Self-Rated Health

In general, would you say your health is....(circle one number)

Excellent
1
Very good
2
Good
3
Fair
4
Poor
5

Scoring

Score the number circled. If two consecutive numbers are circled, choose the higher number (worse health); if two non-consecutive numbers are circled, do not score. The score is the value of this single item only. A higher score indicates poorer health.

Characteristics

Tested on 1,129 subjects with chronic disease. N=51 for test-retest.

No. of
items
Observed
Range

Mean
Standard
Deviation
Internal Consistency
Reliability
Test-Retest
Reliability
1
1-5
3.29
.91
.92

Source of Psychometric Data

Stanford Chronic Disease Self-Management Study. Psychometrics reported in: Lorig K, Stewart A, Ritter P, González V, Laurent D, & Lynch J, Outcome Measures for Health Education and other Health Care Interventions. Thousand Oaks CA: Sage Publications, 1996, p.25.

Comments

This is an item used in the National Health Interview Survey. In a number of studies self-rated health has been found to be an excellent predictor of future health. This scale available in Spanish.

References

Lorig K, Stewart A, Ritter P, González V, Laurent D, & Lynch J, Outcome Measures for Health Education and other Health Care Interventions. Thousand Oaks CA: Sage Publications, 1996, pp.25,52-53.

Idler EL, & Angel RJ, Self-rated health and mortality in the NHANES-I epidemiologic follow-up study. American Journal of Public Health, 80, 1990, pp.446-452.

Schoenfeld DE, Malmrose LC, Blazer DG, Gold DT, & Seeman TE, Self-rated health and mortality in the high-functioning elderly: A closer look at healthy individuals; MacArthur Field Study of Successful Aging. Journal of Gerontology: Medical Sciences, 49, 1994, pp.M109-M115.

U.S. Bureau of the Census, National Health Interview Survey. Washington DC: U.S. Dept. of Commerce, 1985.

Ware JE Jr, Nelson EC, Sherbourne CD, & Stewart AL, Preliminary tests of a 6-item general health survey: A patient application; in AL Stewart & JE Ware Jr (Eds), Measuring Functioning and Well-Being: The Medical Outcomes Study Approach, Durham NC: Duke University Press, 1992, pp.291-303.

Wolinsky FD, & Johnson RJ, Perceived health status and mortality among older men and women. Journal of Gerontology: Social Sciences, 47, 1992, pp.S304-S312.

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