The structure of health status among older adults: disease, disability, functional limitation, and perceived health.

R. J. Johnson, F. D. Wolinsky

Research output: Contribution to journalArticlepeer-review

338 Scopus citations

Abstract

This article builds on earlier conceptualizations of the structure of health status to propose a more complex, multiequation model that examines the interrelationships among its various dimensions. As such, the focus is not merely on the identification of the direct effects of a variety of factors on perceived health status, but on how the constructs of disease, functional limitation, and self-rated health interrelate. In so doing, we expose the inherent problems of several complex and contaminated items routinely included in applications of established functional health status measures. The source of these problems lies in the lack of specificity or conceptual clarity for the individual items in these established measures. Potential biases are discussed, and several methods and strategies for addressing these problems are explored. Alternative scales are constructed and their psychometric properties are presented. Researchers who rely on public use data bases containing these scales should be aware of the potential biases and either modify the scales or use other appropriate methodologies to control for the measurement contamination.

Original languageEnglish (US)
Pages (from-to)105-121
Number of pages17
JournalJournal of health and social behavior
Volume34
Issue number2
DOIs
StatePublished - Jun 1993
Externally publishedYes

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health

Fingerprint Dive into the research topics of 'The structure of health status among older adults: disease, disability, functional limitation, and perceived health.'. Together they form a unique fingerprint.

Cite this