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

J Aging Health. 2005 Oct;17(5):592-608. doi: 10.1177/0898264305279780.


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.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Aged
  • Disease Management
  • Female
  • Health Status
  • Humans
  • Hypertension / psychology*
  • Hypertension / therapy
  • Male
  • Middle Aged
  • Self-Assessment*
  • United States
  • Veterans / psychology*