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Self-Rated Health: The Role of Health Realism, Optimism, and Pessimism among Black and White Adults

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Abstract:

Using data from the 1995 Detroit Area Study (N=1,106) I find that black respondents report significantly lower levels of self-rated health when compared to whites with similar morbidity and co-morbidity levels. Based on findings from qualitative studies that identify the meaning that individuals attach to self-rated health questions, I evaluate the relevance of five sets of explanatory variables that may mediate the association between race and self-rated health. Health care access, functional health status, health-related behaviors, and social-psychological resources are all important predictors of health assessment levels; however, none of these characteristics significantly reduce the observed race effect. I do find evidence suggesting that the observed mismatch between subjective and objective health status among blacks may be to do recent experiences with discrimination.

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health (255), black (108), self (70), p (70), rate (69), white (68), social (62), respond (60), race (59), self-rat (58), level (57), physic (54), report (53), like (51), 1 (51), status (47), 2000 (45), model (41), relat (41), measur (41), studi (39),

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self-rated health race
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Name: American Sociological Association
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MLA Citation:

Boardman, Jason. "Self-Rated Health: The Role of Health Realism, Optimism, and Pessimism among Black and White Adults" Paper presented at the annual meeting of the American Sociological Association, Atlanta Hilton Hotel, Atlanta, GA, Aug 16, 2003 <Not Available>. 2009-05-26 <http://www.allacademic.com/meta/p108044_index.html>

APA Citation:

Boardman, J. D. , 2003-08-16 "Self-Rated Health: The Role of Health Realism, Optimism, and Pessimism among Black and White Adults" Paper presented at the annual meeting of the American Sociological Association, Atlanta Hilton Hotel, Atlanta, GA Online <.PDF>. 2009-05-26 from http://www.allacademic.com/meta/p108044_index.html

Publication Type: Conference Paper/Unpublished Manuscript
Review Method: Peer Reviewed
Abstract: Using data from the 1995 Detroit Area Study (N=1,106) I find that black respondents report significantly lower levels of self-rated health when compared to whites with similar morbidity and co-morbidity levels. Based on findings from qualitative studies that identify the meaning that individuals attach to self-rated health questions, I evaluate the relevance of five sets of explanatory variables that may mediate the association between race and self-rated health. Health care access, functional health status, health-related behaviors, and social-psychological resources are all important predictors of health assessment levels; however, none of these characteristics significantly reduce the observed race effect. I do find evidence suggesting that the observed mismatch between subjective and objective health status among blacks may be to do recent experiences with discrimination.

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Document Type: .PDF
Page count: 28
Word count: 10410
Text sample:
SELF-RATED HEALTH: THE ROLE OF HEALTH REALISM OPTIMISM AND PESSIMISM AMONG BLACK AND WHITE ADULTS * Jason D. Boardman Department of Sociology University of Colorado Ketchum 219 327 UCB Boulder CO 80309-0327 boardman@colorado.edu 303-735-0172 *Note: The author would like to thank David Williams James Jackson and Christopher G. Ellison for providing the data used in these analyses. I would also like to thank Robert Hummer Richard Rogers and Brian Karl Finch for their most helpful comments on earlier drafts
(.11) (.11) (.12) (.11) Discrimination .35* -.09 .06 .12 (.14) (.12) (.16) (.13) Model Chi-Square 85.45*** 3.45 87.10*** 44.73*** 67.89*** 7.46* 157.36*** Note: Cell entries represent unstandardized multi-nomial logistic regression coefficients and (standard errors); *** p<.001 **p<.01 * p<.05; Source 1995-DAS. 27


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