Why do older people change their ratings of childhood health?
Why do older people change their ratings of childhood health?
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DOI：
10.1007/s13524-014-0344-3
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发表时间：
2014-12
期刊：
影响因子：
3.5
通讯作者：
Yang, Ting-Ying
中科院分区：
文献类型：
--
作者：
Vuolo, Mike;Ferraro, Kenneth F.;Morton, Patricia M.;Yang, Ting-Ying
关键词：
越来越多的生命历程流行病学和生物人口学研究利用回顾性问题，利用自评儿童健康状况来评估整体身体健康状况。本研究通过分析健康与退休研究 (HRS) 中对儿童健康自评的重复测量，探讨了受访者可能改变其儿童健康评级的几种可能解释。结果显示，近一半的样本在十年观察期内修改了他们对儿童健康的评级。白人和相对有利的老年人——那些拥有更多社会经济资源和更好记忆力的人——不太可能修改他们的童年健康评级，而那些经历过多种童年健康问题的人更有可能修改他们的童年健康评级，无论是积极的还是消极的。当前自我评价健康状况的变化和一些突发的身体健康问题也与儿童健康评级的修正有关，而心理障碍的发展则与更负面的修正评级有关。然后我们说明这些变化可能对成人结果产生的影响：即抑郁症状。尽管成人对儿童健康的评级可能会随着时间的推移而发生变化，但我们建议仅在调整与这些变化相关的因素（例如记忆、心理障碍、成人自评健康和社会经济资源）时才使用它们。
A growing number of studies in life course epidemiology and biodemography make use of a retrospective question tapping self-rated childhood health to assess overall physical health status. Analyzing repeated measures of self-rated childhood health from the Health and Retirement Study (HRS), this study examines several possible explanations for why respondents might change their ratings of childhood health. Results reveal that nearly one-half of the sample revised their rating of childhood health during the 10-year observation period. Whites and relatively advantaged older adults—those with more socioeconomic resources and better memory—were less likely to revise their rating of childhood health, while those who experienced multiple childhood health problems were more likely to revise their childhood health rating, either positively or negatively. Changes in current self-rated health and several incident physical health problems were also related to the revision of one’s rating of childhood health, while the development of psychological disorders was associated with more negative revised ratings. We then illustrate the impact that these changes may have on an adult outcomes: namely, depressive symptoms. Whereas adult ratings of childhood health are likely to change over time, we recommend their use only if adjusting for factors associated with these changes, such as memory, psychological disorder, adult self-rated health, and socioeconomic resources.
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