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Open Access 01-12-2013 | Research

The components of self-rated health among adults in Ouagadougou, Burkina Faso

Authors: Yentéma Onadja, Simona Bignami, Clémentine Rossier, Maria-Victoria Zunzunegui

Published in: Population Health Metrics | Issue 1/2013

Abstract

Background

Although the relationship between self-rated health (SRH) and physical and mental health is well documented in developed countries, very few studies have analyzed this association in the developing world, particularly in Africa. In this study, we examine the associations of SRH with measures of physical and mental health (chronic diseases, functional limitations, and depression) among adults in Ouagadougou, Burkina Faso, and how these associations vary by sex, age, and education level.

Methods

This study was based on 2195 individuals aged 15 years or older who participated in a cross-sectional interviewer-administered health survey conducted in 2010 in areas of the Ouagadougou Health and Demographic Surveillance System. Logistic regression models were used to analyze the associations of poor SRH with chronic diseases, functional limitations, and depression, first in the whole sample and then stratified by sex, age, and education level.

Results

Poor SRH was strongly correlated with chronic diseases and functional limitations, but not with depression, suggesting that in this context, physical health probably makes up most of people’s perceptions of their health status. The effect of functional limitations on poor SRH increased with age, probably because the ability to circumvent or compensate for a disability diminishes with age. The effect of functional limitations was also stronger among the least educated, probably because physical integrity is more important for people who depend on it for their livelihood. In contrast, the effect of chronic diseases appeared to decrease with age. No variation by sex was observed in the associations of SRH with chronic diseases, functional limitations, or depression.

Conclusions

Our findings suggest that different subpopulations delineated by age and education level weight the components of health differently in their self-rated health in Ouagadougou, Burkina Faso. In-depth studies are needed to understand why and how these groups do so.

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Salomon JA, Nordhagen S, Oza S, Murray CJL: Are Americans feeling less healthy? The puzzle of trends in self-rated health. Am J Epidemiol 2009, 170: 343-351. 10.1093/aje/kwp144CrossRefPubMedPubMedCentral

DeSalvo KB, Bloser N, Reynolds K, He J, Muntner P: Mortality prediction with a single general self-rated health question: a meta-analysis. J Gen Intern Med 2006, 21: 267-275. 10.1111/j.1525-1497.2005.00291.xCrossRefPubMedPubMedCentral

Idler EL, Benyamini Y: Self-rated health and mortality: a review of twenty-seven community studies. J Health Soc Behav 1997, 38: 21-37. 10.2307/2955359CrossRefPubMed

Idler EL, Kasl SV: Self-ratings of health: do they also predict change in functional ability? J Gerontology: Soc Sci 1995, 50: S344-S353.CrossRef

Idler EL, Russell LB, Davis D: Survival, functional limitations, and self-rated health in the NHANES I epidemiologic follow-up study, 1992. Am J Epidemiol 2000, 152: 874-883. 10.1093/aje/152.9.874CrossRefPubMed

Ferraro KF, Farmer MM, Wybraniec JA: Health trajectories: long-term dynamics among black and white adults. J Health Soc Behav 1997, 38: 38-54. 10.2307/2955360CrossRefPubMed

Møller L, Kristensen TS, Hollnagel H: Self-rated health as a predictor of coronary heart disease in Copenhagen, Denmark. J Epidemiol Community Health 1996, 50: 423-428. 10.1136/jech.50.4.423CrossRefPubMedPubMedCentral

Jylhä M: What is self-rated health and why does it predict mortality? Towards a unified conceptual model. Soc Sci Med 2009, 69: 307-316. 10.1016/j.socscimed.2009.05.013CrossRefPubMed

Mavaddat N, Kinmonth A, Sanderson S, Surtees P, Bingham S, Khaw KT: What determines Self-Rated Health (SRH)? A cross-sectionnal study of SF-36 health domains in the EPIC-Norfolk cohort. J Epidemiol Community Health 2011, 65: 800-806. 10.1136/jech.2009.090845CrossRefPubMed

10.

Molarius A, Janson S: Self-rated health, chronic diseases, and symptoms among middle-aged and elderly men and women. J Clin Epidemiol 2002, 55: 364-370. 10.1016/S0895-4356(01)00491-7CrossRefPubMed

11.

Schnittker J: When mental health becomes health: age and the shifting meaning of self-evaluations of general health. Milbank Q 2005, 83: 397-423. 10.1111/j.1468-0009.2005.00407.xCrossRefPubMedPubMedCentral

12.

Singh-Manoux A, Martikainen P, Ferrie J, Zins M, Marmot M, Goldberg M: What does self-rated health measure? Results from the British Whitehall II and French Gazel cohort studies. J Epidemiol Community Health 2006, 60: 364-372. 10.1136/jech.2005.039883CrossRefPubMedPubMedCentral

13.

Smith P, Glazier R, Sibley L: The predictors of self-rated health and the relationship between self-rated health and health service needs are similar across socioeconomic groups in Canada. J Clin Epidemiol 2010, 63: 412-421. 10.1016/j.jclinepi.2009.08.015CrossRefPubMed

14.

Idler EL, Hudson SV, Leventhal H: The meanings of self-ratings of health: a qualitative and quantitative approach. Res Aging 1999, 21: 458-476. 10.1177/0164027599213006CrossRef

15.

Krause NM, Jay GM: What do global self-rated health items measure? Med Care 1994, 32: 930-942. 10.1097/00005650-199409000-00004CrossRefPubMed

16.

Manderbacka K: Examining what self-rated health question is understood to mean by respondents. Scand J Soc Med 1998, 26: 145-153.PubMed

17.

Simon JG, De Boer JB, Joung IMA, Bosma H, Mackenbach JP: How is your health in general? A qualitative study on self-assessed health. Eur J Public Health 2005, 15: 200-208. 10.1093/eurpub/cki102CrossRefPubMed

18.

Rahman MO, Barsky AJ: Self-reported health among older Bangladeshis: how good a health indicator is it? Gerontologist 2003, 43: 856-863. 10.1093/geront/43.6.856CrossRefPubMed

19.

Zimmer Z, Natividad J, Lin HS, Chayovan N: A cross-national examination of the determinants of self-assessed health. J Health Soc Behav 2000, 41: 465-481. 10.2307/2676298CrossRefPubMed

20.

Charasse-Pouélé C, Fournier M: Health disparities between racial groups in South Africa: a decomposition analysis. Soc Sci Med 2006, 62: 2897-2914. 10.1016/j.socscimed.2005.11.020CrossRefPubMed

21.

Chin B: Income, health, and well-being in rural Malawi. Demogr Res 2010, 23: 997-1030.CrossRefPubMedPubMedCentral

22.

Debpuur C, Welaga P, Wak G, Hodgson A: Self-reported health and functional limitations among older people in the Kassena-Nankana District, Ghana. Global Health Action 2010, Supplement 2: 54-63.

23.

Gilbert L, Soskolne V: Self-assessed health - a case study of social differentials in Soweto, South Africa. Health Place 2003, 9: 193-205. 10.1016/S1353-8292(02)00039-4CrossRefPubMed

24.

Kuate-Defo B: Facteurs associés à la santé perçue et à la capacité fonctionnelle des personnes âgées dans la préfecture de Bandjoun au Cameroun. Cahiers québécois de démographie 2005, 34: 1-46.CrossRef

25.

Obare F: Self-rated health status and morbidity experiences of teenagers in Nairobi’s low income settings. Afr Popul Stud 2007, 22: 57-74.

26.

Spiers N, Jagger C, Clarke M, Arthur A: Are gender differences in the relationship between self-rated health and mortality enduring? Results from three birth cohorts in Melton Mowbray, United Kingdom. Gerontologist 2003, 43: 406-411. 10.1093/geront/43.3.406CrossRefPubMed

27.

Iburg KM, Salomon JA, Tandon A, Murray CJL: Global programme on evidence for health policy discussion paper no 14. In Cross-population comparability of self-reported and physician-assessed mobility levels: evidence from the third national health and nutrition examination survey. Geneva: World Health Organization; 2001.

28.

Case A, Paxson C: Sex differences in morbidity and mortality. Demography 2005, 42: 189-214. 10.1353/dem.2005.0011CrossRefPubMed

29.

Singh-Manoux A, Guéguen A, Martikainen P, Ferrie J, Marmot M, Shipley M: Self-rated health and mortality: short- and long-term associations in the Whitehall II study. Psychosom Med 2007, 69: 138-143. 10.1097/PSY.0b013e318030483aCrossRefPubMed

30.

Delpierre C, Datta GD, Kelly-Irving M, Lauwers-Cances V, Berkman L, Lang T: What role does socio-economic position play in the link between functional limitations and self-rated health: France vs. USA? Eur J Public Health 2011, 22: 317-321.CrossRefPubMed

31.

Delpierre C, Kelly-Irving M, Munch-Petersen M, Lauwers-Cances V, Datta GD, Lepage B, Lang T: SRH and HrQOL: does social position impact differently on their link with health status? BMC Publ Health 2012, 12: 19. 10.1186/1471-2458-12-19CrossRef

32.

Delpierre C, Lauwers-Cances V, Datta GD, Lang T, Berkman L: Using self-rated health for analysing social inequalities in health: a risk for underestimating the gap between socioeconomic groups? J Epidemiol Community Health 2009, 63: 426-432. 10.1136/jech.2008.080085CrossRefPubMed

33.

Desesquelles AF, Egidi V, Salvatore MA: Why do Italian people rate their health worse than French people do? An exploration of cross-country differentials of self-rated health. Soc Sci Med 2009, 68: 1124-1128. 10.1016/j.socscimed.2008.12.037CrossRefPubMed

34.

Ouédraogo MM, Ripama MT: Rapport d’analyse. In Recensement général de la population et de l’habitation de 2006 (RGPH-2006): État et structure de la population. Burkina Faso: Ouagadougou: Ministère de l’Économie et des Finances; 2009.

35.

Ouattara A, Somé L: Rapport d’analyse. In Recensement général de la population et de l’habitation de 2006 (RGPH-2006): Thème 09 : la croissance urbaine au Burkina Faso. Burkina Faso: Ouagadougou: Ministère de l’Économie et des Finances; 2009.

36.

Institut National de la Statistique et de la Démographie (INSD), ICF International: Enquête démographique et de santé et à indicateurs multiples du Burkina Faso 2010. Calverton, MD, USA: INSD & ICF International; 2012.

37.

Institut National de la Statistique et de la Démographie (INSD), Macro International Inc: Enquête démographique et de santé du Burkina Faso 1998–1999. Calverton, MD, USA: INSD & Macro International Inc; 2000.

38.

Baya B, Bonkoungou Z, Zida/Bangré H: Rapport d’analyse. In Recensement général de la population et de l’habitation de 2006 (RGPH-2006): thème 7 : la mortalité au Burkina Faso. Burkina Faso: Ouagadougou: Ministère de l’Économie et des Finances; 2009.

39.

Kobiané JF, Bougma M: Rapport d’analyse. In Recensement général de la population et de l’habitation de 2006 (RGPH-2006): thème 4 : education: instruction, alphabétisation, scolarisation. Burkina Faso: Ouagadougou: Ministère de l’Économie et des Finances; 2009.

40.

Boyer F, Delaunay D: “OUAGA 2009”: peuplement de Ouagadougou et développement urbain: rapport provisoire. Ouagadougou: IRD; 2009.

41.

Rossier C, Soura A, Baya B, Compaoré G, Dabiré B, Dos Santos S, Duthé G, Gnoumou B, Kobiané JF, Kouanda S, et al.: Profile: the Ouagadougou health and demographic surveillance system. Int J Epidemiol 2012, 41: 658-666. 10.1093/ije/dys090CrossRefPubMedPubMedCentral

42.

Rossier C, Ducarroz L: La pauvreté dans les quartiers de l’OPO: une approche qualitative. Ouagadougou: ISSP, Université de Ouagadougou; 2012.

43.

Steyn K, Gaziano TA, Bradshaw D, Laubscher R, Fourie J, South African Demographic and Health Collaborating Team: Hypertension in South African adults: results from the demographic and health survey, 1998. J Hypertens 2001, 19: 1717-1725. 10.1097/00004872-200110000-00004CrossRefPubMed

44.

Freeman EE, Zunzunegui MV, Kouanda S, Aubin MJ, Popescu ML, Miszkurka M, Cojocaru D, Haddad S: Prevalence and risk factors for near and far visual difficulty in Burkina Faso. Ophthalmic Epidemiol 2010, 17: 301-306. 10.3109/09286586.2010.508354CrossRefPubMed

45.

Abubakari AR, Lauder W, Agyemang C, Jones M, Kirk A, Bhopal RS: Prevalence and time trends in obesity among adult West African populations: a meta-analysis. Obesity Review 2008, 9: 297-311. 10.1111/j.1467-789X.2007.00462.xCrossRef

46.

Rossier C, Soura A, the OPO Group: Conference of the union for African population studies. In Poverty and health at the periphery of Ouagadougou. Accra, Ghana: Union for African Population Studies (UAPS); 2011.

47.

Zeba AN, Delisle HF, Renier G, Savadogo B, Baya B: The double burden of malnutrition and cardiometabolic risk widens the gender and socio-economic health gap: a study among adults in Burkina Faso (West Africa). Public Health Nutr 2012, 15: 2210-2219. 10.1017/S1368980012000729CrossRefPubMed

48.

Nikiema A, Rossier C, Millogo R, Ridde V: Conference of the union for African population studies. In Inégalités de l’accès aux soins en milieu urbain africain: Le cas de la périphérie nord de Ouagadougou. Accra, Ghana: Union for African Population Studies (UAPS); 2011.

49.

Raghunathan TE, Lepkowski JM, Van Hoewyk J, Solenberger P: A multivariate technique for multiply imputing missing values using a sequence of regression models. Survey Methodology 2001, 27: 85-95.

50.

Van Buuren S, Boshuizen HC, Knook DL: Multiple imputation of missing blood pressure covariates in survival analysis. Stat Med 1999, 18: 681-694. 10.1002/(SICI)1097-0258(19990330)18:6<681::AID-SIM71>3.0.CO;2-RCrossRefPubMed

51.

StataCorp: Stata multiple-imputation reference manual: release 12. TX: Stata Press: College Station; 2011a.

52.

Washington Group on Disability Statistics (WG): Development of an internationally comparable disability measure for censuses. Hyattsville, MD: Washington Group; 2008.

53.

World Health Organization: International classification of functioning, disability and health. Geneva: WHO; 2001.

54.

Sheehan DV, Lecrubier Y, Sheehan KH, Amorim P, Janavs J, Weiller E, Hergueta T, Baker R, Dunbar GC: 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. Journal of Clinical Psychiatry 1998, 59: 22-57.PubMed

55.

American Psychiatric Association: Diagnostic and statistical manual of mental disorders(DSM-IV). 4th edition. Washington DC: APA; 1994.

56.

Babor TF, Higgins-Biddle JC, Saunders JB, Monteiro MG: AUDIT: the alcohol use disorders identification test: guidelines for use in primary care. Geneva, Switzerland: World Health Organization; 2001.

57.

StataCorp: Stata survey data reference manual: release 12. TX: Stata Press: College Station; 2011b.

58.

Rahman MO, Liu JH: Gender differences in functioning for older adults in rural Bangladesh: the impact of differential reporting? Journal of Gerontology: MEDICAL SCIENCES 2000, 55A: M28-M33.

59.

Mäntyselkä PT, Turunen JHO, Ahonen RS, Kumpusalo EA: Chronic pain and poor self-rated health. JAMA 2003, 290: 2435-2442. 10.1001/jama.290.18.2435CrossRefPubMed

Title: The components of self-rated health among adults in Ouagadougou, Burkina Faso
Authors: Yentéma Onadja
Simona Bignami
Clémentine Rossier
Maria-Victoria Zunzunegui
Publication date: 01-12-2013
Publisher: BioMed Central
Published in: Population Health Metrics / Issue 1/2013
Electronic ISSN: 1478-7954
DOI: https://doi.org/10.1186/1478-7954-11-15

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The components of self-rated health among adults in Ouagadougou, Burkina Faso

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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