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The Relationship between Self-Rated Health and Health Status among Coronary Artery Patients

Health Services Research and Development, Durham VAMC, and Duke University

Ilene C. Siegler, PhD, MPH

Beverly H. Brummett, PhD

John C. Barefoot, PhD

Redford B. Williams, MD

Duke University

Peter P. Vitaliano, PhD

University of Washington

Nancy Clapp-Channing, RN, MPH

Barbara L. Lytle, MS

Daniel B. Mark, MD

Duke University

Objectives:This study examined the descriptive relationship of self-rated health (SRH) with various psychosocial measures, sociodemographic variables, coronary artery disease (CAD) diagnostic/clinical measures, and medically abstracted comorbidities. Methods:The sample was 2,855 individuals from the Mediators of Social Support (MOSS) study who had at least 75% narrowing in more than one vessel, as indicated by a cardiac catheterization. Results:After adjusting for sociodemographic factors, individuals who rated their health as poor/fair had significantly worse performance on all psychosocial measures and were more likely to be female, non-White, and of a lower socioeconomic status than those who rated their health as being good or better. There were few differences on SRH across various diagnostic/clinical measures of health. Discussion:A single item measure of SRH may be useful; the generalizability of the item must be considered. In this sample of CAD patients, SRH was related more to psychosocial factors than to clinical and disease indicators.

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