Utility of Health data from Social Surveys: Is There a Gold Standard for Measuring Morbidity?
Abstract
Most sociological and epidemiological studies of health status in adulthood rely on reports of morbidity from respondents to social surveys. This study compares self-reported morbidity with indicators of morbidity from physicians ‘ evaluations and examines the predictive validity of each indicator on self-assessed health and mortality in adulthood. Special attention is given to differences in the measures between white and African American adults. Adults from a large national survey received a detailed medical examination by a physician; they also were asked about the presence of 36 health conditions. Results indicate that self-reported morbidity is equal or superior to physician-evaluated morbidity in a prognostic sense. Both types of morbidity predict self-assessed health for white respondents, but physician-evaluated morbidity is not related to either self-assessed health or mortality for African American respondents.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Self-assessed health is a well-established index of morbidity and predictor of mortality.
“Self-assessed health is a well-established index of morbidity and predictor of mortality.”
From Education improves public health and promotes health equity (2015) · cites this paper as [32]
Cites
Profession of Medicine: A Study of the Sociology of Applied Knowledge.
Denzin, N. K., & Freidson, E. (1971) · Journal of Health and Social Behavior · doi:10.2307/2948458 · Cited by 1,721 · see citing works
Recall bias in epidemiologic studies
Coughlin, S. S. (1990) · Journal of Clinical Epidemiology · doi:10.1016/0895-4356(90)90060-3 · Cited by 1,381 · see citing works
Answering Autobiographical Questions: The Impact of Memory and Inference on Surveys
Bradburn, N. M., Rips, L. J., & Shevell, S. K. (1987) · Science · doi:10.1126/science.3563494 · Cited by 1,183 · see citing works
Meta-analysis of correlates of provider behavior in medical encounters
Hall, J. A., Roter, D. L., & Katz, N. R. (1988) · Medical Care · doi:10.1097/00005650-198807000-00002 · Cited by 1,069 · see citing works
COLDITZ, G. A., MARTIN, P., STAMPFER, M. J., WILLETT, W. C., SAMPSON, L., ROSNER, B., HENNEKENS, C. H., & SPEIZER, F. E. (1986) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a114319 · Cited by 992 · see citing works
Self-rated health and mortality in the NHANES I Epidemiologic Follow-up Study
Idler, E. L., & Angel, R. J. (1990) · American Journal of Public Health · doi:10.2105/ajph.80.4.446 · Cited by 864 · see citing works
(1978) · Social Science & Medicine Medical Psychology and Medical Sociology · doi:10.1016/0160-7979(78)90117-0 · Cited by 831 · see citing works
AGREEMENT BETWEEN QUESTIONNAIRE DATA AND MEDICAL RECORDS
Harlow, S. D., & Linet, M. S. (1989) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a115129 · Cited by 616 · see citing works
Singha, T. M. (2003) · Journal of Nepal Medical Association · doi:10.31729/jnma.1154 · Cited by 587 · see citing works
What the Polls Don't Show: A Closer Look at U.S. Church Attendance
Hadaway, C. K., Marler, P. L., & Chaves, M. A. (1993) · American Sociological Review · doi:10.2307/2095948 · Cited by 527 · see citing works
Mind, body, and culture: Somatization among Hispanics
Angel, R. J., & Guarnaccia, P. J. (1989) · Social Science & Medicine · doi:10.1016/0277-9536(89)90341-9 · Cited by 272 · see citing works
Black-White Differences in Health and Mortality: A Review And Conceptual Model
Hummer, R. A. (1996) · Sociological Quarterly · doi:10.1111/j.1533-8525.1996.tb02333.x · Cited by 260 · see citing works
Reliability and validity of interview data on chronic diseases The mini-Finland health survey
Heliövaara, M., Aromaa, A., Klaukka, T., Knekt, P., Joukamaa, M. I., & Impivaara, O. (1993) · Journal of Clinical Epidemiology · doi:10.1016/0895-4356(93)90056-7 · Cited by 223 · see citing works
Classification of disease: Osteoarthritis
Altman, R. D. (1991) · Seminars in Arthritis and Rheumatism · doi:10.1016/0049-0172(91)90026-v · Cited by 223 · see citing works
Hispanic Health in the United States
(1991) · JAMA · doi:10.1001/jama.265.2.248 · Cited by 206 · see citing works
Double Jeopardy to Health Hypothesis for African Americans: Analysis and Critique
Ferraro, K. F., & Farmer, M. M. (1996) · Journal of Health and Social Behavior · doi:10.2307/2137229 · Cited by 204 · see citing works
Self-citationMutchler, J. E., & Burr, J. A. (1991) · Journal of Health and Social Behavior · doi:10.2307/2137102 · Cited by 192 · see citing works
Care denied: US residents who are unable to obtain needed medical services.
Himmelstein, D. U., & Woolhandler, S. J. (1995) · American Journal of Public Health · doi:10.2105/ajph.85.3.341 · Cited by 188 · see citing works
Educated Guesses: The Process of Answering Factual Knowledge Questions in Surveys
Nadeau, R., & Niemi, R. G. (1995) · Public Opinion Quarterly · doi:10.1086/269480 · Cited by 143 · see citing works
Little White Lies and Social Science Models: Correlated Response Errors in a Panel Study of Voting
Presser, S., & Traugott, M. W. (1992) · Public Opinion Quarterly · doi:10.1086/269296 · Cited by 139 · see citing works
Wolinsky, F. D., Aguirre, B. E., Fann, L.-J., Keith, V. M., Arnold, C. L., Niederhauer, J. C., & Dietrich, K. (1989) · Milbank Quarterly · doi:10.2307/3350222 · Cited by 90 · see citing works
The Use of Subjective Information in Statistical Models
Angel, R. J., & Gronfein, W. P. (1988) · American Sociological Review · doi:10.2307/2095653 · Cited by 78 · see citing works
Access to hospitals with high-technology cardiac services: how is race important?
Blustein, J., & Weitzman, B. C. (1995) · American Journal of Public Health · doi:10.2105/ajph.85.3.345 · Cited by 69 · see citing works
Ford, E. S., Harel, Y., Heath, G. W., Cooper, R., & Caspersen, C. J. (1990) · Journal of Clinical Epidemiology · doi:10.1016/0895-4356(90)90179-s · Cited by 28 · see citing works
Prevalence surveys of neurologic disorders: Methodologic implications of the Copiah County Study
Anderson, D. W., Schoenberg, B. S., & Haerer, A. F. (1988) · Journal of Clinical Epidemiology · doi:10.1016/0895-4356(88)90141-2 · Cited by 25 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Education improves public health and promotes health equity
Hahn, R. A., & Truman, B. I. (2015) · International Journal of Health Services · doi:10.1177/0020731415585986 · Cited by 755 · see citing works
Marital Status, Marital Transitions, and Health: A Gendered Life Course Perspective
Williams, K., & Umberson, D. (2004) · Journal of Health and Social Behavior · doi:10.1177/002214650404500106 · Cited by 709 · see citing works
Multiple Disadvantaged Statuses and Health
Denise, E. J. (2014) · Journal of Health and Social Behavior · doi:10.1177/0022146514521215 · Cited by 335 · see citing works
Gender and socio-economic patterning of self-reported sleep problems in Britain
Arber, S., Bote, M., & Meadows, R. (2009) · Social Science & Medicine · doi:10.1016/j.socscimed.2008.10.016 · Cited by 299 · see citing works
Incarceration, Health, and Racial Disparities in Health
Massoglia, M. (2008) · Law & Society Review · doi:10.1111/j.1540-5893.2008.00342.x · Cited by 272 · see citing works
Counting on Kin: Social Networks, Social Support, and Child Health Status
Kana'iaupuni, S. M., Donato, K. M., Thompson-Colon, T., & Stainback, M. (2005) · Social Forces · doi:10.1353/sof.2005.0036 · Cited by 239 · see citing works
Link, B. G., Phelan, J. C., Miech, R., & Westin, E. L. (2008) · Journal of Health and Social Behavior · doi:10.1177/002214650804900106 · Cited by 234 · see citing works
Cumulative Disadvantage and Health: Long-Term Consequences of Obesity?
Ferraro, K. F., & Kelley‐Moore, J. A. (2003) · American Sociological Review · doi:10.2307/1519759 · Cited by 337 · see citing works
Self-citationChildlessness in Europe: Contexts, Causes, and Consequences
Kreyenfeld, M., & Konietzka, D. (2017) · Demographic research monographs · doi:10.1007/978-3-319-44667-7 · Cited by 151 · see citing works
Race-Ethnicity and Health Trajectories
Brown, T. H., O’Rand, A. M., & Adkins, D. E. (2012) · Journal of Health and Social Behavior · doi:10.1177/0022146512455333 · Cited by 147 · see citing works
The role of clinical risk factors in understanding self-rated health
Goldman, N., Glei, D. A., & Chang, M.-C. (2003) · Annals of Epidemiology · doi:10.1016/s1047-2797(03)00077-2 · Cited by 142 · see citing works
Correlates of Employees' Perceptions of a Healthy Work Environment
西垣, 有., Schellenberg, G., & Shannon, H. S. (2003) · American Journal of Health Promotion · doi:10.4278/0890-1171-17.6.390 · Cited by 125 · see citing works
Racial and Ethnic Differences in Advance Care Planning
Carr, D. (2012) · Journal of Aging and Health · doi:10.1177/0898264312449185 · Cited by 123 · see citing works
Health and the education of children from racial/ethnic minority and immigrant families.
Crosnoe, R. (2006) · Journal of Health and Social Behavior · doi:10.1177/002214650604700106 · Cited by 113 · see citing works
Marital Quality and Health Over 20 Years: A Growth Curve Analysis
Miller, R. B., Hollist, C. S., Olsen, J. A., & Law, D. D. (2013) · Journal of Marriage and the Family · doi:10.1111/jomf.12025 · Cited by 112 · see citing works
Who Expects to Continue Working After Age 62? The Retirement Plans of Couples
Pienta, A., & Hayward, M. D. (2002) · The Journals of Gerontology Series B · doi:10.1093/geronb/57.4.s199 · Cited by 112 · see citing works
Transitions in Living Arrangements Among Elders in Japan: Does Health Make a Difference?
Brown, J. W., Liang, J., KRAUSE, N. M., Akiyama, H., Sugisawa, H., & Fukaya, T. (2002) · The Journals of Gerontology Series B · doi:10.1093/geronb/57.4.s209 · Cited by 104 · see citing works
Health Behaviors and All-Cause Mortality in African American Men
Thorpe, R. J., Wilson‐Frederick, S. M., Bowie, J. V., Coa, K. I., Clay, O. J., LaVeist, T. A., & Whitfield, K. E. (2013) · American Journal of Men s Health · doi:10.1177/1557988313487552 · Cited by 99 · see citing works
Developing a Measure of Older Adults' Preparation for Future Care Needs
Sörensen, S., & Pinquart, M. (2001) · The International Journal of Aging and Human Development · doi:10.2190/1r0d-30tc-f4k1-f0dw · Cited by 84 · see citing works
Psychological Distress and Mortality: Are Women More Vulnerable?
Ferraro, K. F., & Nuriddin, T. A. (2006) · Journal of Health and Social Behavior · doi:10.1177/002214650604700303 · Cited by 76 · see citing works
Self-citationDivorce and Women’s Risk of Health Insurance Loss
Lavelle, B., & Smock, P. J. (2012) · Journal of Health and Social Behavior · doi:10.1177/0022146512465758 · Cited by 70 · see citing works
Upstream Solutions: Does the Supplemental Security Income Program Reduce Disability in the Elderly?
HERD, P., SCHOENI, R. F., & HOUSE, J. S. (2008) · The Milbank Quarterly · doi:10.1111/j.1468-0009.2007.00512.x · Cited by 68 · see citing works
The division of labor and depressive symptoms at the couple level
Kalmijn, M., & Monden, C. W. S. (2011) · Journal of Social and Personal Relationships · doi:10.1177/0265407511431182 · Cited by 49 · see citing works
Nativity and Self-Assessed Health among Pre-Retirement Age Hispanics and Non-Hispanic Whites
Angel, J. L., Buckley, C., & Finch, B. K. (2001) · International Migration Review · doi:10.1111/j.1747-7379.2001.tb00041.x · Cited by 43 · see citing works
Gender Roles and Women's Sleep in Mid and Later Life: A Quantitative Approach
Arber, S., Hislop, J., Bote, M., & Meadows, R. P. (2007) · Sociological Research Online · doi:10.5153/sro.1609 · Cited by 41 · see citing works
Relationship of Demographic and Health Factors to Cognition in Older Adults in the ACTIVE Study
Rexroth, D., Tennstedt, S. L., Jones, R. N., Guey, L. T., Rebok, G. W., Marsiske, M., Xu, Y., & Unverzagt, F. W. (2013) · Journal of Aging and Health · doi:10.1177/0898264313498415 · Cited by 38 · see citing works
First-birth Timing, Marital History, and Women’s Health at Midlife
Williams, K., Sassler, S. L., Addo, F. R., & Frech, A. (2015) · Journal of Health and Social Behavior · doi:10.1177/0022146515609903 · Cited by 38 · see citing works
Mental and Physical Health Consequences of Spousal Health Shocks Among Older Adults
Valle, G., Weeks, J. A., Taylor, M. G., & Eberstein, I. W. (2013) · Journal of Aging and Health · doi:10.1177/0898264313494800 · Cited by 35 · see citing works
Carr, D., Murphy, L. F., Batson, H. D., & Springer, K. W. (2013) · Men and Masculinities · doi:10.1177/1097184x13502651 · Cited by 29 · see citing works
Comorbid painful physical symptoms and anxiety: Prevalence, work loss and help-seeking
Demyttenaere, K., Bonnewyn, A., Bruffaerts, R., De Graaf, R., Haro, J. M., & Alonso, J. (2008) · Journal of Affective Disorders · doi:10.1016/j.jad.2007.12.231 · Cited by 28 · see citing works
Schooling, Skills, and Self-rated Health
Duke, N. N., & Macmillan, R. (2016) · Sociology of Education · doi:10.1177/0038040716653168 · Cited by 22 · see citing works
Upenieks, L., Hill, T. D., Acevedo, G. A., & Koenig, H. G. (2023) · Sociology of Religion · doi:10.1093/socrel/srac043 · Cited by 18 · see citing works
Mothers’ Union Histories and the Mental and Physical Health of Adolescents Born to Unmarried Mothers
Williams, K., Sassler, S. L., Frech, A., Addo, F. R., & Cooksey, E. C. (2013) · Journal of Health and Social Behavior · doi:10.1177/0022146513497034 · Cited by 16 · see citing works
Change in the health of tsunami-exposed mothers three years after the natural disaster
Wickrama, T., & Ketring, S. A. (2011) · International Journal of Social Psychiatry · doi:10.1177/0020764010394279 · Cited by 15 · see citing works
Health of left-behind children in China: Evidence from mediation analysis
Lu, Y., Yeung, W. J., Liu, J., & Treiman, D. J. (2019) · Chinese Journal of Sociology · doi:10.1177/2057150x19872685 · Cited by 14 · see citing works
Ethnicity Matters: The Socioeconomic Gradient in Health among Asian Americans
Ihara, E. S. (2009) · The Journal of Sociology & Social Welfare · doi:10.15453/0191-5096.3432 · Cited by 11 · see citing works
Health Inequalities and the Welfare State in European Families
Sarti, S., Alberio, M., & Terraneo, M. (2013) · The Journal of Sociology & Social Welfare · doi:10.15453/0191-5096.3717 · Cited by 10 · see citing works
Control Over Work, Positive Self, and Health Among African American Husbands and Wives
O’Neal, C. W., Wickrama, K. A. S., & Bryant, C. M. (2012) · Journal of Family Issues · doi:10.1177/0192513x12468435 · Cited by 9 · see citing works
Disputes of Self-reported Chronic Disease Over Time
Quiñones, A. R., Melekin, A., Cigolle, C. T., & Nagel, C. (2019) · Medical Care · doi:10.1097/mlr.0000000000001148 · Cited by 6 · see citing works
Modeling the Effects of Macro-Measures on Elder Health in China: A “Fresh Sample” Approach
Dorsten, L. E., & Li, Y. (2010) · Global Journal of Health Science · doi:10.5539/gjhs.v2n1p8 · Cited by 6 · see citing works
Heggebø, K., & Buffel, V. (2019) · International Journal of Health Services · doi:10.1177/0020731419847591 · Cited by 5 · see citing works
Outcome Expectations on Physical Activity: The Roles of Body Appreciation and Health Status
Wang, N., Guan, Q., Yin, Z., Zhou, S., & Zhou, W. (2025) · Behavioral Sciences · doi:10.3390/bs15030394 · Cited by 4 · see citing works
Robinson, M. N. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph192013460 · Cited by 4 · see citing works
The Impact of Alternative Response Scales on Measuring Self-ratings of Health
Smith, T. (2008) · Survey Practice · doi:10.29115/sp-2008-0004 · Cited by 4 · see citing works
Correlates of poor self-rated health among school-going adolescent girls in urban Varanasi, India
Patel, R., & Bansod, D. W. (2023) · BMC Public Health · doi:10.1186/s12889-023-16822-1 · Cited by 4 · see citing works
Sugisawa, H., & Sugihara, Y. (2020) · Family & Community Health · doi:10.1097/fch.0000000000000256 · Cited by 3 · see citing works
Gender and genetic contributions to weight identity among adolescents and young adults in the U.S.
Wedow, R., Briley, D. A., Short, S. E., & Boardman, J. D. (2016) · Social Science & Medicine · doi:10.1016/j.socscimed.2016.07.044 · Cited by 3 · see citing works
Sugisawa, H., Harada, K., Sugihara, Y., Yanagisawa, S., Shinmei, M., & Kitajima, H. (2024) · The International Journal of Aging and Human Development · doi:10.1177/00914150241297395 · Cited by 2 · see citing works
Herath, K. B., & Zhang, X. (2025) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph22091323 · Cited by 2 · see citing works
Haro‐Ramos, A. Y., Block, R., & Sánchez, G. R. (2024) · Social Science & Medicine · doi:10.1016/j.socscimed.2024.117254 · Cited by 3 · see citing works
Health status and the end-of-life stage
Johnson, R. J., Mossakowski, K. N., & Hill, T. D. (2011) · Advances in Life Course Research · doi:10.1016/j.alcr.2011.08.002 · Cited by 2 · see citing works
Moscoso-Sánchez, D., del Rosal, R. S., Velázquez, L. B., & Rodríguez, M. M. (2013) · methaodos revista de ciencias sociales · doi:10.17502/m.rcs.v1i1.29 · Cited by 2 · see citing works
Subjective Health and Subjective Well-Being
Monden, C. W. S. (2023) · Springer eBooks · doi:10.1007/978-3-031-17299-1_3957 · Cited by 2 · see citing works
Ni, C., Li, M., Pan, W., & Wang, Z. (2025) · 经济学报. · doi:10.26599/cje.2025.9300113 · Cited by 1 · see citing works
Educational Attainment and Perceived Need for Urgent Care
Finch, B. K., Haas, A. C., Haviland, A. M., Dembosky, J. W., Gaillot, S., & Elliott, M. N. (2018) · Medical Care Research and Review · doi:10.1177/1077558718804748 · Cited by 1 · see citing works
Delgado, P., Kermah, D., Archibald, P., Adewumi, M. T., Bell, C. N., & Thorpe, R. J. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20021594 · Cited by 1 · see citing works
Explaining Social Disparities by Emulating Interventions at Different Life Course StagesPreprint
Kratz, F. (2024) · doi:10.31235/osf.io/dg78h · Cited by 1 · see citing works
Intersectionality Effects on Veterans Health Outcomes
Conley, J. M. (2017) · doi:10.33915/etd.5386
Changes in Employed People’s Health Satisfaction
Jungbauer-Gans, M., & Krug, G. (2013) · Comparative Population Studies · doi:10.12765/cpos-2013-14
Journal of Sociology & Social Welfare Vol. 40, No. 1 (March 2013)
(2013) · The Journal of Sociology & Social Welfare · doi:10.15453/0191-5096.3711
Snitselaar, S. J., & Carr, D. (2023) · Discover Social Science and Health · doi:10.1007/s44155-023-00057-x
Race and Incident Dementia Among Older Black and Older White Men
Jerry-Asooto, B., Kim, B., Huang, A., Gallo, J. J., Whitfield, K. E., Turner, R., & Thorpe, R. J. (2025) · Journal of Aging and Health · doi:10.1177/08982643241310296
Self-rated health and mortality: family background and genetic precursors
Finch, B. K., Finkel, D., Gatz, M., Pedersen, N. L., Reynolds, C. A., Sachdev, P. S., Selwood, A., Martin, N., & Mosing, M. A. (2025) · Discover Social Science and Health · doi:10.1007/s44155-025-00290-6
Li, C., Widener, M. J., & Tao, Y. (2026) · Journal of Transport & Health · doi:10.1016/j.jth.2026.102271
Kratz, F. (2026) · Social Science Research · doi:10.1016/j.ssresearch.2026.103322
Discrimination and Multimorbidity Among Older Adults
AlFakhri, K., Mira, R. S., & Sabbah, W. (2026) · Journal of Racial and Ethnic Health Disparities · doi:10.1007/s40615-026-02912-4
- Authors
- Ferraro, K. F., & Farmer, M. M.
- Affiliations
- Purdue University West Lafayette (US)
- University of California, Los Angeles (US)
- Venue
- American Sociological Review
- Publisher
- SAGE Publications
- Published
- 1999-04
- Volume
- 64
- Issue
- 2
- Pages
- 303-315
- ISSN
- 0003-1224 (ISSN-L)
- 1939-8271
- OpenAlex
- W4385886501
- Cited by
- 64
- References
- 25
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 4 · 2023: 5 · 2022: 1 · 2020: 1 · 2019: 3 · 2018: 1 · 2017: 2 · 2016: 2 · 2015: 2 · 2014: 2 · 2013: 10 · 2012: 4
- FWCI
- 1.79
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Sociological Review (publishedVersion)
- Topics
- Social Sciences › Health › Health disparities and outcomes
- Health Sciences › Health Professions › General Health Professions › Health and Medical Studies
- Social Sciences › Sociology and Political Science › Survey Methodology and Nonresponse
- Keywords
- self-reported morbidity, health status measurement, predictive validity, mortality prediction, self-rated health, racial differences, African American adults, White adults
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review