Health trajectories: Long-term dynamics among Black and White adults
Health trajectories: Long-term dynamics among Black and White adults
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DOI：
10.2307/2955360
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发表时间：
1997-03-01
影响因子：
5
通讯作者：
Wybraniec, JA
中科院分区：
文献类型：
--
作者：
Ferraro, KF;Farmer, MM;Wybraniec, JA
长期以来，残疾一直被认为是自我评估健康的一个预测因素，但一些研究表明相反的因果关系。本研究的目的是检查身体残疾和黑人和白色成年人之间的健康评估的动态关系，同时考虑不断变化的发病率。研究问题包括：更多的负面健康评估是否会导致更高的发病率和身体残疾？负面的健康评估是否会导致健康状况随着时间的推移而下降？这些问题是解决了黑人和白色受访者超过15年的数据，从三波的国家健康和营养检查调查I：流行病学随访研究。结构方程模型的结果表明，自我评估的健康预测随后的健康变化，这表明健康问题和负面的健康评估之间的循环为白色和黑人成年人。此外，非裔美国人自我评估的健康下降速度比白色成年人更快。
Disability has long been identified as a predictor of self-assessed health, but some studies suggest the opposite causal direction. The aim of this study is to examine the dynamic relationships between physical disability and assessments of health among Black and White adults while simultaneously considering changing morbidity. Research questions include: Do more negative health assessments lead to greater morbidity and physical disability? Do negative health assessments lead to a cycle of health decline over time? These questions were addressed for Black and White respondents over 15 years using data from three waves of the National Health and Nutrition Examination Survey I: Epidemiologic Follow-Up Study. Results from structural equation modeling reveal that self-assessed health predicts subsequent change in health, suggesting a cycle between health problems and negative health assessments for both White and Black adults. In addition, self-assessed health among African Americans declined at a faster rate than was the case for White adults.