Self-rated health status as a health measure: The predictive value of self-reported health status on the use of physician services and on mortality in the working-age population

1997 ◽  
Vol 50 (5) ◽  
pp. 517-528 ◽  
Author(s):  
Seppo Miilunpalo ◽  
Ilkka Vuori ◽  
Pekka Oja ◽  
Matti Pasanen ◽  
Helka Urponen
Keyword(s):  
Health Status ◽  
Predictive Value ◽  
Physician Services ◽  
Self Rated Health ◽  
Health Measure ◽  
Working Age ◽  
Reported Health ◽  
Working Age Population ◽  
Self Reported Health Status

scholarly journals Physical and Psychological Factors Associated with Poor Self-Reported Health Status in Older Adults with Falls

2020 ◽  
Vol 17 (10) ◽  
pp. 3548 ◽  
Author(s):  
Jiyeon Kim ◽  
Mikyong Byun ◽  
Moonho Kim
Keyword(s):  
Older Adults ◽  
Health Status ◽  
Psychological Factors ◽  
Hearing Impairments ◽  
Factors Associated ◽  
Self Rated Health ◽  
Physical Tests ◽  
Reported Health ◽  
Self Reported Health Status ◽  
Poor Nutrition

Background: Previous studies have proposed various physical tests for screening fall risk in older adults. However, older adults may have physical or cognitive impairments that make testing difficult. This study describes the differences in individual, physical, and psychological factors between adults in good and poor self-rated health statuses. Further, we identified the physical or psychological factors associated with self-rated health by controlling for individual variables. Methods: Data from a total of 1577 adults aged 65 years or over with a history of falls were analyzed, using the 2017 National Survey of Older Persons in South Korea. Self-reported health status was dichotomized as good versus poor using the 5-point Likert question: “poor” (very poor and poor) and “good” (fair, good, and very good). Results: Visual/hearing impairments, ADL/IADL restriction, poor nutrition, and depression were more frequently observed in the group with poor self-rated health. Multivariable logistic regression revealed that poor self-reported health was significantly associated with hearing impairments (OR: 1.51, 95% CI 1.12–2.03), ADL limitation (OR: 1.77, 95% CI 1.11–2.81), IADL limitation (OR: 2.27, 95% CI 1.68–3.06), poor nutrition (OR: 1.36, 95% CI 1.05–1.77), and depression (OR 3.77, 95% CI 2.81–5.06). Conclusions: Auditory impairment, ADL/IADL limitations, poor nutrition, and depression were significantly associated with poor self-reported health. A self-rated health assessment could be an alternative tool for older adults who are not able to perform physical tests.

scholarly journals Health Outcome Priorities of Older Adults with Advanced CKD and Concordance with Their Nephrology Providers’ Perceptions

2018 ◽  
Vol 29 (12) ◽  
pp. 2870-2878 ◽  
Author(s):  
Sarah J. Ramer ◽  
Natalie N. McCall ◽  
Cassianne Robinson-Cohen ◽  
Edward D. Siew ◽  
Huzaifah Salat ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Outcome ◽  
Health Status ◽  
End Of Life ◽  
Advanced Stage ◽  
Self Rated Health ◽  
Individual Health ◽  
Stage 4 ◽  
Reported Health ◽  
Self Reported Health Status

BackgroundOlder adults with advanced CKD have significant pain, other symptoms, and disability. To help ensure that care is consistent with patients’ values, nephrology providers should understand their patients’ priorities when they make clinical recommendations.MethodsPatients aged ≥60 years with advanced (stage 4 or 5) non–dialysis-dependent CKD receiving care at a CKD clinic completed a validated health outcome prioritization tool to ascertain their health outcome priorities. For each patient, the nephrology provider completed the same health outcome prioritization tool. Patients also answered questions to self-rate their health and completed an end-of-life scenarios instrument. We examined the associations between priorities and self-reported health status and between priorities and acceptance of common end-of-life scenarios, and also measured concordance between patients’ priorities and providers’ perceptions of priorities.ResultsAmong 271 patients (median age 71 years), the top health outcome priority was maintaining independence (49%), followed by staying alive (35%), reducing pain (9%), and reducing other symptoms (6%). Nearly half of patients ranked staying alive as their third or fourth priority. There was no relationship between patients’ self-rated health status and top priority, but acceptance of some end-of-life scenarios differed significantly between groups with different top priorities. Providers’ perceptions about patients’ top health outcome priorities were correct only 35% of the time. Patient-provider concordance for any individual health outcome ranking was similarly poor.ConclusionsNearly half of older adults with advanced CKD ranked maintaining independence as their top heath outcome priority. Almost as many ranked being alive as their last or second-to-last priority. Nephrology providers demonstrated limited knowledge of their patients’ priorities.

Gender Differences in the Relationship between Housing, Socioeconomic Status, and Self-Reported Health Status

2004 ◽  
Vol 19 (3-4) ◽  
pp. 177-196 ◽  
Author(s):  
James R. Dunn ◽  
Jennifer D. Walker ◽  
Jennifer Graham ◽  
Christina B. Weiss
Keyword(s):  
Gender Differences ◽  
Socioeconomic Status ◽  
Health Status ◽  
Poor Health ◽  
Future Research ◽  
Self Rated Health ◽  
Reported Health ◽  
Self Reported Health Status ◽  
Household Crowding ◽  
Fair Poor

Abstract This study investigates gender differences in housing, socioeconomic status, and self-reported health status. The analysis focuses on the social and economic dimensions of housing, such as demand, control, material aspects (affordability, type of dwelling) and meaningful aspects (pride in dwelling, home as a refuge) of everyday life in the domestic environment. A random sample, crosssectional telephone survey was administered in the city of Vancouver, Canada in June 1999 (n = 650). Survey items included measures of material and meaningful dimensions of housing, housing satisfaction, and standard measures of socioeconomic status and social support. The main outcome measure was self-reported health (excellent/very good/good vs. fair/poor). A three-stage analysis provides an overall picture of the sample characteristics for male and female respondents, detects significant relations between individual and housing characteristics and self-rated health status, and investigates male-female differences in the factors associated with fair/poor self-rated health. In multivariate analyses, a small number of socioeconomic dimensions of housing were associated with self-rated health status for women. For men, only one attribute of housing was associated with self-rated health: crowding was positively related to poor health, contradicting expectations and the findings for women. The self-reported strain of housework was unrelated to self-rated health for men, bot strongly related to poor health for women. For men and women, satisfaction with social activities increased the likelihood of reporting better health. Future research should focus on the health effects of geodered differences in domestic and paid work, and on home and family roles and the interaction among gender, household crowding, and health.

Insights From a Developing Country: Self-Reported Health Status of Elderly Men (60 Years and Over) in Jamaica

2013 ◽  
Vol 12 (2) ◽  
pp. 106-120 ◽  
Author(s):  
Chloe Morris ◽  
Kenneth James ◽  
Desmale Holder-Nevins ◽  
Denise Eldemire-Shearer
Keyword(s):  
Health Status ◽  
Developing Country ◽  
Elderly Men ◽  
Reported Health ◽  
Self Reported Health Status

scholarly journals Use of Complementary and Alternative Medical Services by HMO Members, 1995-1996

2001 ◽  
Vol 7 (2) ◽  
pp. 85-98 ◽  
Author(s):  
Evelyn P. Whitlock
Keyword(s):  
Multivariate Analysis ◽  
Patient Satisfaction ◽  
Health Status ◽  
Service Users ◽  
Improve Patient Satisfaction ◽  
Kaiser Permanente ◽  
Reported Health ◽  
Self Reported Health Status ◽  
Improve Patient ◽  
Complementary And Alternative

We investigated HMO members' use of complementary and alternative medicine (CAM) providers outside the HMO in 1995-1996. A random 2% survey of Kaiser Permanente Northwest members addressed HMO service satisfaction, self-reported health status and behaviors, and HMO utilization. Among respondents, 15.7% (n = 380) used CAM providers (chiropractors, naturopaths, acupuncturists, others) in the prior 12 months, while 35% were ever users. Multivariate analysis found that those more likely to consult CAM providers were females, more educated, and more dissatisfied with the HMO. These results suggest that HMOs may wish to focus efforts to improve patient satisfaction among CAM service users.

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