Predicting mortality from community surveys of older adults: the importance of self-rated functional ability. Academic Article uri icon


  • Using data from the 1990 baseline of the National Survey of Self-Care and Aging (NSSCA), and nearly three years of follow-up mortality data, we examined the association between self-rated functional ability, a global measure of perceived ability of function independently, and mortality among a national sample of older adults. The study included 3,485 subjects selected from the Medicare Beneficiary Files according to a stratified random sampling design, with approximately equal numbers of adults by gender in each of three age categories, 65-74, 75-84, and 85 and over. Self-rated functional ability was found to have an independent contribution to the subsequent risk of death among older adults. Using multivariate models that accounted for self-rated health, age, gender, medical conditions, functional status, and assistance from others, poor self-ratings on this single item nearly doubled the risk of death during the follow-up period. These findings suggest the importance, for both researchers and clinicians, of measuring the potential prognostic importance of self-ratings of health and self-ratings of functional ability among older adults.

published proceedings

  • J Gerontol B Psychol Sci Soc Sci

author list (cited authors)

  • Bernard, S. L., Kincade, J. E., Konrad, T. R., Arcury, T. A., Rabiner, D. J., Woomert, A., DeFriese, G. H., & Ory, M. G.

citation count

  • 95

complete list of authors

  • Bernard, SL||Kincade, JE||Konrad, TR||Arcury, TA||Rabiner, DJ||Woomert, A||DeFriese, GH||Ory, MG

publication date

  • May 1997