N Maharlouei1, M Akbari2, M Khabbaz Shirazy3, D Yazdanpanah4, K B Lankarani5. 1. Health Policy Research Center, Shiraz University of Medical Science, Shiraz, Iran. Electronic address: najmeh.maharlouei@gmail.com. 2. School of Medicine, Isfahan University of Medical Science, Isfahan, Iran; Department of Epidemiology, School of Health and Nutrition, Shiraz University of Medical Sciences, Shiraz, Iran. Electronic address: m_akbari@med.mui.ac.ir. 3. Health Policy Research Center, Shiraz University of Medical Science, Shiraz, Iran. Electronic address: khabaz@sums.ac.ir. 4. Student Research Committee, Shiraz University of Medical Science, Shiraz, Iran. Electronic address: yazdanpanahd@yahoo.com. 5. Health Policy Research Center, Shiraz University of Medical Science, Shiraz, Iran. Electronic address: lankaran@sums.ac.ir.
Abstract
OBJECTIVE: This study aimed to reveal the relationship between self-rated health (SRH) and objective health status in the general population in the Southwest of Iran. STUDY DESIGN: A cross-sectional study. METHODS: Data were collected by face-to-face interview with 3554 residents, aged ≥18 years, who were selected by multistage sampling procedure. Collected data included sociodemographic, SRH status, and medical conditions; chronic diseases and mental symptoms. SRH was indicated by a single question in five scales of very good, good, fair, poor and very poor. An ordinal logistic regression analysis was used. Independent variables were organized into four blocks: block 1, age, gender, marital status, education level, employment status, size of household and monthly household income; block 2, chronic or long-term illness (coronary heart disease, hypertension and diabetes mellitus); block 3, psychological disorders (anxiety, impatience and sleep disorders); and block 4 (visual, skin, hearing and oral disorders). RESULTS: SRH status in most subjects reported to be positive, indicating 47.3% as very good, 30.8% good, 16.2% fair, 3.3% bad and 2.4% very bad. In studied subjects, poorer SRH was significantly related to older age (odds ratio [OR], 1.01), low-education level (OR, 1.09), single status (OR, 1.25), monthly household income (OR, 1.21), more chronic or long-term illness (OR, 1.61), greater psychological health disorders (OR, 1.69), more dermatologic disorders (OR, 1.30), and hearing problems (OR, 1.47). CONCLUSION: Results of this study revealed that subjects with worse SRH were older with low-education level, lower household monthly income, more chronic illness, greater psychological health disorders, and more visual, skin, hearing and oral disorders. So, SRH, as indicated globally, can be used as a population screening tool to identify subjects who are most in need of public health services.
OBJECTIVE: This study aimed to reveal the relationship between self-rated health (SRH) and objective health status in the general population in the Southwest of Iran. STUDY DESIGN: A cross-sectional study. METHODS: Data were collected by face-to-face interview with 3554 residents, aged ≥18 years, who were selected by multistage sampling procedure. Collected data included sociodemographic, SRH status, and medical conditions; chronic diseases and mental symptoms. SRH was indicated by a single question in five scales of very good, good, fair, poor and very poor. An ordinal logistic regression analysis was used. Independent variables were organized into four blocks: block 1, age, gender, marital status, education level, employment status, size of household and monthly household income; block 2, chronic or long-term illness (coronary heart disease, hypertension and diabetes mellitus); block 3, psychological disorders (anxiety, impatience and sleep disorders); and block 4 (visual, skin, hearing and oral disorders). RESULTS: SRH status in most subjects reported to be positive, indicating 47.3% as very good, 30.8% good, 16.2% fair, 3.3% bad and 2.4% very bad. In studied subjects, poorer SRH was significantly related to older age (odds ratio [OR], 1.01), low-education level (OR, 1.09), single status (OR, 1.25), monthly household income (OR, 1.21), more chronic or long-term illness (OR, 1.61), greater psychological health disorders (OR, 1.69), more dermatologic disorders (OR, 1.30), and hearing problems (OR, 1.47). CONCLUSION: Results of this study revealed that subjects with worse SRH were older with low-education level, lower household monthly income, more chronic illness, greater psychological health disorders, and more visual, skin, hearing and oral disorders. So, SRH, as indicated globally, can be used as a population screening tool to identify subjects who are most in need of public health services.
Authors: Lovisa Boström; Carlos Chiatti; Björg Thordardottir; Lisa Ekstam; Agneta Malmgren Fänge Journal: Int J Environ Res Public Health Date: 2018-09-27 Impact factor: 3.390
Authors: Hans-Peter Hutter; Michael Kundi; Kathrin Lemmerer; Michael Poteser; Lisbeth Weitensfelder; Peter Wallner; Hanns Moshammer Journal: Int J Environ Res Public Health Date: 2018-09-25 Impact factor: 3.390