Self-Rated Health Trajectories among Married Americans: Do Disparities Persist over 20 Years?

The purpose of this study is to understand self-rated health (SRH) trajectories by social location (race/ethnicity by gender by social class) among married individuals in the United States. We estimate multilevel models of SRH using six observations from 1980 to 2000 from a nationally representative...

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Main Authors: Terceira A. Berdahl, Julia McQuillan
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Journal of Aging Research
Online Access:http://dx.doi.org/10.1155/2018/1208598
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author Terceira A. Berdahl
Julia McQuillan
author_facet Terceira A. Berdahl
Julia McQuillan
author_sort Terceira A. Berdahl
collection DOAJ
description The purpose of this study is to understand self-rated health (SRH) trajectories by social location (race/ethnicity by gender by social class) among married individuals in the United States. We estimate multilevel models of SRH using six observations from 1980 to 2000 from a nationally representative panel of married individuals initially aged 25–55 (Marital Instability Over the Life Course Study). Results indicate that gender, race/ethnicity, and social class are associated with initial SRH disparities. Women are less healthy than men; people of color are less healthy than whites; lower educated individuals are less healthy than higher educated individuals. Women’s health declined slower than men’s but did not differ by race/ethnicity or education. Results from complex intersectional models show that white men with any college had the highest initial SRH. Only women with any college had significantly slower declines in SRH compared to white men with any college. For married individuals of all ages, most initial SRH disparities persist over twenty years. Intersecting statuses show that education provides uneven health benefits across racial/ethnic and gender subgroups.
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spelling doaj-art-26da322b67364bb4ac5729bf365d34962025-02-03T06:08:14ZengWileyJournal of Aging Research2090-22042090-22122018-01-01201810.1155/2018/12085981208598Self-Rated Health Trajectories among Married Americans: Do Disparities Persist over 20 Years?Terceira A. Berdahl0Julia McQuillan1Division of Research and Modeling, Center for Financing, Access and Cost Trends, Agency for Healthcare Research and Quality, 5600 Fishers Lane, Rockville, MD 20852, USAUniversity of Nebraska-Lincoln, 709 Oldfather Hall, Lincoln, NE 68588-0324, USAThe purpose of this study is to understand self-rated health (SRH) trajectories by social location (race/ethnicity by gender by social class) among married individuals in the United States. We estimate multilevel models of SRH using six observations from 1980 to 2000 from a nationally representative panel of married individuals initially aged 25–55 (Marital Instability Over the Life Course Study). Results indicate that gender, race/ethnicity, and social class are associated with initial SRH disparities. Women are less healthy than men; people of color are less healthy than whites; lower educated individuals are less healthy than higher educated individuals. Women’s health declined slower than men’s but did not differ by race/ethnicity or education. Results from complex intersectional models show that white men with any college had the highest initial SRH. Only women with any college had significantly slower declines in SRH compared to white men with any college. For married individuals of all ages, most initial SRH disparities persist over twenty years. Intersecting statuses show that education provides uneven health benefits across racial/ethnic and gender subgroups.http://dx.doi.org/10.1155/2018/1208598
spellingShingle Terceira A. Berdahl
Julia McQuillan
Self-Rated Health Trajectories among Married Americans: Do Disparities Persist over 20 Years?
Journal of Aging Research
title Self-Rated Health Trajectories among Married Americans: Do Disparities Persist over 20 Years?
title_full Self-Rated Health Trajectories among Married Americans: Do Disparities Persist over 20 Years?
title_fullStr Self-Rated Health Trajectories among Married Americans: Do Disparities Persist over 20 Years?
title_full_unstemmed Self-Rated Health Trajectories among Married Americans: Do Disparities Persist over 20 Years?
title_short Self-Rated Health Trajectories among Married Americans: Do Disparities Persist over 20 Years?
title_sort self rated health trajectories among married americans do disparities persist over 20 years
url http://dx.doi.org/10.1155/2018/1208598
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