Who provides inconsistent reports of their health status? The importance of age, cognitive ability and socioeconomic status
Who provides inconsistent reports of their health status? The importance of age, cognitive ability and socioeconomic status
复制标题
DOI：
10.1016/j.socscimed.2017.08.032
复制
发表时间：
2017-10-01
影响因子：
5.4
通讯作者：
Suziedelyte, Agne
中科院分区：
文献类型：
--
作者：
Black, Nicole;Johnston, David W.;Suziedelyte, Agne
自我评估健康（SAH）措施被广泛用于健康和健康不平等的模型。这些模型假设SAH是健康状况的可靠测量。我们利用一项全国纵向调查的独特功能来检查对一个标准SAH问题的回答的一致性，该问题在最多三个波（2001年，2009年和2013年）中向同一个人在时间上接近地询问两次。特别是，我们分析是否响应的一致性随个人特征而变化。主要分析样本包括18，834个个体年观测值。我们发现，57%的受访者至少提供了一次不一致的报告。与显著较高的不一致性相关的特征是年龄、教育、认知能力和响应之间的时间。结果表明，个体自我评估和总结自己健康状况的能力存在系统性差异。因此，如果不考虑这种误差，可能会导致健康结果模型中存在很大的估计偏差，特别是在教育、认知能力和健康之间的关系方面。(C)2017爱思唯尔有限公司版权所有
Self-assessed health (SAH) measures are widely used in models of health and health inequalities. Such models assume that SAH is a reliable measure of health status. We utilise a unique feature of a national longitudinal survey to examine the consistency of responses to a standard SAH question that is asked twice to the same individual in close.temporal proximity in up to three waves (2001, 2009, and 2013). In particular, we analyse whether the consistency of responses varies with personal characteristics. The main analysis sample includes 18,834 individual-year observations. We find that 57% of respondents provide inconsistent reports at least once. Characteristics that are associated with significantly higher inconsistencies are age, education, cognitive ability, and time between responses. The results suggest that there are systematic differences in the ability of individuals' to self-evaluate and summarise their own health. Consequently, failure to account for such error may lead to large estimation biases in models of health outcomes, particularly with respect to the relationship between education, cognitive ability, and health. (C) 2017 Elsevier Ltd. All rights reserved.