scholarly journals Lower objectively and subjectively assessed numeracy are both associated with poorer self-rated health

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Natalie C. Benda ◽  
Zihan Yang ◽  
Haojia Li ◽  
Tianran Zhang ◽  
Jessica S. Ancker

Abstract Objective To compare an objective with a subjective numeracy assessment for association with self-reported health status, where numeracy refers to “the degree to which individuals have the capacity to access, process, interpret, communicate, and act on numerical, quantitative, graphical, biostatistical, and probabilistic health information needed to make effective health decisions” Results We completed a secondary analysis of two population-based surveys, the Empire State Poll (n = 763) and the Program for the International Assessment of Adult Competencies (PIAAC; n = 2609). The first survey assessed numeracy with a 3-item subjective instrument. The second assessed numeracy with more than 20 math problems. Both used the same measure for self-reported health status. Lower numeracy, whether subjectively or objectively assessed, was associated with worse self-reported health, even after controlling for education and other sociodemographic confounders. The odds ratios for the association were very similar (0.91 and 0.90 respectively). A lengthy objective numeracy assessment and a brief self-report assessment had similar associations with health status. A brief self-report measure of numeracy has similar properties to a lengthy objective assessment and is likely to be more feasible to use to screen patients in practice.

2014 ◽  
Vol 34 (3) ◽  
pp. 579-583 ◽  
Author(s):  
Ann Bremander ◽  
Lennart T. H. Jacobsson ◽  
Stefan Bergman ◽  
Emma Haglund ◽  
Sofia Löfvendahl ◽  
...  

2007 ◽  
Vol 21 (6) ◽  
pp. 484-491 ◽  
Author(s):  
Michael T. French ◽  
Silvana K. Zavala

Purpose. To examine the association between alcohol use and self-reported health status. In particular, we sought to determine whether moderate drinkers are more likely to self-report above-average health status compared with other current drinkers, former drinkers, and lifetime abstainers. Design. Cross-sectional survey. Setting. Continental United States. Subjects. The sample adult component of the 2002 U.S. National Health Interview Survey (n = 31,044), representative of the U.S. noninstitutionalized civilian household population. Measures. Dichotomous measure of above-average self-reported health status relative to all other health states. Several measures characterized alcohol use patterns (i.e., continuous and categorical measure of alcohol use, a proxy measure of problem drinking, former drinking, lifetime abstaining). Chronic health conditions and various demographic and lifestyle factors were included as covariates in all regression models. Results. For both men and women, current moderate drinkers had the highest odds (OR = 1.27 for men, p < .01; OR = 2.03 for women, p < .01) of reporting above-average health status compared with other current drinkers, former drinkers, and lifetime abstainers. The odds dropped to 1.12 and 1.34, respectively, when all past-year drinkers were collapsed into a single group. Conclusion. Moderate alcohol consumption was associated with the highest odds of reporting above-average health status, even after controlling for chronic health conditions and demographic and lifestyle factors associated with health.


2020 ◽  
Vol 105 (6) ◽  
pp. 1814-1826 ◽  
Author(s):  
Salla Karjula ◽  
Laure Morin-Papunen ◽  
Stephen Franks ◽  
Juha Auvinen ◽  
Marjo-Riitta Järvelin ◽  
...  

Abstract Context Polycystic ovary syndrome (PCOS) is associated with decreased health-related quality of life (HRQoL), but longitudinal data beyond the reproductive years are lacking, and the impact of isolated PCOS symptoms is unclear. Objective To study generic HRQoL using the 15D questionnaire, life satisfaction, and self-reported health status in women with PCOS symptoms at ages 31 and 46 years. Design A longitudinal assessment using the Northern Finland Birth Cohort 1966. Setting General community. Participants The 15D data were available for women reporting isolated oligo-amenorrhea (OA; at age 31 years, 214; and 46 years, 211), isolated hirsutism (H; 31 years, 211; and 46 years, 216), OA + H (PCOS; 31 years, 74; and 46 years, 75), or no PCOS symptoms (controls; 31 years, 1382; and 46 years, 1412). Data for life satisfaction and current health status were available for OA (31 years, 329; and 46 years, 247), H (31 years, 323; and 46 years, 238), PCOS (31 years, 125; and 46 years, 86), control (31 years, 2182; and 46 years, 1613) groups. Intervention(s) None. Main Outcome Measure(s) 15D HRQoL, questionnaires on life satisfaction, and self-reported health status. Results HRQoL was lower at ages 31 and 46 in women with PCOS or H than in the controls. PCOS was an independent risk factor for low HRQoL, and the decrease in HRQoL in PCOS was similar to that of women with other chronic conditions, such as asthma, migraine, rheumatoid arthritis, and depression. The risk for low HRQoL in PCOS remained significant after adjusting for body mass index, hyperandrogenism, and socioeconomic status. Mental distress was the strongest contributing factor to HRQoL. PCOS was also associated with a risk for low life satisfaction and a 4-fold risk for reporting a poor health status. Conclusions Women with PCOS present with low HRQoL, decreased life satisfaction, and a poorer self-reported health status up to their late reproductive years. Assessments and interventions aiming to improve HRQoL in PCOS should be targeted beyond the fertile age.


2009 ◽  
Vol 61 (8) ◽  
pp. 1046-1053 ◽  
Author(s):  
William M. Reichmann ◽  
Jeffrey N. Katz ◽  
Courtenay L. Kessler ◽  
Joanne M. Jordan ◽  
Elena Losina

2015 ◽  
Vol 73 (1) ◽  
pp. 22-29
Author(s):  
Daniele Almeida Lopes ◽  
Suzana Alves de Moraes ◽  
Isabel Cristina Martins de Freitas

ObjectiveTo know the prevalence and factors associated to low cognitive performance in a representative sample of the adult population in a society aging progressively.MethodCross-sectional population-based study carried out in a three-stage sampling: 81 census tracts (primary sampling unity) were randomly selected, followed by 1,672 households and 2,471 participants (weighted sample) corresponding to the second and third stages, respectively. The outcome prevalence was calculated according sociodemographic, behavioral and health related variables. Crude and adjusted prevalence ratios were estimated using Poisson regression.ResultsThe prevalence of low cognitive performance was high, mainly among females, and indicated linear trends into categories of age, schooling, income, plasma fibrinogen and self-reported health status. In multivariate models, gender, diabetes, fibrinogen and self-reported health status presented positive associations, while schooling, employment and sitting time presented negative associations with the outcome.ConclusionInterventions related to diabetes and fibrinogen levels control as well as improvement in health care might delay low cognitive performance in societies aging progressively as such the study population.


2009 ◽  
Vol 11 (2) ◽  
pp. 57-65 ◽  
Author(s):  
Heather Becker ◽  
Alexa Stuifbergen

Researchers use various measures to assess health status, impairment, functional limitations, and disability among people with multiple sclerosis (MS). Conceptual and empirical associations among measures are not always clear, however. The purpose of this study was to examine the relationships among measures of impairment, disability, functional status, and health-related outcomes in a sample of 443 individuals with MS. A secondary purpose was to compare the self-reported health status of this sample with that of a population-based sample of individuals with and without disabilities. Although both the MS sample and a population-based sample of individuals with activity limitations indicated poorer health than did their nondisabled counterparts, the MS sample reported more days in the preceding month when their physical and mental health were not good and more days when poor health kept them from usual activities than the population-based sample of individuals with disabilities. Most measures were moderately intercorrelated, but the pattern suggests that issues such as the time frame specified may affect the relationships. Researchers should carefully consider operational as well as conceptual definitions, length of proposed measures, and appropriate time frame, in addition to the more traditional criteria of reliability and validity, when selecting study measures.


2013 ◽  
Vol 12 (2) ◽  
pp. 106-120 ◽  
Author(s):  
Chloe Morris ◽  
Kenneth James ◽  
Desmale Holder-Nevins ◽  
Denise Eldemire-Shearer

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