Self-Rated Health Trajectories in the African American Health Cohort

Padmaja Ayyagari, Fred Ullrich, Theodore K. Malmstrom, Elena Andresen, Mario Schootman, J. Philip Miller, Douglas K. Miller, Fredric D. Wolinsky

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Background: Self-rated health taps health holistically and dynamically blends prior health histories with current illness burdens and expectations for future health. While consistently found as an independent predictor of functional decline, sentinel health events, physician visits, hospital episodes, and mortality, much less is known about intra-individual changes in self-rated health across the life course, especially for African Americans. Materials/Methods: Data on 998 African American men and women aged 50-64 years old were taken from a probability-based community sample that was first assessed in 2000-2001 and re-assessed 1, 2, 3, 4, 7, and 9 years later. Using an innovative approach for including decedents in the analysis, semi-parametric group-based mixture models were used to identify person-centered group trajectories of self-rated health over time. Multivariable multinomial logistic regression analysis was then used to differentiate the characteristics of AAH participants classified into the different group trajectories. Results: Four self-rated health group trajectories were identified: persistently good health, good but declining health, persistently fair health, and fair but declining health. The main characteristics that differentiated the self-rated health trajectory groups from each other were age, education, smoking, morbidity (angina, congestive heart failure, diabetes, and kidney disease), having been hospitalized in the year prior to baseline, depressive symptoms, mobility limitations, and initial self-rated health. Conclusions: This is the first study to examine self-rated health trajectories separately among African Americans. Four qualitatively distinct self-rated health group trajectories were identified that call into question the accuracy of prior reports that a single, average self-rated health trajectory for African Americans adequately captures their within-group heterogeneity.

Original languageEnglish (US)
Article numbere53278
JournalPLoS One
Volume7
Issue number12
DOIs
StatePublished - Dec 31 2012

Fingerprint

African Americans
trajectories
Trajectories
Health
Health Fairs
burden of disease
heart failure
kidney diseases
physicians
morbidity
diabetes
education
regression analysis
Sentinel Surveillance
Mobility Limitation
history
Cost of Illness
Kidney Diseases
Hospital Mortality
Medical problems

ASJC Scopus subject areas

  • Agricultural and Biological Sciences(all)
  • Biochemistry, Genetics and Molecular Biology(all)
  • Medicine(all)

Cite this

Ayyagari, P., Ullrich, F., Malmstrom, T. K., Andresen, E., Schootman, M., Miller, J. P., ... Wolinsky, F. D. (2012). Self-Rated Health Trajectories in the African American Health Cohort. PLoS One, 7(12), [e53278]. https://doi.org/10.1371/journal.pone.0053278

Self-Rated Health Trajectories in the African American Health Cohort. / Ayyagari, Padmaja; Ullrich, Fred; Malmstrom, Theodore K.; Andresen, Elena; Schootman, Mario; Miller, J. Philip; Miller, Douglas K.; Wolinsky, Fredric D.

In: PLoS One, Vol. 7, No. 12, e53278, 31.12.2012.

Research output: Contribution to journalArticle

Ayyagari, P, Ullrich, F, Malmstrom, TK, Andresen, E, Schootman, M, Miller, JP, Miller, DK & Wolinsky, FD 2012, 'Self-Rated Health Trajectories in the African American Health Cohort', PLoS One, vol. 7, no. 12, e53278. https://doi.org/10.1371/journal.pone.0053278
Ayyagari P, Ullrich F, Malmstrom TK, Andresen E, Schootman M, Miller JP et al. Self-Rated Health Trajectories in the African American Health Cohort. PLoS One. 2012 Dec 31;7(12). e53278. https://doi.org/10.1371/journal.pone.0053278
Ayyagari, Padmaja ; Ullrich, Fred ; Malmstrom, Theodore K. ; Andresen, Elena ; Schootman, Mario ; Miller, J. Philip ; Miller, Douglas K. ; Wolinsky, Fredric D. / Self-Rated Health Trajectories in the African American Health Cohort. In: PLoS One. 2012 ; Vol. 7, No. 12.
@article{52c32cbf39da478d99284203b06c1b84,
title = "Self-Rated Health Trajectories in the African American Health Cohort",
abstract = "Background: Self-rated health taps health holistically and dynamically blends prior health histories with current illness burdens and expectations for future health. While consistently found as an independent predictor of functional decline, sentinel health events, physician visits, hospital episodes, and mortality, much less is known about intra-individual changes in self-rated health across the life course, especially for African Americans. Materials/Methods: Data on 998 African American men and women aged 50-64 years old were taken from a probability-based community sample that was first assessed in 2000-2001 and re-assessed 1, 2, 3, 4, 7, and 9 years later. Using an innovative approach for including decedents in the analysis, semi-parametric group-based mixture models were used to identify person-centered group trajectories of self-rated health over time. Multivariable multinomial logistic regression analysis was then used to differentiate the characteristics of AAH participants classified into the different group trajectories. Results: Four self-rated health group trajectories were identified: persistently good health, good but declining health, persistently fair health, and fair but declining health. The main characteristics that differentiated the self-rated health trajectory groups from each other were age, education, smoking, morbidity (angina, congestive heart failure, diabetes, and kidney disease), having been hospitalized in the year prior to baseline, depressive symptoms, mobility limitations, and initial self-rated health. Conclusions: This is the first study to examine self-rated health trajectories separately among African Americans. Four qualitatively distinct self-rated health group trajectories were identified that call into question the accuracy of prior reports that a single, average self-rated health trajectory for African Americans adequately captures their within-group heterogeneity.",
author = "Padmaja Ayyagari and Fred Ullrich and Malmstrom, {Theodore K.} and Elena Andresen and Mario Schootman and Miller, {J. Philip} and Miller, {Douglas K.} and Wolinsky, {Fredric D.}",
year = "2012",
month = "12",
day = "31",
doi = "10.1371/journal.pone.0053278",
language = "English (US)",
volume = "7",
journal = "PLoS One",
issn = "1932-6203",
publisher = "Public Library of Science",
number = "12",

}

TY - JOUR

T1 - Self-Rated Health Trajectories in the African American Health Cohort

AU - Ayyagari, Padmaja

AU - Ullrich, Fred

AU - Malmstrom, Theodore K.

AU - Andresen, Elena

AU - Schootman, Mario

AU - Miller, J. Philip

AU - Miller, Douglas K.

AU - Wolinsky, Fredric D.

PY - 2012/12/31

Y1 - 2012/12/31

N2 - Background: Self-rated health taps health holistically and dynamically blends prior health histories with current illness burdens and expectations for future health. While consistently found as an independent predictor of functional decline, sentinel health events, physician visits, hospital episodes, and mortality, much less is known about intra-individual changes in self-rated health across the life course, especially for African Americans. Materials/Methods: Data on 998 African American men and women aged 50-64 years old were taken from a probability-based community sample that was first assessed in 2000-2001 and re-assessed 1, 2, 3, 4, 7, and 9 years later. Using an innovative approach for including decedents in the analysis, semi-parametric group-based mixture models were used to identify person-centered group trajectories of self-rated health over time. Multivariable multinomial logistic regression analysis was then used to differentiate the characteristics of AAH participants classified into the different group trajectories. Results: Four self-rated health group trajectories were identified: persistently good health, good but declining health, persistently fair health, and fair but declining health. The main characteristics that differentiated the self-rated health trajectory groups from each other were age, education, smoking, morbidity (angina, congestive heart failure, diabetes, and kidney disease), having been hospitalized in the year prior to baseline, depressive symptoms, mobility limitations, and initial self-rated health. Conclusions: This is the first study to examine self-rated health trajectories separately among African Americans. Four qualitatively distinct self-rated health group trajectories were identified that call into question the accuracy of prior reports that a single, average self-rated health trajectory for African Americans adequately captures their within-group heterogeneity.

AB - Background: Self-rated health taps health holistically and dynamically blends prior health histories with current illness burdens and expectations for future health. While consistently found as an independent predictor of functional decline, sentinel health events, physician visits, hospital episodes, and mortality, much less is known about intra-individual changes in self-rated health across the life course, especially for African Americans. Materials/Methods: Data on 998 African American men and women aged 50-64 years old were taken from a probability-based community sample that was first assessed in 2000-2001 and re-assessed 1, 2, 3, 4, 7, and 9 years later. Using an innovative approach for including decedents in the analysis, semi-parametric group-based mixture models were used to identify person-centered group trajectories of self-rated health over time. Multivariable multinomial logistic regression analysis was then used to differentiate the characteristics of AAH participants classified into the different group trajectories. Results: Four self-rated health group trajectories were identified: persistently good health, good but declining health, persistently fair health, and fair but declining health. The main characteristics that differentiated the self-rated health trajectory groups from each other were age, education, smoking, morbidity (angina, congestive heart failure, diabetes, and kidney disease), having been hospitalized in the year prior to baseline, depressive symptoms, mobility limitations, and initial self-rated health. Conclusions: This is the first study to examine self-rated health trajectories separately among African Americans. Four qualitatively distinct self-rated health group trajectories were identified that call into question the accuracy of prior reports that a single, average self-rated health trajectory for African Americans adequately captures their within-group heterogeneity.

UR - http://www.scopus.com/inward/record.url?scp=84871767612&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84871767612&partnerID=8YFLogxK

U2 - 10.1371/journal.pone.0053278

DO - 10.1371/journal.pone.0053278

M3 - Article

C2 - 23300906

AN - SCOPUS:84871767612

VL - 7

JO - PLoS One

JF - PLoS One

SN - 1932-6203

IS - 12

M1 - e53278

ER -