{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T14:39:30Z","timestamp":1792593570685,"version":"4.5.0"},"reference-count":41,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["INQUIRY"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Using Roy\u2019s Adaptation Model, this study identified self-rated health (SRH) trajectories among late middle-aged adults and examined baseline (Wave 5) factors associated with trajectory-group membership.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This secondary analysis used Korean Longitudinal Study of Aging waves 5\u201310 (2014\u20132024). Group-based trajectory modeling was applied to 2,680 adults aged 51\u201364 years with at least three valid SRH responses; 428 participants lacking a valid integrated longitudinal weight (for complex-samples analyses) were excluded, yielding a final subsample of 2,252 for multinomial logistic regression incorporating sampling weights and the complex survey design.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three SRH trajectories emerged: low-health (7.3%), moderate-health (48.8%), and high-health (43.9%). Compared with the low-health group (reference), high-health group had lower hypertension, diabetes, and arthritis prevalence, and more favorable contextual stimuli (older age, lower odds; higher education, higher odds). Among adaptation-related factors, high-health group was positively associated with regular exercise (OR=2.13, 95% CI 1.26\u20133.60, ref: no exercise), higher life satisfaction (OR=1.04, 95% CI 1.02\u20131.06), economic activity (OR=2.03, 95% CI 1.23\u20133.35, ref: inactive), and social participation (OR=2.37, 95% CI 1.62\u20133.46), and negatively with depression (OR=0.86, 95% CI 0.75\u20130.99). Current drinking (OR=1.90, 95% CI 1.18\u20133.05, ref: non-drinker) and overweight status (OR=1.79, 95% CI 1.03\u20133.11, ref: normal weight) were unexpectedly and positively associated with this trajectory, an observational finding warranting caution.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These cross-sectional associations align with the physiologic, self-concept, role function, and interdependence modes described by Roy\u2019s Adaptation Model, but interactions, mediation, and causal mechanisms were not tested.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00469580261497782","type":"journal-article","created":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T13:56:24Z","timestamp":1792331784000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Self-Rated Health Trajectories Among Adults Aged 51\u201364 Years at Baseline: A 10-Year Group-Based Trajectory Analysis Informed by Roy\u2019s Adaptation Model"],"prefix":"10.1177","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6268-4108","authenticated-orcid":false,"given":"Hyuk Joon","family":"Kim","sequence":"first","affiliation":[{"name":"Wonkwang University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1593-3933","authenticated-orcid":false,"given":"Hye Young","family":"Kim","sequence":"additional","affiliation":[{"name":"Jeonbuk National University"},{"name":"Jeonbuk National University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jihyun","family":"Baek","sequence":"additional","affiliation":[{"name":"Jeonbuk National University"},{"name":"Jeonbuk National University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"No Eul","family":"Kang","sequence":"additional","affiliation":[{"name":"Cheongam University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,18]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.4235\/agmr.21.0063"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afad102"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-019-1397-3"},{"key":"e_1_3_5_5_2","volume-title":"The 5th National Health Plan 2021-2030 (Policy-04-2022-008-01)","author":"Ministry of Health and Welfare","year":"2022","unstructured":"Ministry of Health and Welfare. 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