| Titre : | Relationship of domain-specific measures of health to perceived overall health among older subjects. (1998) |
| Auteurs : | Gijm KEMPEN ; I. MIEDEMA ; J. ORMEL ; G.A.M. VAN DEN BOS ; Northern Centre for Healthcare Research. School of Medicine. University of Groningen. NLD |
| Type de document : | Article |
| Dans : | Journal of clinical epidemiology (vol. 51, n° 1, 1998) |
| Pagination : | 11-18 |
| Langues: | Anglais |
| Mots-clés : | Psychométrie ; Echelle santé ; Etat santé ; Qualité vie ; Etude comparée ; Grand âge ; Homme |
| Résumé : | [BDSP. Notice produite par INIST xJWZR0x1. Diffusion soumise à autorisation]. The associations between nine domain-specific measures of health (e.g., depressive symptoms, psychological distress, mental health, physical functioning, role functioning, social functioning, bodily pain, somatic symptoms, and chronic medical morbidity) and a single-item measure for perceived overall health were studied in an extensive community-based sample of elderly persons (n=5279). The results showed that : (1) the discriminative power of perceived overall health compared to domain-specific measures of health was moderate to large only at the fair/poor end of the perceived overall health spectrum ; (2) a single-item measure of perceived overall health did not cover domain-specific measurements of health since only 41.8% of the variance in perceived overall health was explained by all domain-specific measures ; and (3) the affective domains of functioning (psychological distress, mental health) were weakly related to perceived overall health. Bodily pain, chronic medical morbidity and, to a lesser extent, physical functioning were more strongly related to perceived overall health. These results were fairly consistent for men and women and for three age groups. We conclude that a global, single-item measure of perceived health and domain-specific health measures are not exchangeable in evaluation, survey, or epidemiological research. |
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