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This version was published on March 1, 2008
Journal of Aging and Health, Vol. 20, No. 2, 143-158 (2008)
DOI: 10.1177/0898264307310449
© 2008 SAGE Publications

Self-Rated Health

Changes, Trajectories, and Their Antecedents Among African Americans

Fredric D. Wolinsky, PhD

Iowa City VA Medical Center and University of Iowa, fredric-wolinsky{at}uiowa.edu

Thomas R. Miller, PhD

University of Iowa

Theodore K. Malmstrom, PhD

Saint Louis University

J. Philip Miller, AB

Washington University in St. Louis

Mario Schootman, PhD

Washington University in St. Louis

Elena M. Andresen, PhD

University of Florida

Douglas K. Miller, MD

Indiana University and Regenstrief Institute

Objective: Little is known about changes in self-rated health (SRH) among African Americans. Method: We examined SRH changes and trajectories among 998 African Americans 49 to 65 years old who we reinterviewed annually for 4 years, using multinomial logistic regression and mixed effect models. Results: Fifty-five percent had the same SRH at baseline and 4 years later, 25% improved, and 20% declined. Over time, men were more likely to report lower SRH levels, individuals with hypertension were less likely to report lower SRH levels, and those with congestive heart failure at baseline were more likely to report higher SRH levels. Lower SRH trajectory intercepts were observed for those with lower socioeconomic status, poorer health habits, disease history, and worse functional status. Those with better cognitive status had higher SRH trajectory intercepts. Discussion: The decline in SRH levels among 49- to 65-year-old African Americans is comparable to that of Whites.

Key Words: self-rated health • African Americans • longitudinal modeling


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