Document Detail


Self-rated health in persons with spinal cord injury: relationship of secondary conditions, function and health status.
MedLine Citation:
PMID:  19381872     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Self-rated health is used frequently as a measure of health in the general population, and increasingly with persons with disabilities. However, its meaning and its relationship with other measures of self-reported health (health status and secondary conditions) are not well understood for this group. The purpose of the present study was to use a conceptual model to examine the structure of self-rated health with persons with spinal cord injuries. METHODS: A US sample of 270 adults with mobility impairment stemming from spinal cord injury (SCI) provided data on three measures of self-reported health that differ in degree of subjectivity: physical problems common to SCI, four domains of health status from the SF-36, and a single item on self-rated health. Data were compared with the norm sample of the SF-36. The conceptual model was tested using path analyses. RESULTS: SF-36 scores were lower on three of four domains compared with the norm sample. The conceptual model analyses indicated that 35% of variance in self-rated health is accounted for through direct relationship with physical secondary conditions common to persons with SCI and as mediated through SF-36 domains of Role Physical and Vitality. The SF-36 domain of Physical Function was statistically unrelated to self-rated health. CONCLUSION: The conceptual model of self-rated health was verified in a sample of persons with SCI. Importantly, the SF-36 domain of Physical Function does not relate to self-rated health for this group. Its inclusion in measures of self-reported for disability populations creates difficulty without apparent benefit.
Authors:
Gloria L Krahn; Rie Suzuki; Willi Horner-Johnson
Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, Non-P.H.S.     Date:  2009-04-19
Journal Detail:
Title:  Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation     Volume:  18     ISSN:  1573-2649     ISO Abbreviation:  Qual Life Res     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2009-05-14     Completed Date:  2009-08-28     Revised Date:  2009-10-09    
Medline Journal Info:
Nlm Unique ID:  9210257     Medline TA:  Qual Life Res     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  575-84     Citation Subset:  IM    
Affiliation:
Rehabilitation Research and Training Center, Child Development and Rehabilitation Center, Oregon Health & Science University, P.O. Box 574, Portland, OR 97201-0574, USA. gfk2@cdc.gov
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MeSH Terms
Descriptor/Qualifier:
Adult
Comorbidity*
Female
Health Status*
Humans
Male
Middle Aged
Oregon
Quality of Life
Questionnaires
Spinal Cord Injuries*
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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