Perceived Health Status in Rural Manufacturing Workers

Manufacturing workers comprise 8.8% of the total U.S. workforce representing a sizable population for disease prevention and health promotion by occupational health nurses within worksite wellness programs. The purpose of this study was to examine the relationship between perceived health status and objective health status including existing chronic disease among rural manufacturing workers. Rural manufacturing workers ( n = 114) completed a general health survey and consented to a retrospective chart review. All were participants in a direct incentive wellness program with biometric data available. The majority of participants were males between the ages of 46 and 60 years, and nearly half of the sample had a college degree. A statistically significant difference was observed between number of chronic diseases and lower perceived health status. These findings have implications for occupational health nurses and other health care providers to identify workers at risk for chronic illness through self-perceived health status assessment.

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Caregivers of non-dependent old person: perceived loneliness is associated with poor health status

European Journal of Public Health ◽

10.1093/eurpub/ckz186.696 ◽

2019 ◽

Vol 29 (Supplement_4) ◽

Author(s):

S Arlotto ◽

S Gentile ◽

A C Durand ◽

S Bonin Guillaume

Keyword(s):

Health Care ◽

Health Status ◽

Health Care Providers ◽

Poor Health ◽

Care Providers ◽

Perceived Health Status ◽

Poor Health Status ◽

Improve Health Status ◽

Highly Correlated ◽

Improve Health

Abstract Objectives Informal care has poor effects on caregivers’ health status. Several studies targeted informal caregivers of dependent or severely ill old persons. But, few of them analysed non-dependent old persons caregivers and their perceived loneliness. We hypothesized that perceived loneliness is an independent factor that worsen the caregiver burden and perceived health status. The aim of this study is to analyze factors associated to the perceived loneliness of caregivers of the non-dependent old persons. Methods A Cross-sectional study has been conducted among 876 dyads. Old persons over 70 years of age, non-dependent, living at home and their caregiver eligible for social support by retirement and occupational health insurance in South-east of France were included. Caregivers were assessed by the Mini-Zarit Scale for the burden, and with 5-point -Likert scales for loneliness and perceived health status. A multivariate logistic regression model was performed to analyze explanatory variables related to loneliness. Results Characteristics of the caregivers were: 64.5% female, 29% spouse, 61% children; 64% with frailty and 38% with high burden, 10.5% of them felt often or always lonely. Loneliness was positively associated to (OR; CI 95%): caregiver’s poor health status (3.40; 1.60-7.23), burden (4.06; 1.99-8.27), sleep disorders (3.75; 1.85-7.60), anxiety (6.64; 3.23-13.65) and a bad relationship with the old persons (2.17; 1.11-4.25). Loneliness was negatively associated to a good family support (0.33; 0.17-0.63) and living alone (0.34; 0.16-0.76). Discussion Loneliness should be differentiated from social isolation. Caregivers loneliness is not very frequent but highly correlated to a poor health status perception. Thus, it is essential that health care providers assess for caregivers’ perceived loneliness to implement specifics supporting actions to improve health status. Key messages Caregivers loneliness is not very frequent but highly correlated to a poor health status perception. It is essential that health care providers assess for caregivers’ perceived loneliness to implement specifics supporting actions to improve health status.

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Perceived Health Status Is Associated With Hours of Exercise per Week in Older Adults Independent of Physical Health

Journal of Physical Activity and Health ◽

10.1123/jpah.10.8.1102 ◽

2013 ◽

Vol 10 (8) ◽

pp. 1102-1108 ◽

Cited By ~ 11

Author(s):

Joanna Edel McHugh ◽

Brian A. Lawlor

Keyword(s):

Older Adults ◽

Health Status ◽

Perceived Health ◽

Community Dwelling ◽

Regression Analyses ◽

Perceived Health Status ◽

Type Method ◽

Exercise Interventions ◽

Objective Health ◽

Actual Health

Background:Perceived health status does not always reflect actual health status. We investigated the association between objective and self-rated measures of health status and hours of exercise per week in older adults.Method:As part of the TRIL clinic assessment, we gathered information from 473 community dwelling adults over the age of 65, regarding hours spent per week exercising, depression, personality, perceived health status, and objective health status (in the form of a comorbidity count). Regression analyses were performed on these data to investigate whether perceived health status, objective health status, personality and mood are associated with hours of exercise per week.Results:Perceived and objective health status were significantly but weakly correlated. Both perceived and objective health status, as well as depression, were independently associated with hours of exercise per week.Conclusions:We conclude that exercise uptake in older adults is contingent on both perceived and objective health status, as well as depression. Perceived health status has a stronger association with exercise uptake in older adults with lower depression levels. The current findings have implications for designing exercise interventions for older adults.

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Job Satisfaction and Self-Perceived Health Status among Primary Care Providers in China

10.21203/rs.3.rs-39040/v1 ◽

2020 ◽

Author(s):

Jun Wang ◽

Jingmin Zhu ◽

Hailun Liang

Keyword(s):

Mental Health ◽

Primary Care ◽

Job Satisfaction ◽

Health Status ◽

Healthcare Providers ◽

Perceived Health ◽

Primary Care Providers ◽

Care Providers ◽

Perceived Health Status ◽

Job Type

Abstract Background: Healthcare providers’ health and safety can influence the quality of patient care. The attitude towards work, either satisfaction or dissatisfaction, could influence the way in which people perceive their health status. To check this hypothesis, some studies have shown an association between healthcare providers’ health status and job satisfaction. The present study examined the associations between self-perceived health status and job satisfaction among primary care providers in China, and the moderating effect of job type.Methods: Data were collected by using questionnaire survey among Chinese primary care providers, who work for general practice teams (GPTs). The GPT members’ self-perceived health, job satisfaction, and job type were evaluated, where job satisfaction comprised work, promotion and training, and work environment. Multivariate logistic regression analysis was performed.Findings: Of the 536 participants, 48.51% reported good physical health, and 55.78% reported good mental health. Participants reported being moderately satisfied with their job. Self-perceived physical and mental health were significantly and positively associated with job satisfaction in similar magnitudes. Promotion and training satisfaction were more strongly associated with physical health, whereas work environment had the strongest association with mental health. Job type moderated this association, wherein the association was significant only for non-general practitioners (non-GPs).Conclusion: Primary care providers’ job satisfaction is significantly associated with their self-perceived health. Actions are needed to increase their job satisfaction and therefore to improve their health. Meanwhile, further research into GPs’ health determinants is needed.

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Childhood environment as a predictor of perceived health status in late life

Health Psychology Research ◽

10.4081/hpr.2014.1560 ◽

2014 ◽

Vol 2 (2) ◽

Cited By ~ 6

Author(s):

Sejal B. Shah ◽

Arthur J. Barsky ◽

George Vaillant ◽

Robert J. Waldinger

Keyword(s):

Longitudinal Study ◽

Health Status ◽

Adult Development ◽

Late Life ◽

Perceived Health ◽

Perceived Health Status ◽

Time Points ◽

Objective Health ◽

Childhood Environment

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.

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The Effects of Health Status on Life Insurance Holdings in 16 European Countries

Sustainability ◽

10.3390/su10103454 ◽

2018 ◽

Vol 10 (10) ◽

pp. 3454 ◽

Cited By ~ 5

Author(s):

Saruultuya Tsendsuren ◽

Chu-Shiu Li ◽

Sheng-Chang Peng ◽

Wing-Keung Wong

Keyword(s):

Health Status ◽

Health Risk ◽

Life Insurance ◽

Negative Impact ◽

National Health System ◽

Perceived Health ◽

European Countries ◽

Perceived Health Status ◽

Future Health ◽

Objective Health

This study examines the relationships among three health status indicators (self-perceived health status, objective health status, and future health risk) and life insurance holdings in 16 European countries. Our results show that households with poor self-perceived health status and high future health risk are less likely to purchase life insurance in the entire sample as well as in the subsample for countries with a national health system (NHS). In non-NHS countries, those households that have high future health risk are less inclined to purchase life insurance. In terms of preferences for types of life insurance policies (term life, whole life, both, or none) in the whole sample, poor self-perceived health status and high future health risk are less inclined to hold only term life insurance policy. In addition, poor self-perceived health status and high future health risk have a negative impact on holdings of both types of life insurance. Our findings reveal that there is no adverse selection problem in the life insurance market, especially in European countries with NHS.

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Anxiety, depression and perceived health status in patients with epilepsy

European Psychiatry ◽

10.1016/j.eurpsy.2016.01.1129 ◽

2016 ◽

Vol 33 (S1) ◽

pp. S326-S327

Author(s):

F. Smaoui ◽

E. Turki ◽

N. Halouani ◽

M. Turki ◽

I. Bouchhima ◽

...

Keyword(s):

Quality Of Life ◽

Health Status ◽

General Health Questionnaire ◽

Depression Scale ◽

Perceived Health ◽

Anxiety And Depression ◽

Perceived Health Status ◽

Significant Difference ◽

Patients With Epilepsy

IntroductionEpilepsy is a chronic disease often disabling, source of stigma and poor quality of life.ObjectivesDetermine the prevalence of anxiety and depression in patients with epilepsy and the associated factors.MethodsWe conducted a prospective, descriptive and analytical study among 20 patients followed for epilepsy in our department of neurology. The study was conducted from February to April 2015. We used a preestablished form to collect the socio-demographic and clinic profile of the patients. The assessment of anxiety and depression was made via the HADS “Hospital Anxiety and Depression Scale” and the perceived health status via GHQ scale “General Health Questionnaire”.ResultsThe average age of our patients was 35.9 years. The average GHQ score was 27.7. It was higher in women without a statistically significant difference. It was positively correlated with the number of attacks during the last 12 months (P = 0.042), poor treatment adherence (P = 0.007), the feeling of disability (P = 0.021) and the feeling of stigma (P = 0.008). Anxiety was estimated in 35% of cases and 45% were depressed. Depression was significantly associated to the celibacy (P = 0.012), the feeling of stigma (P = 0.038) and the GHQ score (P = 0.016). Anxiety was correlated with the absence of hobbies (P = 0.02) and the GHQ score (P = 0.008).ConclusionIt is important to detect these psychiatric disorders and to manage generators factors to ensure a better quality of life and social integration for these patients with epilepsy.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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A descriptive analysis of end-of-life discussions for high-grade glioma patients

Neuro-Oncology Practice ◽

10.1093/nop/npab010 ◽

2021 ◽

Author(s):

Ai Chikada ◽

Sayaka Takenouchi ◽

Yoshiki Arakawa ◽

Kazuko Nin

Keyword(s):

End Of Life ◽

Health Care Providers ◽

Patient Participation ◽

High Grade Glioma ◽

Team Approach ◽

High Grade ◽

Care Providers ◽

Patient Goals ◽

Significant Difference ◽

Eol Care

Abstract Background End-of-life discussions (EOLDs) in patients with high-grade glioma (HGG) have not been well described. Therefore, this study examined the appropriateness of timing and the extent of patient involvement in EOLDs and their impact on HGG patients. Methods A cross-sectional survey was conducted among 105 bereaved families of HGG patients at a university hospital in Japan between July and August 2019. Fisher’s exact test and the Wilcoxon rank-sum test were used to assess the association between patient participation in EOLDs and their outcomes. Results In total, 77 questionnaires were returned (response rate 73%), of which 20 respondents replied with refusal documents. Overall, 31/57 (54%) participated in EOLDs at least once in acute hospital settings, and a significant difference was observed between participating and nonparticipating groups in communicating the patient’s wishes for EOL care to the family (48% vs 8%, P = .001). Moreover, >80% of respondents indicated that the initiation of EOLDs during the early diagnosis period with patients and families was appropriate. Most EOLDs were provided by neurosurgeons (96%), and other health care providers rarely participated. Additionally, patient goals and priorities were discussed in only 28% of the EOLDs. Patient participation in EOLDs was not associated with the quality of EOL care and a good death. Conclusions Although participation in EOLDs is relatively challenging for HGG patients, this study showed that participation in EOLDs may enable patients to express their wishes regarding EOL care. It is important to initiate EOLDs early on through an interdisciplinary team approach while respecting patient goals and priorities.

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The Role of Obesity in Predicting the Clinical Outcomes of COVID-19

Obesity Facts ◽

10.1159/000517180 ◽

2021 ◽

pp. 1-9

Author(s):

Serdar Sahin ◽

Havva Sezer ◽

Ebru Cicek ◽

Yeliz Yagız Ozogul ◽

Murat Yildirim ◽

...

Keyword(s):

Clinical Outcomes ◽

Health Care Providers ◽

Study Groups ◽

Normal Weight ◽

Overweight And Obesity ◽

Care Providers ◽

Significant Difference ◽

Group A ◽

Group B ◽

Group D

Introduction: The aim of this was to describe the predictors of mortality related to COVID-19 infection and to evaluate the association between overweight, obesity, and clinical outcomes of COVID-19. Methods: We included the patients >18 years of age, with at least one positive SARS-CoV-2 reverse transcriptase-polymerase chain reaction. Patients were grouped according to body mass index values as normal weight <25 kg/m2 (Group A), overweight from 25 to <30 kg/m2 (Group B), Class I obesity 30 to <35 kg/m2 (Group C), and ≥35 kg/m2 (Group D). Mortality, clinical outcomes, laboratory parameters, and comorbidities were compared among 4 groups. Results: There was no significant difference among study groups in terms of mortality. Noninvasive mechanical ventilation requirement was higher in group B and D than group A, while it was higher in Group D than Group C (Group B vs. Group A [p = 0.017], Group D vs. Group A [p = 0.001], and Group D vs. Group C [p = 0.016]). Lung involvement was less common in Group A, and presence of hypoxia was more common in Group D (Group B vs. Group A [p = 0.025], Group D vs. Group A [p < 0.001], Group D vs. Group B [p = 0.006], and Group D vs. Group C [p = 0.014]). The hospitalization rate was lower in Group A than in the other groups; in addition, patients in Group D have the highest rate of hospitalization (Group B vs. Group A [p < 0.001], Group C vs. Group A [p < 0.001], Group D vs. Group A [p < 0.001], Group D vs. Group B [p < 0.001], and Group D vs. Group C [p = 0.010]). Conclusion: COVID-19 patients with overweight and obesity presented with more severe clinical findings. Health-care providers should take into account that people living with overweight and obesity are at higher risk for COVID-19 and its complications.

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