Lamidi Esther O
Department of Sociology, University of Colorado Colorado Springs, CO, USA.
Res Aging. 2021 Oct-Dec;43(9-10):358-367. doi: 10.1177/0164027520963659. Epub 2020 Oct 6.
Previous analyses showed an overall pattern of improvement in self-rated health of U.S. older adults in the 1980s and the 1990s, but it was uncertain if the declining shares of elderly persons reporting fair or poor health would continue over the next decades. Using the 2000-2018 pooled data from the National Health Interview Survey, this study examined recent trends in self-rated health of adults aged 45 and older. The results showed important variations in self-rated health trends across age groups. Between 2000 and 2018, the shares of adults aged 60 and above reporting fair or poor health declined significantly while self-rated health trends for middle-aged adults worsened over time. Educational and racial/ethnic differentials in self-rated health persisted over time but there were important group variations. To further improve the health of the elderly population, it is important to consider changing health disparities in later life.
以往的分析表明，美国老年人的自评健康状况在20世纪80年代和90年代总体呈改善趋势，但尚不确定报告健康状况为“一般”或“较差”的老年人比例下降趋势在未来几十年是否会持续。本研究利用2000 - 2018年国家健康访谈调查的汇总数据，考察了45岁及以上成年人自评健康状况的近期趋势。结果显示，各年龄组自评健康趋势存在重要差异。2000年至2018年期间，60岁及以上报告健康状况为“一般”或“较差”的成年人比例显著下降，而中年成年人的自评健康趋势随时间推移而恶化。自评健康方面的教育和种族/族裔差异长期存在，但也存在重要的群体差异。为进一步改善老年人口的健康状况，考虑改变晚年的健康差距至关重要。
