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Die Messung von Gesundheit

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Handbuch Gesundheitssoziologie

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Zusammenfassung

Der folgende Beitrag beschäftigt sich mit einem weit verbreiteten Maß zur Erfassung des subjektiven Gesundheitszustandes. Er erläutert dessen prognostische Validität für unterschiedliche Outcomes wie Mortalität und diskutiert, unter welchen Bedingungen diese gegeben ist. Er geht der Frage nach, welche Informationen Befragte in die Antwort einfließen lassen und welchen Effekt individuelle Eigenschaften darauf haben. Zuletzt steht der Versuch, das gewonnene Wissen in einem allgemeinen Modell des kognitiven Antwortprozesses zusammenzufassen.

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Notes

  1. 1.

    Von welchen Kategorien ausgehend die Veränderungen am größten waren, lässt sich aufgrund der Regression zur Mitte schwer sagen. Ebenso lässt sich aus einer stärkeren Abweichung zwischen den Messzeitpunkten in bestimmten Gruppen nicht zwangsweise eine geringere Genauigkeit der Messung folgern, wenn die Verteilung des wahren Wertes sich zwischen den Gruppen unterscheidet. Es sprechen jedoch noch weitere Beobachtungen dafür, dass die Genauigkeit bei älteren Personen geringer ist.

  2. 2.

    Hiermit eng verbunden stellen Salomon et al. (2009) fest, dass die Eignung von SRH als Gesundheitsmaß auf Bevölkerungsebene eher gering ist, da es sich über die Zeit nicht verändert bzw. schlechter geworden ist, obwohl Mortalitäten langfristig gesunken sind.

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Carstensen, J. (2016). Die Messung von Gesundheit. In: Jungbauer-Gans, M., Kriwy, P. (eds) Handbuch Gesundheitssoziologie. Springer Reference Sozialwissenschaften. Springer VS, Wiesbaden. https://doi.org/10.1007/978-3-658-06477-8_4-1

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