Subjective and objective evaluations of health among middle-aged and older veterans with hypertension.

Journal Article (Journal Article)

OBJECTIVE: The congruence between self-rated health and objective health was examined for associations with health factors related to hypertension (health behaviors, medication barriers, and perceived blood-pressure control). METHODS: The Charlson Comorbidity Index was cross classified with self-rated health, producing four health-congruence groups: good health realists, poor health realists, health optimists, and health pessimists. Data for this study were obtained from 588 hypertensive veterans (mean age = 63) at baseline of a clinical trial to improve blood-pressure control before randomization to an intervention. RESULTS: Optimists had higher perceived control of their hypertension when compared to pessimists. Additionally, optimists had higher levels of exercise and fewer medication barriers when compared to poor health realists. DISCUSSION: Health congruence classification could be a useful tool to alert practitioners of patients who may be having difficulties managing their hypertension.

Full Text

Duke Authors

Cited Authors

  • Hong, TB; Oddone, EZ; Dudley, TK; Bosworth, HB

Published Date

  • October 2005

Published In

Volume / Issue

  • 17 / 5

Start / End Page

  • 592 - 608

PubMed ID

  • 16177452

International Standard Serial Number (ISSN)

  • 0898-2643

Digital Object Identifier (DOI)

  • 10.1177/0898264305279780


  • eng

Conference Location

  • United States