?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.relation=http%3A%2F%2Fd-scholarship-dev.library.pitt.edu%2F21407%2F&rft.title=Patterns+of+racial+differences+in+healthy+days+measures+among+adults+age+60+and+over+in+Pennsylvania&rft.creator=Liao%2C+Wan-Ting&rft.description=PUBLIC+HEALTH+SIGNIFICANCE.+Older+African+Americans+are+more+likely+to+report+poorer+self-rated+health+(SRH)+than+Caucasians+even+when+individual-level+characteristics%2C+such+as+number+of+chronic+conditions+or+education%2C+are+controlled.+One+explanation+is+health+pessimism%2C+which+posits+that+African+Americans+are+more+pessimistic+about+their+health+because+of+non-health+factors%2C+such+as+perceived+discrimination.+We+examined+whether+health+pessimism+or+other+factors+explain+the+SRH+differential+between+African+Americans+and+Caucasians.%0D%0AMETHOD.+Research+participants+were+members+of+the+Community+Research+Registry+of+the+Claude+D.+Pepper+Center+at+the+University+of+Pittsburgh.+The+cohort%2C+recruited+between+2005+and+2013+(n%3D2%2C483)%2C+is+a+convenience+sample+of+residents+aged+60%2B+living+in+western+Pennsylvania.+Participants+completed+the+CDC+Healthy+Days+module%2C+which+includes+questions+on+SRH.+We+estimated+hierarchical+logistic+regression+models+to+examine+demographic+characteristics+(race%2C+age%2C+gender%2C+income%2C+and+education+level)%2C+health+characteristics+(number+of+diseases)%2C+life+style+characteristics+(current+tobacco+use%2C+alcohol+consumption%2C+and+physical+activity)%2C+and+perceived+number+of+physically+and+mentally+unhealthy+days+on+reports+of+poor+or+fair+health.%0D%0ARESULTS.+African+Americans+were+1.6+times+(95%25+CI%3D1.04%2C+2.45)+more+likely+to+report+fair+or+poor+SRH+after+controlling+for+demographic+and+health+characteristics.+Including+lifestyle+characteristics%2C+especially+physical+activity+and+alcohol+consumption+attenuated+the+association%2C+so+that+African+Americans+no+longer+differed+from+Caucasians+in+fair-poor+SRH.+Significant+correlates+of+poorer+SRH+included+male+gender%2C+less+education%2C+a+greater+number+of+diseases%2C+number+of+reported+unhealthy+days%2C+less+physical+activity%2C+and+no+alcohol+consumption.%0D%0ACONCLUSIONS.+Health+pessimism+but+also+actual+poorer+health+and+greater+number+of+behavioral+risk+factors+may+be+responsible+for+greater+likelihood+of+fair+or+poor+SRH+in+older+African+Americans.+Racial+differences+may+partially+be+addressed+through+public+health+effects+to+improve+prevention+of+disease+and+reduction+of+poor+life+style+behaviors.+%0D%0A&rft.date=2014-06-27&rft.type=University+of+Pittsburgh+ETD&rft.type=PeerReviewed&rft.format=application%2Fpdf&rft.language=en&rft.identifier=http%3A%2F%2Fd-scholarship-dev.library.pitt.edu%2F21407%2F1%2FLiao_WT_MasterThesis_04_2014.pdf&rft.identifier=++Liao%2C+Wan-Ting++(2014)+Patterns+of+racial+differences+in+healthy+days+measures+among+adults+age+60+and+over+in+Pennsylvania.++Master's+Thesis%2C+University+of+Pittsburgh.++++(Unpublished)++