HLTH 210 Lecture Notes - Lecture 1: Cardiovascular Disease, National Health And Nutrition Examination Survey, Controllability
5 Mar 2018
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Document Summary
Consistent differences between subjective self-ratings and clinical evaluations. Differences correlated with social and demographic characteristics. Differences tend toward over-estimation of individuals" health. Overestimation most prominent among older age groups. Subject self-ratings appear to predict future objective health. Self-evaluation of personal health is an indicator/predictor of mortality, especially among the elderly. #1 predictor of mortality during follow up = age. #2 predictor = personal self-rating of health as poor in prior survey. Elderly populations" ratings of health, when adjusted for health status, are more positive than those of younger populations. Survivor effect: unhealthy older population is gone already. Observation of health of family, friends, fellow patients. Not me = doctor diagnosed on day of physical exam, or lab tests of silent conditions (i. e. hypertension) Schemas build throughout the course of life. Elements of schemas combine to produce acute or chronic illness identities. Objective: assessment by physician on standardized scale. Subjective: self-reporting based on own interpretation of symptoms.
