The Association Between Self-reported Income and Perceived Health Based on the Ontario Longitudinal Study of Aging

Author(s):  
John P. Hirdes ◽  
K. Stephen Brown ◽  
William F. Forbes ◽  
Debby S. Vigoda ◽  
Lawrence Crawford

ABSTRACTAn analysis of the data from the Ontario longitudinal study of aging was carried out to investigate the associations between self-reported income and perceived health status, using cross-tabulations and logistic regression models. Reported income, educational level, and smoking status were associated with perceived health status. Reported income was associated with perceived health status independently of the effects of education and smoking. The data also indicate that changes in income are related significantly to changes in perceived health status. A reduced income was associated with a worsening of health and a weak relationship was apparent between increased income and better health. The analyses further suggest that income changes precede health changes. The possible mechanisms through which an income change may lead to health changes are discussed.

2012 ◽  
Vol 46 (2) ◽  
pp. 310-319 ◽  
Author(s):  
Beatriz Fernandez-Martinez ◽  
Maria-Eugenia Prieto-Flores ◽  
Maria João Forjaz ◽  
Gloria Fernández-Mayoralas ◽  
Fermina Rojo-Pérez ◽  
...  

OBJECTIVE: To assess regional and sociodemographic differences in self-perceived health status among older adults. METHODS: A face-to-face quality of life survey was conducted in a representative sample of the Spanish population comprising 1,106 non-institutionalized elderly aged 60 or more in 2008. Logistic regression models were used to explain self-perceived health status according to the EuroQol Group Visual Analogue Scale (EQ-VAS). Independent variables included sociodemographic and health characteristics as well as the nomenclature of territorial units for statistics level 1 (NUTS1: group of autonomous regions) and level 2 (NUTS 2: autonomous regions). RESULTS: Younger and better off respondents were more likely to have a positive self-perceived health status. Having no chronic conditions, independence in performing daily living activities and lower level of depression were also associated with positive self-perceived health status. People living in the south of Spain showed a more negative self-perceived health status than those living in other regions. CONCLUSION: The study results point to health inequality among Spanish older adults of lower socioeconomic condition and living in the south of Spain. The analysis by geographic units allows for international cross-regional comparisons.


2014 ◽  
Vol 2 (2) ◽  
Author(s):  
Sejal B. Shah ◽  
Arthur J. Barsky ◽  
George Vaillant ◽  
Robert J. Waldinger

Prior studies have shown that perceived health status is a consistent and reliable predictor of morbidity and mortality. Because perceived health status and objective health are not highly correlated, we sought to identify additional factors that shape self-perceptions of health. Research suggests that childhood experience is an important predictor of health in adulthood, but most studies are retrospective. Using data from a 70-year prospective study of psychosocial development, we examined the quality of childhood environment as a predictor of perceived health in late life. This study utilizes questionnaire data from a longitudinal study of adult development to examine predictors of perceived health across seven decades. Participants were members of the Study of Adult Development, a longitudinal study of men followed for seven decades beginning in late adolescence. Childhood environment characteristics were assessed during home visits and interviews with respondents’ parents at entry into the study. At ages 63, 73, and 78, current health status was measured by an internist not affiliated with the Study, and perceived health was assessed via self-report questionnaires. Linear regression analyses were conducted to examine childhood environment as a predictor of perceived health status at these 3 time points while controlling for concurrent objective health and young adult neuroticism. Childhood environment predicted perceived health at all 3 time points. This study supports the hypothesis that the quality of childhood environment makes a unique contribution above and beyond personality traits and objective health status to perceptions of health in late life.


Author(s):  
Minsung Sohn ◽  
Minsoo Jung ◽  
Mankyu Choi

To investigate the effects of public and private health insurance on self-rated health (SRH) status within the National Health Insurance (NHI) system based on socioeconomic status in South Korea. The data were obtained from 10 867 respondents of the Korea Health Panel (2008-2011). We used hierarchical panel logistic regression models to assess the SRH status. We also added the interaction terms of socioeconomic status and type of health insurance as moderators. Medical aid (MA) recipients were 2.10 times more likely to have a low SRH status than those who were covered only by the NHI, even though the healthcare utilization was higher. When the interaction terms were included, those not covered by the NHI and had completed elementary school or less were 16.59 times more likely to have a low SRH status than those covered by the NHI and had earned a college degree or higher. Expanding healthcare coverage to reduce the burden of non-payment and unmet use to improve the health status of MA beneficiaries should be considered. Particularly, the vulnerability of less-educated groups should be focused on.


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