Gender and the natural history of self-rated health: A 59-year longitudinal study

Michael E. McCullough, Jean Philippe Laurenceau

Research output: Contribution to journalArticlepeer-review

96 Scopus citations


Self-ratings of health are uniquely predictive of morbidity and mortality, and they encompass people's evaluations of many medical, psychological, and social conditions in their lives. However, the longitudinal trajectory of self-rated health has not been evaluated to date. In the present study, 59-year longitudinal multilevel analyses (1940-1999) of data from 1,411 men and women revealed that self-rated health was relatively stable until age 50 and then began to decrease in an accelerating fashion through the rest of the life course. Men had higher self-rated health throughout most of adulthood than did women but had steeper linear rates of decline. As a result, the gender difference in self-rated health disappeared by late adulthood.

Original languageEnglish (US)
Pages (from-to)651-655
Number of pages5
JournalHealth Psychology
Issue number6
StatePublished - Nov 2004


  • Gender
  • Hierarchical linear models
  • Life course
  • Longitudinal
  • Self-rated health

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Psychology(all)


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