Changes in Self-Rated Health During the Transition to Retiring Living Among Medicare Managed-Care Recipients.


Journal Article

Objectives: Moving into a retirement community may be precipitated by or bring about changes in health status. We hypothesized that moving into a retirement community would be associated with a decline in self-rated health (SRH), but that health-related factors would mitigate this association. Methods: We analyzed data from 58,272 participants in Cohort 3 of the Medicare Health Outcome Survey. Individuals answered questions regarding living status in 2000 and 2002. Those who moved into a retirement community were compared with those who did not. The primary outcome was change in SRH. We created adjusted and unadjusted models. Results: 2,520 (4.4%) individuals moved into retirement communities between 2000 and 2002. There were no substantial differences in the mean change in SRH between those who moved and those who did not. In adjusted and unadjusted models, moving was not significantly associated with changes in SRH. In an analysis stratified by SRH, only those with the best SRH had a significant decline in SRH during the move. Discussion: SRH mainly remained stable for most people regardless of moving into a retirement community. These findings argue against environmental context being a main determinant of self-perceived health status among older adults.

Full Text

Duke Authors

Cited Authors

  • Lea, C; Quiñones, A; Whitson, H; Bynum, J; Thielke, S

Published Date

  • 2016

Published In

Volume / Issue

  • 30 / 1

Start / End Page

  • 76 - 88

PubMed ID

  • 29527088

Pubmed Central ID

  • 29527088

International Standard Serial Number (ISSN)

  • 0276-3893

Digital Object Identifier (DOI)

  • 10.1080/02763893.2015.1129383


  • eng

Conference Location

  • United States