[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-421476-105":3,"detail-sidebar-cat-0-en-105":81,"doc-detail-421476-en":131},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","is-self-rated-health-different-for-nonagenarians-health-meanings-and-mortality-association","Is Self-Rated Health Different for Nonagenarians? - Health meanings and mortality association","","Self-rated health (SRH) serves as a strong predictor of mortality, yet its underlying meaning in people aged 90+ remains insufficiently understood. This paper examines what “health” signifies in nonagenarians’ self-ratings, using data from the Vitality 90+ project in Tampere, Finland. Qualitative life story interviews (N=54) show disease framed as given facts and health linked to functional ability, symptoms, cognition, and medications. Mobility and subjective symptoms also relate more directly to SRH, which displays a graded association with mortality over 4.6 years.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/is-self-rated-health-different-for-nonagenarians-health-meanings-and-mortality-association/421476/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/is-self-rated-health-different-for-nonagenarians-health-meanings-and-mortality-association/421476.png","ImageObject",300,407,{"name":42,"@type":43},"Kyle","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-30","2026-09-28",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",11,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"Why is self-rated health important in aging research?","Question",{"text":63,"@type":64},"Self-rated health (SRH) is a well-known predictor of mortality, making it useful for understanding health outcomes across age groups.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"How do nonagenarians describe the meaning of “health” in self-ratings?",{"text":68,"@type":64},"Participants frame diseases as given facts at high age and discuss health through functional ability, everyday management, experienced symptoms, cognitive capacity, and medications.",{"name":70,"@type":61,"acceptedAnswer":71},"What relationship did the study find between SRH and mortality in nonagenarians?",{"text":72,"@type":64},"SRH showed a robust graded association with mortality; over 4.6 years, mortality was 43% for good/fairly good SRH and 89% for fairly poor/poor SRH.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},421476,1791313753,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,106,110,115,120,123,127],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},5,"Comic",60,"comic",{"id":102,"doc_module":4,"doc_module_name":25,"category_name":103,"show_sort_weight":104,"slug":105},6,"Technology",50,"technology",{"id":107,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":108,"slug":109},7,40,"healthcare",{"id":111,"doc_module":4,"doc_module_name":25,"category_name":112,"show_sort_weight":113,"slug":114},8,"Research & Report",30,"research-report",{"id":116,"doc_module":4,"doc_module_name":25,"category_name":117,"show_sort_weight":118,"slug":119},9,"Religion & Spirituality",20,"religion-spirituality",{"id":118,"doc_module":4,"doc_module_name":25,"category_name":121,"show_sort_weight":118,"slug":122},"World Cup","world-cup",{"id":124,"doc_module":4,"doc_module_name":25,"category_name":125,"show_sort_weight":124,"slug":126},10,"Lifestyle","lifestyle",{"id":128,"doc_module":4,"doc_module_name":25,"category_name":129,"show_sort_weight":97,"slug":130},19,"General","general",{"code":4,"msg":82,"data":132},{"doc_id":79,"user_id":133,"nickname":42,"user_avatar":134,"doc_module":4,"category_id":107,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":22,"language":140,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":12,"update_tm":144,"read_time":30,"preview_page_count":4},3985741905716,"https://ap-avatar.wpscdn.com/davatar_994ba38a5ba835b3df7d355c54d3ed8d","26 Innovation in Aging, 2025, Vol. 9, No. S2  \nAbstract citation ID: igaf122.084  \nIS SELF-RATED HEALTH DIFFERENT FOR  \nNONAGENARIANS?  \nMarja Jylha, Katariina Tuominen, and Linda Enroth, Tampere University, Tampere, Pirkanmaa, Finland  \nSelf-rated health (SRH) is a well-known predictor of mortality. In younger old people, chronic conditions are a major determinant of SRH. Less is known about SRH among people aged  \n90 and older, a small but rapidly growing population group with rather short life-expectancy and high multimorbidity. This paper discusses the contents and meanings of ´health´ in self-ratings of nonagenarians, contrasting different types of data from the Vitality 90+ project in Tampere, Finland. The project includes repeated survey studies with all individuals aged 90+ in the area plus qualitative interviews and face-to-face health examinations with subgroups. In the 2023 qualitative life story interviews (N = 54), participants framed diseases as given facts in high age and discussed health in relation to the ability to do things, manage everyday life, experienced symptoms, cognitive capacity and medications. They used comparisons to age peers with poorer condition or already deceased, to construct a relatively positive view of their own health. This is consistent with our earlier analysis in the survey data, where mobility and subjective symptoms were more important direct associates of SRH than diseases.  \nPerhaps surprisingly, SRH showed a robust, graded association with mortality also in nonagenarians. During 4.6 years, mortality rate was 43% for good & fairly good and 89% for fairly poor & poor SRH. Our findings invite discussion about the meaning of ´health´ and about the most relevant experienced hallmarksof physiological vitality in the oldest-old.","cbCaifNcQm4q2UcV","https://ap.wps.com/l/cbCaifNcQm4q2UcV","pdf",107801,"English","# Background\n## Self-rated health as a mortality predictor\n# Study focus and data sources\n## Vitality 90+ project overview\n## Qualitative interviews and health examinations\n# Findings from qualitative interviews\n## How participants define health\n## Comparisons with peers to construct self-views\n# Survey consistency and mortality results\n## Mobility and subjective symptoms\n## Graded mortality association in nonagenarians","[{\"question\":\"Why is self-rated health important in aging research?\",\"answer\":\"Self-rated health (SRH) is a well-known predictor of mortality, making it useful for understanding health outcomes across age groups.\"},{\"question\":\"How do nonagenarians describe the meaning of “health” in self-ratings?\",\"answer\":\"Participants frame diseases as given facts at high age and discuss health through functional ability, everyday management, experienced symptoms, cognitive capacity, and medications.\"},{\"question\":\"What relationship did the study find between SRH and mortality in nonagenarians?\",\"answer\":\"SRH showed a robust graded association with mortality; over 4.6 years, mortality was 43% for good/fairly good SRH and 89% for fairly poor/poor SRH.\"}]","Is Self-Rated Health Different for Nonagenarians? - Health meanings and mortality association | PDF",1790624943]