M. Jylha et al., IS SELF-RATED HEALTH COMPARABLE ACROSS CULTURES AND GENDERS, The journals of gerontology. Series B, Psychological sciences and social sciences, 53(3), 1998, pp. 144-152
Self-rated health is a frequently used health indicator, but there is
little data on its comparability across cultures. Ne employed samples
from Tampere, Finland, and Florence, Italy, of the European Longitudin
al Study on Aging to examine the cultural and gender differences in se
lf-rated health;lr. Personal interview data was used and vital status
ascertained after 7 years. After adjusting for several health-related
variables, we found no substantial difference in self-rated health bet
ween genders, although women in Florence were three times and melt in
Florence four limes more likely to report good self-rated health than
men in Tampere. The correlational structure of self-rated health was s
imilar bl befit areas. The significant graded association between self
-rated health and mortality ill both areas was mostly explained by oth
er health indicators included in a multivariate model. Results suggest
that self-rated health is a useful summary of physical health but it
may predict mortality better in men than in women and be sensitive to
cultural environment. Therefore, direct gender and cultural comparison
s of self-rated health should be made with caution.