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Journal of Aging and Health
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Article

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

Yuri Jang, PhD1*, David A. Chiriboga, PhD1, Amy R. Borenstein, PhD2, Brent J. Small, PhD3, and James A. Mortimer, PhD2

1 Department of Aging and Mental Health
2 Department of Epidemiology and Biostatistics
3 School of Aging Studies

* To whom correspondence should be addressed. E-mail: yjang{at}fmhi.usf.edu.


  Abstract
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 wellbeing 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.

First published on December 29, 2008, doi:10.1177/0898264308329001

Journal of Aging and Health 2009;21:336.

A more recent version of this article appeared on April 1, 2009

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