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International Journal of Public Health

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01-08-2013 | Original Article

Differentiating positive and negative self-rated health: results from a cross-sectional study in Estonia

Authors: Rainer Reile, Mall Leinsalu

Published in: International Journal of Public Health | Issue 4/2013

Abstract

Objectives

To examine possible differences in the correlates of positive and negative self-rated health (SRH).

Methods

Data for 2,127 men and 2,385 women in the 25–74 age group came from the Estonian Health Interview Survey 2006. Multinomial logistic regression analysis was used to study the association of socio-demographic, physical and psychological health and well-being characteristics with positive (good or very good) and negative (bad or very bad) SRH as compared to fair SRH.

Results

Negative SRH was related to male gender, the presence of chronic illnesses, limitations in daily activities and physical functioning, emotional distress, an external locus of control, and to low satisfaction with life and physical fitness. These indicators (except satisfaction with life) were also related to positive SRH, presenting a mirrored pattern of association. Additionally, positive SRH was related to younger age, an Estonian ethnic identity, and to higher education and income.

Conclusions

Although SRH forms a ill/healthy continuum when physical and psychological health characteristics are considered, the broader spectrum of predictors indicates that positive SRH and negative SRH are two distinct and alternative concepts.

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Aittomäki A, Martikainen P, Laaksonen M, Lahelma E, Rahkonen O (2010) The associations of household wealth and income with self-rated health—a study on economic advantage in middle-aged Finnish men and women. Soc Sci Med 71:1018–1026PubMedCrossRef

Aluoja A, Shlik J, Vasar V, Luuk K, Leinsalu M (1999) Development and psychometric properties of the emotional state questionnaire, a self-report questionnaire for depression and anxiety. Nord J Psychiatry 53:443–449CrossRef

Apouey B, Clark AE (2009) Winning big but feeling no better? The effect of lottery prizes on physical and mental health. PSE working paper 09. Paris School of Economics, Paris

Babones SJ (2009) The consistency of self-rated health in comparative perspective. Public Health 123:199–201PubMedCrossRef

Barger SD (2006) Do psychological characteristics explain socioeconomic stratification of self-rated health? J Health Psychol 11:21–35PubMedCrossRef

Benyamini Y, Leventhal EA (1999) Self-assessment of health: what do people know that predicts their mortality? Res Aging 21:477–500CrossRef

Breidablik HJ, Meland E, Lydersen S (2008) Self-rated health in adolescence: a multifactorial composite. Scand J Public Health 36:12–20PubMedCrossRef

Denton M, Walters V (1999) Gender differences in structural and behavioral determinants of health: an analysis of the social production of health. Soc Sci Med 48:1221–1235PubMedCrossRef

Dominick KL, Ahern FM, Gold CH, Heller DA (2002) Relationship of health-related quality of life to health care utilization and mortality among older adults. Aging Clin Exp Res 14(6):499–508PubMed

Dowd JB, Zajacova A (2010) Does self-rated health mean the same thing across socioeconomic groups? Evidence from biomarker data. Ann Epidemiol 20:743–749PubMedCrossRef

Eriksson I, Unden AL, Elofsson S (2001) Self-rated health. Comparisons between three different measures. Results from a population study. Int J Epidemiol 30:326–333PubMedCrossRef

Jylhä M (2009) What is a self-rated health and why does it predict mortality? Towards an unified conceptual model. Soc Sci Med 69:307–316PubMedCrossRef

Jylhä M, Guralnik JM, Ferrucci L, Jokela J, Heikkinen E (1998) Is self-rated health comparable across cultures and genders? J Gerontol B Psychol Sci Soc Sci 58:144–152CrossRef

Kaikkonen R, Rahkonen O, Lallukka T, Lahelma E (2009) Physical and psychosocial working conditions as explanations for occupational class inequalities in self-rated health. Eur J Public Health 19:458–463PubMedCrossRef

Kaplan G, Baron-Epel O (2003) What lies behind the subjective evaluation of health status? Soc Sci Med 56:1669–1676PubMedCrossRef

Kasmel A, Helasoja V, Lipand A, Prättäla R, Klumbiene J, Pudule I (2004) Association between health behaviour and self-rated health in Estonia, Finland, Latvia and Lithuania. Eur J Public Health 14:32–36PubMedCrossRef

Katz P, Morris A, Gregorich S, Yazdany J, Eisner M, Yelin E, Blanc P (2009) Valued life activity disability played a significant role in self-rated health among adults with chronic health conditions. J Clin Epidemiol 62(2):158–166PubMedCrossRef

Krause NM, Jay GM (1994) What do global self-rated health items measure. Med Care 32:930–942PubMedCrossRef

Leinsalu M (2002) Social variation in self-rated health in Estonia: a cross-sectional study. Soc Sci Med 55:847–861PubMedCrossRef

Mackenbach JP, Van den Bos J, Joung IMA, Van de Mheen H, Stronks K (1994) The determinants of excellent health: different from the determinants of ill-health? Int J Epidemiol 23:1273–1281PubMedCrossRef

Manderbacka K, Lahelma E, Martikainen P (1998) Examining continuity of self-rated health. Int J Epidemiol 27:208–213PubMedCrossRef

Manderbacka K, Lundberg O, Martikainen P (1999) Do risk factors and health behaviours contribute to self-ratings of health? Soc Sci Med 481:1713–1720CrossRef

Manderbacka K, Kareholt I, Martikainen P, Lundberg O (2003) The effect of point of reference on the association between self-rated health and mortality. Soc Sci Med 56:1447–1452PubMedCrossRef

Martinez-Sanchez E, Regidor E (2002) Self-rated health by education level in persons with and without health problems. J Health Psychol 7:459–468PubMedCrossRef

Mitchell JM, Adkins RH (2009) Differences in predictors of self-rated health among people with and without a disability. J Rehabil 75:35–42

Oja L, Matsi A, Leinsalu M (2008) Estonian Health Interview Survey 2006: methodological report. Tervise Arengu Instituut, Tallinn. http://www2.tai.ee/ETeU/met_51.pdf. Accessed 15 August 2012

Perlman F, Bobak M, Steptoe A, Rose R, Marmot M (2003) Do health control beliefs predict behaviour in Russians? Prev Med 37:73–81PubMedCrossRef

Pikhart H (2002) Social and psychosocial determinants of self-rated health in central and eastern Europe. Kluwer Academic Publishers, BostonCrossRef

Pulvers KM, Kaur H, Nollen N, Greiner A, Befort CA, Hall S, Born W, Fitzgibbon ML, Ahluawalia JS (2008) Comparison of body perceptions between obese primary care patients and physicians: implications for practice. Patient Educ Couns 73:73–81PubMedCrossRef

Rotter J (1966) Generalized expectancies for internal versus external control of reinforcements. Psychol Monogr Gen Appl 80(1):1–28

Schnittker J (2005) When mental health becomes health: age and shifting meaning of self-evaluations of general health. Milbank Q 83:397–423PubMedCrossRef

Shaw I (2002) How lay are lay beliefs? Health 6:287–299

Sheehan DV, Lecrubier Y, Sheehan KH, Amorim P, Janavs J, Weiller E, Hergueta T, Baker R, Dunbar GC (1998) The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry 59:22–33PubMed

Shooshtari S, Menee V, Tate R (2007) Comparing predictors of positive and negative self-rated health between younger (24–54) and older (55+) Canadian adults. A longitudinal study of well-being. Res Aging 29:512–554CrossRef

Smith A, Shelley JM, Dennerstein L (1994) Self-rated health: biological continuum or social discontinuity? Soc Sci Med 39:77–83PubMedCrossRef

Tekkel M, Veideman T, Rahu M (2010) Changes over fourteen years in adult obesity in Estonia: socioeconomic status and use of outpatient health care services. Centr Eur J Publ Health 18:186–191

Turrell G (2000) Income non-reporting: implications for health inequalities research. J Epidemiol Community Health 54:207–214PubMedCrossRef

Unden AL, Elofsson S (2001) Health from the patient’s view: how does it relate to the physician’s judgement? Fam Pract 18:174–180PubMedCrossRef

Vågerö D, Kislitsyna O, Ferlander S, Migranova L, Carlson P, Rimachevskaya N (2008) Moscow health survey 2004–social surveying under difficult circumstances. Int J Public Health 53:171–179PubMedCrossRef

Van Loon AJ, Tijhuis M, Picavet HS, Surtees PG, Ormel J (2003) Survey non-response in the Netherlands: effects on prevalence estimates and associations. Ann Epidemiol 13:105–110PubMedCrossRef

Title: Differentiating positive and negative self-rated health: results from a cross-sectional study in Estonia
Authors: Rainer Reile
Mall Leinsalu
Publication date: 01-08-2013
Publisher: Springer Basel
Published in: International Journal of Public Health / Issue 4/2013
Print ISSN: 1661-8556
Electronic ISSN: 1661-8564
DOI: https://doi.org/10.1007/s00038-013-0445-6

2024 ASCO Annual Meeting

Springer Medicine

Differentiating positive and negative self-rated health: results from a cross-sectional study in Estonia

Abstract

Objectives

Methods

Results

Conclusions

2024 ASCO Annual Meeting

Springer Medicine

Abstract

Objectives

Methods

Results

Conclusions

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