of Community-Dwelling Older Adults

Peralta-Catipon

Hwang

2011

The American Journal of Occupational Therapy

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“…More recently, interest in understanding the determinants of SRH has increased. Predictors of good SRH include younger age (15)(16)(17), male sex (15), higher socioeconomic status (15,16,18), social support (19,20), and absence of chronic conditions and pain (15)(16)(17)(21)(22)(23). Although physiologic and psychological determinants of good SRH have been documented, the main determinant appears to be physical health (15,24,25).…”

Section: Introductionmentioning

confidence: 99%

Arthritis onset and worsening self-rated health: A longitudinal evaluation of the role of pain and activity limitations

2005

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Objective. To longitudinally explore the hypothesized role of worsening pain and development of activity limitations as mediators in the relationship between arthritis onset and worsening self-rated health (SRH). Methods. Data was obtained from the 1998/1999 and 2000/2001 cycles of the population-based Canadian longitudinal National Population Health Survey (n ‫؍‬ 10,859; ages >18; response rate: time 1 ‫؍‬ 81.6%, time 2 ‫؍‬ 89.2%). Respondents were asked about chronic conditions, pain, activity limitations, and self-perceived health; change over time was assessed. Change in effect of arthritis onset on worsening SRH upon considering potential mediators was assessed through multivariate logistic regression, controlling for sociodemographic characteristics and onset of other conditions. Results. Worsening pain fully explained the effect of arthritis onset on worsening SRH; a portion of the effect of worsening pain was mediated by the development of activity limitation. Residual direct effect of arthritis onset was statistically insignificant. Worsening pain and development of activity limitations also mediated a portion of the effects of onset of other chronic conditions but to a lesser extent than arthritis onset. Conclusion. This is the first study to examine these relationships longitudinally. Identifying the role of mediators is necessary if target areas of prevention and/or management are sought, either at the individual or population level. Our results indicate that the development of arthritis has a significant impact on worsening SRH. Pain and development of activity limitations fully account for the relationship between arthritis onset and worsening SRH. High priority should be placed on prevention and management strategies for pain among people with arthritis.

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“…For example, positive emotional style (PES) was found to be associated with lower rates of stroke among noninstitutionalized elderly (2), lower rates of rehospitalization for coronary problems (3), fewer injuries (4), and improved pregnancy outcomes among women undergoing assisted fertilization (5). PES also predicts better self-reported health and fewer symptoms in the elderly (6) and less pain in patients with rheumatoid arthritis (e.g., (7)) or fibromyalgia (e.g., (8)). However, there is some question as to whether the PES association with better self-reported outcomes reflects its effect on underlying pathology, on how physical sensations are interpreted, or both (1,9).…”

Section: Introductionmentioning

confidence: 99%

Positive Emotional Style Predicts Resistance to Illness After Experimental Exposure to Rhinovirus or Influenza A Virus

Cohen

Alper

Doyle

et al. 2006

Psychosomatic Medicine

255

181

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Objective: In an earlier study, positive emotional style (PES) was associated with resistance to the common cold and a bias to underreport (relative to objective disease markers) symptom severity. This work did not control for social and cognitive factors closely associated with PES. We replicate the original study using a different virus and controls for these alternative explanations. Methods: One hundred ninety-three healthy volunteers ages 21 to 55 years were assessed for a PES characterized by being happy, lively, and calm; a negative emotional style (NES) characterized by being anxious, hostile, and depressed; other cognitive and social dispositions; and self-reported health. Subsequently, they were exposed by nasal drops to a rhinovirus or influenza virus and monitored in quarantine for objective signs of illness and self-reported symptoms. Results: For both viruses, increased PES was associated with lower risk of developing an upper respiratory illness as defined by objective criteria (adjusted odds ratio comparing lowest with highest tertile ϭ 2.9) and with reporting fewer symptoms than expected from concurrent objective markers of illness. These associations were independent of prechallenge virus-specific antibody, virus type, age, sex, education, race, body mass, season, and NES. They were also independent of optimism, extraversion, mastery, self-esteem, purpose, and self-reported health. Conclusions: We replicated the prospective association of PES and colds and PES and biased symptom reporting, extended those results to infection with an influenza virus, and "ruled out" alternative hypotheses. These results indicate that PES may play a more important role in health than previously thought.

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Factors Associated with the Maintenance of Good Self-Rated Health

Cited by 70 publications

References 45 publications

Personal Factors Predictive of Health-Related Lifestyles of Community-Dwelling Older Adults

Personal Factors Predictive of Health-Related Lifestyles of Community-Dwelling Older Adults

Arthritis onset and worsening self-rated health: A longitudinal evaluation of the role of pain and activity limitations

Positive Emotional Style Predicts Resistance to Illness After Experimental Exposure to Rhinovirus or Influenza A Virus

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