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Journal of Aging and Health
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Health-Related Quality of Life in Community-Dwelling Older Whites and African Americans

Yuri Jang, PhD

University of South Florida, Tampa

David A. Chiriboga, PhD

University of South Florida, Tampa

Amy R. Borenstein, PhD

University of South Florida, Tampa

Brent J. Small, PhD

University of South Florida, Tampa

James A. Mortimer, PhD

University of South Florida, Tampa

Objective: This study assesses structural and functional characteristics of Short Form-36 Health Survey (SF-36) domains using community-based samples of older Whites and African Americans. Although the eight domains of the SF-36 have by convention been collapsed into two summary categories— physical health and mental health—the authors examine a three-factor model including physical health, mental health, and general well-being. They hypothesized that the general well-being factor would be a mediator between physical and mental health in both groups. Method: Analyses using structural equation modeling provide support for the approach. Results: In both White and African American samples, the three-factor model demonstrated a better fit than the two-factor model. Also, in both groups, general well-being mediated the relationship between physical health and mental health. Discussion: Findings suggest that general well-being serves as an intervening step between physical and mental health in both White and African American older adults.

Key Words: SF-36 • health-related quality of life • African Americans

This version was published on April 1, 2009

Journal of Aging and Health, Vol. 21, No. 2, 336-349 (2009)
DOI: 10.1177/0898264308329001
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