Personality factors and self-perceived health in Chi-lean elderly population


Empirical evidence suggests that the stability of personality itself contributes to successful ageing and is associated with longer life. The aim of this study was to investigate the association between personality traits and the self-perceived health status, stratified by medical conditions in a representative sample of non-institutionalized elderly people in Chile. The data used for this study come from the fourth waves (2009) of the Chilean Social Protection Survey (SPS-2009). Included were a total of 2655 subjects aged 65 and over. The results showed that higher scores of all five personality factors were associated with good health. Those with the perception of poor health were more likely to be female, with lower education level and older than those with good health. With the exception of agreeableness, strong and significant associations with self-perceived health were demonstrated for extraversion, conscientiousness, emotional stability and openness, among elderly with medical conditions. Among elderly without medical problems, significant associations with self-perceived health were demonstrated only for extraversion, agreeableness and emotional stability. This study has shown that there is a consistent association between personality factors and self-perceived health throughout the older population. Our results suggest that extraversion and openness traits could be acting as “protector” factors and agreeableness and conscientiousness traits as “resilient” factors, facing to the health problems among elderly people.

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Olivares-Tirado, P. , Leyton, G. and Salazar, E. (2013) Personality factors and self-perceived health in Chi-lean elderly population. Health, 5, 86-96. doi: 10.4236/health.2013.512A012.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] CHILE: Proyecciones y Estimaciones de Población. Total País: 1950-2050. Instituto Nacional de Estadística / Comisión Económica para América Latina y El Caribe (2005) División de Población. Centro Latinoamericano y Caribeno de Demografía. Serie de la Publicación (CEPAL): OI No 208.
[2] Goodwin, R. and Engstrom, G. (2002) Personality and the perception of health in the general population. Psychological Medicine, 32, 325-332.
[3] Terracciano, A., Lockenhoff, C.E., Zonderman, A.B., Ferrucci, L. and Costa, Jr., P.T. (2008) Personality predictors of longevity: Activity, emotional stability, and conscientiousness. Psychosomatic Medicine, 70, 621-627.
[4] Borawski, E.A., Kinney, J.M. and Kahana, E. (1996) The meaning of older adults’ health appraisals: Congruence with health status and determinant of mortality. Journal of Gerontology: Social Science, 51B, S157-S170.
[5] Idler, E.L. and Benyamini, Y. (1997) Self-rated health and mortality: A review of twenty-seven community studies. Journal of Health and Social Behavior, 38, 21-37.
[6] Maier, H. and Smith, J. (1999) Psychological predictors of mortality in old age. Journal of Gerontology: Psychological Sciences, 54B, P44-P54.
[7] Sanford, N. (1963) Personality: Its place in psychology. In: Koch, S., Ed., Psychology: A Study of a Science, Vol. 5, McGraw-Hill, New York, pp. 488-592.
[8] Allport, G.W. (1966) Traits revisited. American Psychologist, 21, 1-10.
[9] Perrig-Chiello, P., Jaeggi, S., Buschkuehl, M., Stahelin, H. and Perrig, W. (2009) Personality and health in middle age as predictors for well-being and health in old age. European Journal of Ageing, 6, 27-37.
[10] Costa, P.T., Metter, E.J. and McCrae, R.R. (1994) Personality stability and its contribution to successful aging. Journal of Geriatric Psychiatry, 27, 41-59.
[11] Sorensen, S., Duberstein, P.R., Chapman, B., Lyness, J.M. and Pinquart, M. (2008) How Are personality traits related to preparation for future care needs in older adults? The Journal of Gerontology B: Psychological Sciences and Social Sciences, 63, P328-P336.
[12] Digman, J.M. (1990) Personality structure: Emergence of the five-factor model. Annual Review of Psychology, 41, 417-440.
[13] McCrae, R.R. and Costa, Jr., P.T. (1987) Validation of the five-factor model of personality across instruments and observers. Journal of Personality and Social Psychology, 52, 81-90.
[14] McCrae, R.R. and John, O.P. (1992) An introduction to the five-factor model and its applications. Journal of Personality, 60, 175-215.
[15] John, O.P. (1990) The “Big Five” factor taxonomy: Dimensions of personality in the natural language and in questionnaires. In: Pervin, L.A., Ed., Handbook of Personality: Theory and Research, Guilford Press, New York, 1990, 66-100.
[16] Costa, Jr., P.T. and McCrae, R.R. (1992) Revised NEO personality inventory (NEOPI-R) and NEO five-factor inventory (NEO-FFI) professional manual. Psychological Assessment Resources, Odessa.
[17] O’Connor, B. (2002) A quantitative review of the comprehensiveness of the five-factor model in relation to popular personality inventories. Assessment, 9, 188-203.
[18] De Fruyt, F., McCrae, R.R., Szirmák, Z. and Nagy, J. (2004) The Five-Factor personality inventory as a measure of the five-factor model: Belgian, American, and Hungarian comparisons with the NEO-PI-R. Assessment, 11, 207-215.
[19] Goldberg, L.R. (1992) “The development of markers for the Big-five factor structure. Psychological Assessment, 4, 26-42.
[20] Smith, T.W. and Williams, P.G. (1992) Personality and health: Advantages and limitations of the five-factor model. Journal of Personality, 60, 395-425.
[21] Goodwin, R.D. and Friedman, H.S. (2006) Health status and the five-factor personality traits in a nationally representative sample. Journal of Health Psychology, 11, 643-654.
[22] Hampson, S.E., Goldberg, L.R., Vogt, T.M. and Dubanoski, J.P. (2006) Forty years on: teachers’ assessments of children’s personality traits predict self-reported health behaviors and outcomes at midlife. Health Psychology, 25, 57-64.
[23] Tucker, J.S., Friedman, H.S., Tomlinson-Keasey, C., Schwartz, J.E., Wingard, D.L., Criqui, M.H., et al. (1995) Childhood psychosocial predictors of adulthood smoking, alcohol consumption, and physical activity. Journal of Applied Social Psychology, 25, 1884-1899.
[24] Duberstein, P.R., Sorensen, S., Lyness, J.M., King, D.A., Conwell, Y., Seidlitz, L., et al. (2003) Personality is associated with perceived health and functional status in older primary care patients. Psychology and Aging, 18, 25-37.
[25] Maddox, G.L. and Douglass, E.B. (1973) Self-assessment of health: A longitudinal study of elderly subjects. Journal of Health and Social Behavior, 14, 87-93.
[26] Kaplan, G.A., Barell, V. and Lusky, A. (1988) Subjective state of health and survival in elderly adults. The Journals of Gerontology, 43, 114-120.
[27] Kaplan, G.A. (1983) Camacho T. Perceived health and mortality: A nine-year follow-up of the human population laboratory cohort. American Journal of Epidemiology, 117, 292-304.
[28] Jagger, C. and Clarke, M. (1988) Mortality risks in the elderly: Five-year follow-up of a total population. International Journal of Epidemiology, 17, 111-114.
[29] Wolinsky, F.D. and Johnson, R.J. (1992) Perceived health status and mortality among older men and women. The Journals of Gerontology, 47, 304-312.
[30] Idler, E.L., Kasl, S.V. and Lemke, J.H. (1990) Selfevaluated health and mortality among the elderly in New Haven, Connecticut and Iowa and Washington counties, Iowa, 1982-1986. Journal of Epidemiology, 131, 91-103.
[31] Mossey, J.M. and Shapiro, E. (1982) Self-rated health: A predictor of mortality among the elderly. American Journal of Public Health, 72, 800-808.
[32] Branch, L., Jette, A. and Evashwick, C. (1981) Toward understanding elders’ health service utilization. Journal of Adolescent Health, 7, 80-92.
[33] Krause, N.M. and Jay, G.M. (1994) What do global selfrated health items measure? Medical Care, 32, 930-942.
[34] Mechanic, D. and Hansell, S. (1987) Adolescent competence, psychological well-being, and self-assessed physical health. Journal of Health and Social Behavior, 28, 364-374.
[35] Johnson, R.J. and Wolinsky, F.D. (1993) The structure of health status among older adults: disease, disability, functional limitation, and perceived health. Journal of Health and Social Behavior, 34, 105-121.
[36] Cohen, M.A., Tell, E.J. and Wallack, S.S. (1986) ClientRelated risk factors of nursing home entry among elderly adults. Journal of Gerontology, 41,785-792.
[37] Shapiro, E. and Tate, R. (1988) Who is really at risk of institutionalization? Gerontologist, 28, 237-245.
[38] Molarius, A. and Janson, S. (2002) Self-Rated health, chronic diseases, and symptoms among middle-aged and elderly men and women. Journal of Clinical Epidemiology, 55, 364-370.
[39] Maddox, G.L. (1962) Some correlates of differences in selfassessment of health status among the elderly. Journal of Gerontology, 17, 180-185.
[40] Ferraro, K. (1980) Self-Ratings of health among the old and old-old. Journal of Health and Social Behavior, 21, 377-383.
[41] Linn, B.S. and linn, M.W. (1980) Objective and self-assessed health in the old and very old. Social Science & Medicine, 14A, 311-315.
[42] Fillenbaum, G.G. (1979) Social context and self-assessments of health among the elderly. Journal of Health and Social Behavior, 20, 45-51.
[43] Linn, M.W., Hunter, K.I. and linn, B.S. (1980) Self-Assessed health, impairment and disability in Anglo, Black and Cuban elderly. Medical Care, 18, 282-288.
[44] Cockerham, W.C., Sharp, K. and Wilcox, J. (1983) Aging and perceived health status. Journal of Gerontology, 38, 349-355.
[45] Goldstein, M.S., Siegel, J.M. and Boyer, R. (1984) Predicting changes in perceived health status. American Journal of Public Health, 74, 611-614.
[46] Levkoff, S.E., Cleary, P.D. and Wetle, T. (1987) Differences in the appraisal of health between aged and middleaged adults. Journal of Gerontology, 42, 114-120.
[47] Mitrushina, M.N. and Satz, P. (1991) Correlates of selfrated health in the elderly. Aging, 3, 73-77.
[48] McCoy, J.L. and Brown, D.L. (1978) Health status among low-income elderly persons: Rural-Urban differences. Social Security Bulletin, 41, 14-26.
[49] European Union Statistics on Income and Living Conditions (EU-SILC) (2003) European Commission. Eurostat.
[50] Documento Metodológico. Centro de Microdatos. Departamento de Economía. Universidad de Chile (2012) La Encuesta de Protección Social 2002-2009.
[51] Gosling, S.D., Rentfrow, P.J. and Swann Jr., W.B. (2003). A very brief measure of the big five personality domains. Journal of Research in Personality, 37, 504-528.
[52] Ozer, D.J. and Benet-Martinez, V. (2006). “Personality and the prediction of consequential outcomes”. Annual Review of Psychology, 57, 401-421.
[53] Contrada, R.J., Cather, C. and O’Leary, A. (1999) Personality and health: Dispositions and processes in disease susceptibility and adaptation to illness. In: Pervin, L.A. and John, O.P., Ed., Handbook of Personality, Guilford, New York, 576-604.
[54] Samuelsson, S.M., Alfredson, B.B., Hagberg, B., Samuelsson, G., Nordbeck, B., Brun, A., Gustafson, L. and Risberg, J. (1997) The Swedish Centenarian Study: A multidisciplinary study of five consecutive cohorts at the age of 100. The International Journal of Aging and Human Development, 45, 223-253.
[55] Friedman, H.S. (2000) Long-Term relations of personality and health: Dynamisms, mechanisms, tropisms. Journal of Personality, 68, 1089-1107.
[56] Benyamini, Y., Idler, E.L., Leventhal, H. and Leventhal, E.A. (2000) Positive affect and function as influence on self-assessments of health: Expanding our view beyond illness and disability. Journals of Gerontology Series B Psychological Sciences and Social Sciences, 55, P107-P116.
[57] Jerram, K.L. and Coleman, P.G. (1999) The big five personality traits and reporting of health problems and health behaviour in old age. British Journal of Health Psychology, 4, 181-192.
[58] Woodruff-Borden, J., Brothers, A.J. and Lister, S.C. (2001) Self-Focused attention: Commonalities across psychopathologies and predictors. Behavioural and Cognitive Psychotherapy, 29, 169-178.
[59] Gilhooly, M., Hanlon, P., Cullen, B., Macdonald, S. and Whyte, B. (2007) Successful ageing in an area of deprivation: A quantitative exploration of the role of personality and beliefs in good health in old age. Public Health, 121, 814-821.
[60] Booth-Kewley, S. and Vickers Jr., R.R. (1994) Associations between major domains of personality and health behaveior. Journal of Personality, 62, 281-298.
[61] Vollrath, M. and Torgersen, S. (2002) Who takes health risks? A probe into eight personality types. Personality and Individual Differences, 32, 1185-1197.
[62] Martin, L.R., Friedman, H.S. and Schwartz, J.E. (2007) Personality and mortality risk across the life span: The importance of conscientiousness as a biopsychosocial attribute. Health Psychology, 26, 428-436.
[63] Bogg, T. and Roberts, B.W. (2004) Conscientiousness and health-related behaviors: A meta-analysis of the leading behavioral contributors to mortality. Psychological Bulletin, 130, 887-919.
[64] Brickman, A.L., Yount, S.E., Blaney, N.T., Rothberg, S.T. and De-Nour, A.K. (1996) Personality traits and long-term health status: The influence of neuroticism and conscientiousness on renal deterioration in type-1 diabetes. Psychosomatics, 37, 459-468.
[65] Christensen, A.J. and Smith, T.W. (1995) Personality and patient adherence: Correlates of the five-factor model in renal dialysis. Journal of Behavioral Medicine, 18, 305-312.
[66] Axelsson, M., Brink, E., Lundgren, J. and Lotvall, J. (2011) The influence of personality traits on reported adherence to medication in individuals with chronic disease: An epidemiological study in West Sweden. PLoS ONE, 6, Article ID: e18241.
[67] Hampson, S.E., Goldberg, L.R., Vogt, T.M. and Dubanoski, J.P. (2007) Mechanisms by which childhood personality traits influence adult health status: Educational attainment and healthy behaviors. Health Psychology, 26, 121-125.
[68] Kardum, I. and Hudek-Knezevic, J. (2012) Relationships between five-factor personality traits and specific healthrelated personality dimensions. International Journal of Clinical and Health Psychology, 12, 373-387.
[69] Taylor, M.D.,Whiteman, M.C., Fowkes, G.R., Lee, A.J., Allerhand, M. and Deary, I.J. (2009) Five factor model personality traits and all-cause mortality in the Edinburgh artery study cohort. Psychosomatic Medicine, 71, 631-641.
[70] Smith, T. W. and Gallo, L. C. (2001). Personality traits as risk factors for physical illness. In: Baum, A., Revenson, T. A. and Singer, J. E., Eds., Handbook of Health Psychology, Lawrence Erlbaum Associates, Mahwah, 139-157
[71] Schmutte, P.S. and Ryff, C.D. (1997) Personality and well-being: Reexamining methods and meanings. Journal of Personality and Social Psychology, 73, 549-559.
[72] Andrews, G., Clark, M. and Luszcz, M. (2002) Successful aging in the Australian longitudinal study of aging: Applying the MacArthur model cross-nationally. Journal of Social Issues, 58, 749-765.
[73] McCrae, R.R. (2002) The maturation of personality psychology: Adult personality development and psychological well-being. Journal of Research in Personality, 36, 307-317.
[74] Harris, J.A. (2004) Measured intelligence, achievement, openness to experience, and creativity. Personality and Individual Differences, 36, 913-929.
[75] Whalley, L.J. and Deary, I.J. (2001) Longitudinal cohort study of childhood IQ and survival up to age 76. British Medical Journal, 322, 819-822.
[76] Romero, E., Villar, P., Gomez-Fraguela, J.A. and Lopez-Romero, L. (2012) Measuring personality traits with ultrashort scales: A study of the Ten Item Personality Inventory (TIPI) in a Spanish sample. Personality and Individual Differences, 53, 289-293.

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