title: The association between self-rated health status and increasing age among older Japanese living in a rural community over a 6-year period: a longitudinal data analysis.
abstract: BACKGROUND
  Although previous longitudinal studies reported that changes in self-rated health (SRH) status were not explained by aging of population, they do not adequately adjust for potential confounding factors of SRH status.
  
  
  OBJECTIVE
  It was the aim of our study to examine the association of SRH status with increasing age among older individuals in a Japanese community during a 6-year period, 1994 through 2000.
  
  
  METHODS
  We conducted a community-based prospective cohort study. Subjects were a total of 710 men and women, ranging in age from 67 to 91 years at the beginning of the 1994 survey. Independent variables potentially associated with SRH were obtained from interview surveys conducted in 1994, 1996, 1998 and 2000. The dependent variable was SRH status obtained at each survey.
  
  
  RESULTS
  Univariate analysis showed no significant trends in the proportions of subjects with good SRH over time. However, analyses using the generalized estimating equations methodology revealed that aging was significantly associated with a small increase in the proportion of participants with good SRH, after adjusting for potential confounders. The analysis also revealed that factors contributing to good SRH included independence in activities of daily living and instrumental activities of daily living, as well as absence of the following: recent hospitalization history, chronic medical conditions, current complaints of pain and depressive symptomatology.
  
  
  CONCLUSIONS
  This study demonstrated that after adjusting for negative confounders, aging was independently associated with a small but significant increase in the proportion of older individuals with good SRH.
authors.affiliation: Longitudinal Interdisciplinary Study on Aging, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan. tatsuro-jp@nifty.com
authors.forename: Tatsuro
authors.initials: T
authors.lastname: Ishizaki
authors.forename: Hideyo
authors.initials: H
authors.lastname: Yoshida
authors.forename: Takao
authors.initials: T
authors.lastname: Suzuki
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Shibata
mesh_terms: D000203:Activities of Daily Living; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D000375:Aging / Q000502:physiology*; D044466:Asian People; D015986:Confounding Factors, Epidemiologic; D005260:Female; D015577:Geriatric Assessment; D006304:Health Status; D006801:Humans; D007564:Japan / Q000453:epidemiology; D016015:Logistic Models; D008137:Longitudinal Studies; D008297:Male; D011446:Prospective Studies; D012307:Risk Factors; D012424:Rural Population; D012649:Self Concept; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires