The Health of India's Elderly Population: A Comparative Assessment Using Subjective and Objective Health Outcomes

Overview

Journal J Popul Ageing

Date 2015 Nov 24

PMID 26594258

Citations 8

Authors

Jane Murray Cramm

Lisa Bornscheuer

Anna Selivanova

Jinkook Lee

Affiliations

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Abstract

This study examined relationships between and predictors of objective and subjective health measures among 766 individuals aged ≥ 45 years in India using the 2010 pilot wave of the Longitudinal Aging Study in India (LASI). Correlations between and gender differences in objective [grip strength, lung function] and subjective [self-rated health (SRH), dependence in activities of daily living (dADL)] health measures were examined. Multivariate logistic regression analyses, accounting for sample design, were conducted to identify predictors of poor health. Fewer individuals were classified as at risk according to subjective (SRH, 9 %; dADL, 12 %) than objective (lung function, 57 %; grip strength, 77 % women, 87 % men) indicators. Poor SRH was only weakly correlated with dADL ( = 0.103, ≤ 0.05) and grip strength ( = -0.138, ≤ 0.001). From this study we conclude that older Indians tend to report more positive perception of health than the objective measures of health indicates, and that subjective and objective health indicators capture different aspects of health and only weakly correlated.

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References

Menec V, Chipperfield J, PERRY R . Self-perceptions of health: a prospective analysis of mortality, control, and health. J Gerontol B Psychol Sci Soc Sci. 1999; 54(2):P85-93. DOI: 10.1093/geronb/54b.2.p85. View

Rahman M, Barsky A . Self-reported health among older Bangladeshis: how good a health indicator is it?. Gerontologist. 2004; 43(6):856-63. DOI: 10.1093/geront/43.6.856. View

Deeg D, Bath P . Self-rated health, gender, and mortality in older persons: introduction to a special section. Gerontologist. 2003; 43(3):369-71. DOI: 10.1093/geront/43.3.369. View

Bago dUva T, van Doorslaer E, Lindeboom M, ODonnell O . Does reporting heterogeneity bias the measurement of health disparities?. Health Econ. 2007; 17(3):351-75. DOI: 10.1002/hec.1269. View

Doble S, Fisk J, Fisher A, Ritvo P, Murray T . Functional competence of community-dwelling persons with multiple sclerosis using the assessment of motor and process skills. Arch Phys Med Rehabil. 1994; 75(8):843-51. DOI: 10.1016/0003-9993(94)90107-4. View

Deeg D, Kriegsman D . Concepts of self-rated health: specifying the gender difference in mortality risk. Gerontologist. 2003; 43(3):376-86; discussion 372-5. DOI: 10.1093/geront/43.3.376. View

Hole D, Watt G, Davey-Smith G, Hart C, Gillis C, Hawthorne V . Impaired lung function and mortality risk in men and women: findings from the Renfrew and Paisley prospective population study. BMJ. 1996; 313(7059):711-5; discussion 715-6. PMC: 2352103. DOI: 10.1136/bmj.313.7059.711. View

Cramm J, Lee J . Smoking, physical activity and healthy aging in India. BMC Public Health. 2014; 14:526. PMC: 4047779. DOI: 10.1186/1471-2458-14-526. View

Wiener J, Hanley R, Clark R, Van Nostrand J . Measuring the activities of daily living: comparisons across national surveys. J Gerontol. 1990; 45(6):S229-37. DOI: 10.1093/geronj/45.6.s229. View

10.

Jylha M . What is self-rated health and why does it predict mortality? Towards a unified conceptual model. Soc Sci Med. 2009; 69(3):307-16. DOI: 10.1016/j.socscimed.2009.05.013. View

11.

MADDOX G, Douglass E . Self-assessment of health: a longitudinal study of elderly subjects. J Health Soc Behav. 1973; 14(1):87-93. View

12.

Fillenbaum G, Chandra V, Ganguli M, Pandav R, Gilby J, Seaberg E . Development of an activities of daily living scale to screen for dementia in an illiterate rural older population in India. Age Ageing. 1999; 28(2):161-8. DOI: 10.1093/ageing/28.2.161. View

13.

Johnston D, Propper C, Shields M . Comparing subjective and objective measures of health: Evidence from hypertension for the income/health gradient. J Health Econ. 2009; 28(3):540-52. DOI: 10.1016/j.jhealeco.2009.02.010. View

14.

Mossey J, Shapiro E . Self-rated health: a predictor of mortality among the elderly. Am J Public Health. 1982; 72(8):800-8. PMC: 1650365. DOI: 10.2105/ajph.72.8.800. View

15.

Reuben D, Siu A, Kimpau S . The predictive validity of self-report and performance-based measures of function and health. J Gerontol. 1992; 47(4):M106-10. DOI: 10.1093/geronj/47.4.m106. View

16.

Sen A . Health: perception versus observation. BMJ. 2002; 324(7342):860-1. PMC: 1122815. DOI: 10.1136/bmj.324.7342.860. View

17.

Hoogervorst E, Eikelenboom M, Uitdehaag B, Polman C . One year changes in disability in multiple sclerosis: neurological examination compared with patient self report. J Neurol Neurosurg Psychiatry. 2003; 74(4):439-42. PMC: 1738360. DOI: 10.1136/jnnp.74.4.439. View

18.

Ziebarth N . Measurement of health, health inequality, and reporting heterogeneity. Soc Sci Med. 2010; 71(1):116-24. DOI: 10.1016/j.socscimed.2010.03.016. View

19.

Goverover Y, Kalmar J, Gaudino-Goering E, Shawaryn M, Moore N, Halper J . The relation between subjective and objective measures of everyday life activities in persons with multiple sclerosis. Arch Phys Med Rehabil. 2005; 86(12):2303-8. DOI: 10.1016/j.apmr.2005.05.016. View

20.

Benyamini Y, Leventhal E, Leventhal H . Gender differences in processing information for making self-assessments of health. Psychosom Med. 2000; 62(3):354-64. DOI: 10.1097/00006842-200005000-00009. View