Utility of Health data from Social Surveys: Is There a Gold Standard for Measuring Morbidity?

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.