Determinants of Self-Perceived Changes in Health Status Among Pre- and Early-Retirement Populations

2003 ◽  
Vol 56 (3) ◽  
pp. 197-222 ◽  
Author(s):  
Namkee G. Choi
Keyword(s):  
Health Status ◽  
Early Retirement ◽  
Emotional Health ◽  
Health Conditions ◽  
Self Perception ◽  
Cross Sectional ◽  
Medical Interventions ◽  
Objective Health ◽  
Self Perceptions ◽  
Using Data

Using data from the 1992 and 1994 waves of the Health and Retirement Study (HRS), this study described reasons reported by pre- and early-retirement populations for perceived changes in global health status over a 2-year period. It then analyzed the association between self-perceptions of change and the actual changes in objective health conditions, controlling for demographics, emotional health status, and the changes in work status and health-affecting habits. The results were compared to the determinants of self-ratings of health at wave 2. Existing or increasing impairments in functional abilities were found to contribute to self-perceptions of decline. However, a diagnosis of new chronic disease and the experience of a major medical event per se did not universally contribute to self-perception of decline. The relationship between cross-sectional self-ratings of health and objective health conditions was more straightforward. Self-perception of improvement among people with serious health problems most likely owed to medical interventions and improvement in symptoms, the most frequently mentioned reasons for perceived improvement, and reflected the subjects' selective optimization and resiliency.

Comparison of Examinees’ and Doctors’ Judgement of Health Status Using Data in an AMHTS

1984 ◽  
Vol 23 (01) ◽  
pp. 15-22
Author(s):  
Y. Sekita ◽  
T. Ohta ◽  
M. Inoue ◽  
H. Takeda
Keyword(s):  
Health Status ◽  
Discriminant Analysis ◽  
Explanatory Power ◽  
Laboratory Data ◽  
Subjective Symptom ◽  
Health Conditions ◽  
Testing System ◽  
Multiple Discriminant Analysis ◽  
Canonical Axis ◽  
Using Data

SummaryJudgements of examinees’ health status by doctors and by the examinees themselves are compared applying multiple discriminant analysis. The doctors’ judgements of the examinees’ health status are studied comparatively using laboratory data and the examinees’ subjective symptom data.This data was obtained in an Automated Multiphasic Health Testing System. We discuss the health conditions which are significant for the judgement of doctors about the examinees. The results show that the explanatory power, when using subjective symptom data, is fair in the case of the doctors’ judgement. We found common variables, such as nervousness, lack of perseverance etc., which form the first canonical axis.

scholarly journals The Pandemic and Changes in the Self-Perception of Teacher Digital Competences of Infant Grade Students: A Cross Sectional Study

2021 ◽  
Vol 18 (9) ◽  
pp. 4756
Author(s):  
Rosalía Romero-Tena ◽  
Carmen Llorente-Cejudo ◽  
María Puig-Gutiérrez ◽  
Raquel Barragán-Sánchez
Keyword(s):  
Intervention Group ◽  
Cross Sectional Study ◽  
Self Perception ◽  
Digital Competence ◽  
Cross Sectional ◽  
Self Perceptions ◽  
Group A ◽  
Different Dimensions ◽  
The Difference ◽  
Group B

Without having a reaction time, the pandemic has caused an unprecedented transformation in universities around the world, leading to a revolution from structured models anchored in the conception of transmission of training towards a teaching approach-learning saved thanks to the incorporation of technology. This study aims to verify whether the pandemic situation has influenced the digital competence self-perception of students. Comparing two groups during the academic years 2019/2020 and 2020/2021, the instrument used is the questionnaire for digital competence “DigCompEdu Check-In” for future teachers. After the educational intervention, group A (before COVID-19) presented higher self-perceptions of competence than group B (during COVID-19); the pandemic situation caused by COVID-19 has negatively influenced students’ self-perception of their digital skills in the pretest in the different dimensions under study. Before receiving the training, the group that did not experience the pandemic enjoyed a higher self-perception of their competencies than the group that experienced the pandemic. The data obtained indicate that the difference exists, and that it is statistically significant, and may be a consequence of the clear relationship between self-perception and the way in which students face reality through their personal and subjective vision.

scholarly journals Harm Perceptions of E-cigarettes Among Smokers With and Without Mental Health Conditions in England: A Cross-Sectional Population Survey

2020 ◽  
Author(s):  
Charlie Albert Smith ◽  
Lion Shahab ◽  
Ann McNeill ◽  
Sarah E Jackson ◽  
Jamie Brown ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Status ◽  
Health Condition ◽  
Mental Health Status ◽  
Health Conditions ◽  
Similar Proportion ◽  
Cross Sectional ◽  
Mental Health Conditions ◽  
Disadvantaged Groups ◽  
Nationally Representative

Abstract Introduction E-cigarettes (ECs) may benefit smokers with mental health conditions who are more likely to smoke, and smoke more heavily, than those without mental health conditions. This could be undermined if harm misperceptions in this group are high as is the case in the general population. This study aimed to assess EC harm perceptions relative to cigarettes as a function of mental health status and a variety of characteristics. Methods Data were collected from 6531 current smokers in 2016/2017 in household surveys of representative samples of adults. The associations of mental health status (self-reported mental health condition and past year treatment), smoking and EC use characteristics, and characteristics relating to use of potential information sources with harm perceptions of ECs relative to cigarettes (measured by correct response “less harmful” vs. wrong responses “more harmful,” “equally harmful,” “don’t know”) were analyzed with logistic regression. Results A similar proportion of smokers without mental health conditions (61.5%, 95% CI 60.1–62.9) and with mental health conditions (both with [61.3%, 95% confidence interval [CI] 58.7–63.8] and without past year treatment [61.5%, 95% CI 58.1–64.7]) held inaccurate EC harm perceptions (all P > 0.05). Being female, nonwhite, aged 25–34 compared with 16–24, from lower social grades (C2, D, and E), not having post-16 qualifications, no EC experience, a daily smoker, unmotivated to quit <1 month, non-internet user and non-broadsheet reader were all associated with more inaccurate harm perceptions (all p < .05). Conclusions The majority of smokers in England have inaccurate harm perceptions of ECs regardless of mental health status. Implications This study is the first to use a nationally representative sample in order to investigate whether smokers with and without mental health conditions differ with regard to harm perceptions of ECs. Findings show that the majority of smokers in England hold inaccurate harm perceptions of ECs, and this does not differ as a function of mental health status. A number of characteristics associated with disadvantaged groups were significantly associated with inaccurate harm perceptions. These findings highlight the need to improve awareness and understanding among disadvantaged groups regarding the relative harms of ECs compared with tobacco.

scholarly journals Medications adherence level and its associated factors among hypertensive patients at a major referral hospital, in Riyadh, KSA

2016 ◽  
Vol 7 (4) ◽  
pp. 24-30
Author(s):  
Shaffi Ahamed Shaik ◽  
Abeer Alsuwailem ◽  
Afnan Alhargan ◽  
Asma Alswailem ◽  
Dania Alshiha ◽  
...  
Keyword(s):  
Health Status ◽  
Associated Factors ◽  
Poor Adherence ◽  
University Hospital ◽  
Monthly Income ◽  
Self Perception ◽  
Adherence Level ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Perception Of Health

Aims and Objectives: To quantify the level of medications adherence among hypertensive patients and to identify factors of poor adherence.Materials and Methods: A cross sectional study was conducted during October 2013 to March 2014 in King Khalid University Hospital, Riyadh, KSA. Self-administrative questionnaires were used among 310 randomly selected hypertensive patients. Morisky adherence questionnaire was used to quantify adherence level of medications. Adherence scores were categorized as poor and high adherence. Bi-variate and multivariate analysis were used to identity factors associated with poor adherence.Results: Out of 287 patients who had responded, 124(44%) were of less than 50 years of age. Prevalence of poor adherence to medications was 55%. Age, educational status, monthly income, time of diagnosis, self-perception of health status, regular checkup at clinics, & regular blood pressure checkup were significantly associated with ‘level of adherence (poor and high) to medications. The independent associated factors of poor adherence were: age (<50 years): 2.30 (95% confidence interval(CI): 1.29,4.10), monthly income (<5000 Saudi Riyals): 6.58(1.67,25.97), self-perception of health status (uncontrolled): 2.66 (1.20,5.90), and regular checkup at clinics (No): 5.57(2.83,10.97).Conclusion: Level of adherence was low among hypertensive patients. Associated factors of poor adherence could be used to identity patients for counselling in improving level of adherence to medications.Asian Journal of Medical Sciences Vol.7(4) 2016 24-30

scholarly journals Laboratory correlates of SARS-CoV-2 seropositivity in a nationwide sample of patients on dialysis in the U.S.

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0249466
Author(s):  
Shuchi Anand ◽  
Maria E. Montez-Rath ◽  
Jialin Han ◽  
Pablo Garcia ◽  
Julie Bozeman ◽  
...  
Keyword(s):  
Parathyroid Hormone ◽  
Health Status ◽  
Race And Ethnicity ◽  
Significant Proportion ◽  
Potassium Phosphate ◽  
Cross Sectional ◽  
Sodium Potassium ◽  
Logistic Regression Models ◽  
Using Data ◽  
The U.S

Patients on dialysis are at high risk for death due to COVID-19, yet a significant proportion do survive as evidenced by presence of SARS-CoV-2 antibodies in 8% of patients in the U.S. in July 2020. It is unclear whether patients with seropositivity represent the subgroup with robust health status, who would be more likely to mount a durable antibody response. Using data from a July 2020 sample of 28,503 patients receiving dialysis, we evaluated the cross-sectional association of SARS-CoV-2 seropositivity with laboratory surrogates of patient health. In separate logistic regression models, we assessed the association of SARS-CoV-2 seropositivity with seven laboratory-based covariates (albumin, creatinine, hemoglobin, sodium, potassium, phosphate, and parathyroid hormone), across the entire range of the laboratory and in comparison to a referent value. Models accounted for age, sex, region, race and ethnicity, and county-level COVID-19 deaths per 100,000. Odds of seropositivity for albumin 3 and 3.5 g/dL were 2.1 (95% CI 1.9–2.3) and 1.3 (1.2–1.4) respectively, compared with 4 g/dL. Odds of seropositivity for serum creatinine 5 and 8 mg/dL were 1.8 (1.6–2.0) and 1.3 (1.2–1.4) respectively, compared with 12.5 mg/dL. Lower values of hemoglobin, sodium, potassium, phosphate, and parathyroid hormone were associated with higher odds of seropositivity. Laboratory values associated with poorer health status and higher risk for mortality were also associated with higher likelihood of SARS-CoV-2 antibodies in patients receiving dialysis.

scholarly journals Students' Perception of the Educational Environment in an Indian Physiotherapy College

2019 ◽  
Author(s):  
Prachita Walankar ◽  
Vrushali Panhale ◽  
Sayli Situt
Keyword(s):  
Learning Environment ◽  
Educational Environment ◽  
P Value ◽  
Social Self ◽  
Positive Perception ◽  
Self Perception ◽  
Cross Sectional ◽  
Self Perceptions ◽  
Significant Difference ◽  
Physiotherapy Students

Purpose: Educational environment has a significant impact on students' behavior, academic progress and quality of learning. The aim of this study was to evaluate the students’ perception of their learning environment in an Indian physiotherapy college and compare their perceptions in terms of demographic attributes and academic level. Methods: A cross-sectional study was conducted among 420 undergraduate physiotherapy students. The Dundee Ready Education Environment Measure (DREEM), a 50-item, self-administered inventory was employed to assess the student’s perception of learning environment. It comprises of five domains: students’ perceptions of learning; students’ perceptions of teachers; students’ academic self-perceptions; students’ perceptions of atmosphere and students’ social self-perceptions. Descriptive statistics, t-test and analysis of variance (ANOVA) were used to analyze data. P-value < 0.05 was considered as significant. Results: The mean DREEM score was 122.66 ± 17.39 reflecting a more of positive than negative educational environment in this institution. There was a significant difference in the overall DREEM score (p = 0.000) based on the year of study with highest mean score in first year (127.57 ± 13.81). Evaluating the sub-domains of perception, the students in all the years had a more positive perception of learning (29.22 ± 5.35), their perception of teachers moved in the right direction (26.52 ± 5.05), their academic self-perception was more on the positive side (21.23± 3.72), they had a more positive perception of atmosphere (28.56± 5.64) and their social self-perception could be graded as not too bad (17.13 ±3.08). No significant gender difference was noted for overall DREEM score and all domain scores. Conclusion: The present study revealed that all undergraduate physiotherapy students perceived their educational environment positively. However, some areas require remedial measures in order to enhance the educational experience. Advocating problem-based learning, student mentorship, counseling and workshops on teaching-learning for teachers might enable us to enrich our learning environment.

scholarly journals Intersectionality: Social Marginalisation and Self-Reported Health Status in Young People

2020 ◽  
Vol 17 (21) ◽  
pp. 8104
Author(s):  
Fiona Robards ◽  
Melissa Kang ◽  
Georgina Luscombe ◽  
Catherine Hawke ◽  
Lena Sanci ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Health Status ◽  
Young People ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Chronic Health ◽  
Marginalised Groups ◽  
Self Reported Health Status

Background: The aim of this study was to measure young people’s health status and explore associations between health status and belonging to one or more socio-culturally marginalised group. Methods: part of the Access 3 project, this cross-sectional survey of young people aged 12–24 years living in New South Wales, Australia, oversampled young people from one or more of the following groups: Aboriginal and or Torres Strait Islander; living in rural and remote areas; homeless; refugee; and/or, sexuality and/or gender diverse. This paper reports on findings pertaining to health status, presence of chronic health conditions, psychological distress, and wellbeing measures. Results: 1416 participants completed the survey; 897 (63.3%) belonged to at least one marginalised group; 574 (40.5%) to one, 281 (19.8%) to two and 42 (3.0%) to three or four groups. Belonging to more marginalised groups was significantly associated with having more chronic health conditions (p = 0.001), a greater likelihood of high psychological distress (p = 0.001) and of illness or injury related absence from school or work (p < 0.05). Conclusions: increasing marginalisation is associated with decreasing health status. Using an intersectional lens can to be a useful way to understand disadvantage for young people belonging to multiple marginalised groups.

scholarly journals IMPACT OF SELF-PERCEPTION OF AGING ON THE RELATIONSHIP BETWEEN HEALTHY BEHAVIOR, STRESS, AND HEALTH IN MIDLIFE

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S459-S460
Author(s):  
Hyun-E Yeom ◽  
Eunyoung Park ◽  
Misook Jung
Keyword(s):  
Health Status ◽  
Healthy Aging ◽  
Critical Role ◽  
Subjective Health ◽  
Self Perception ◽  
Subjective Health Status ◽  
Cross Sectional ◽  
Healthy Behavior ◽  
The Impact ◽  
Stress And Health

Abstract Self-perception of aging may affect the interpretation of health-related changes that influence behaviors. Understanding how self-perception of aging is associated with healthy behavior, stress, and health is essential to prepare healthy aging. The purposes of this study are to examine the influence of healthy behavior on stress and subjective health status and to investigate whether self-perception of aging affects the association in midlife Koreans. This is a cross-sectional study. Data were collected through a self-administered survey using a convenience sampling of 466 midlife Koreans (mean age = 50.7, 52.4% male). The PROCESS macro for SPSS was applied for data analysis. Self-perception of aging was significantly related to stress (r= .20, p&lt;.00), and subjective health was related to healthy behavior (r= .22, p&lt;.00) and stress (r= -.38, p&lt;.00). Healthy behavior predicted stress, which, in turn, affected subjective health status (index=.05, 95% CI [.01, .10]). A significant interaction between healthy behavior and self-perception of aging was found (β= -.22, p=.002), indicating that the influence of healthy behavior on stress was different depending on the individual’s self-perception of aging. It means that the impact of healthy behavior on stress was stronger in individuals with a more negative self-perception of aging. The findings demonstrate the critical role of self-perception of aging, which affects the benefits of healthy behavior on stress and subjective health status. This study highlights the importance of assessing self-perception of aging and developing cognitive behavioral interventions that contribute to modifying stereotyped beliefs about aging for better quality of life in midlife.

scholarly journals Health and retirement age: Comparison of expectations and actual retirement

2018 ◽  
Vol 46 (19_suppl) ◽  
pp. 18-31 ◽  
Author(s):  
Pekka Ilmakunnas ◽  
Seija Ilmakunnas
Keyword(s):  
Health Status ◽  
Subjective Assessment ◽  
Retirement Age ◽  
Full Time ◽  
Cross Sectional ◽  
Subjective Data ◽  
Retirement Behavior ◽  
Using Data ◽  
The Relationship

Aim: We examine the relationship between the subjective assessment of health status and retirement by using information on expected and actual retirement ages. Methods: Subjective data from cross-sectional surveys, conducted in Finland in 2003 and 2008, are linked to information on actual retirement age from register data from 2003 to 2013. Regression models are estimated for actual and expected retirement ages. Results: While the health status is positively correlated with both actual and anticipated full-time retirement age, the actual age of retirement is less sensitive to health. On average, individuals tend to retire later than they had anticipated. We examine potential biases in the health–retirement relationship. Measurement error in regard to health status biases the results downwards. Using data on observed retirement ages, omitting those who do not retire during the data period, leads to a selection problem. Ignoring the selection also leads to a downwards bias in the health–retirement age connection. As a more exogenous health variable we use health shocks, which are measured by average annual days of absence due to sickness in the follow-up period. These shocks are negatively related to retirement age in a subsample of initially healthy individuals. Conclusions: When subjective assessment of health is used for explaining retirement behavior, the effects of health can often be underestimated rather than overestimated. To lengthen working careers, attention should be given to both the ability (health) and willingness (perceptions of proper retirement age) of people to continue longer at work.

scholarly journals Health status in 1040 adults with disorders of sex development (DSD): a European multicenter study

2018 ◽  
Vol 7 (3) ◽  
pp. 466-478 ◽  
Author(s):  
Henrik Falhammar ◽  
Hedi Claahsen-van der Grinten ◽  
Nicole Reisch ◽  
Jolanta Slowikowska-Hilczer ◽  
Anna Nordenström ◽  
...  
Keyword(s):  
Health Status ◽  
Early Diagnosis ◽  
General Health ◽  
Healthy Lifestyle ◽  
Disorders Of Sex Development ◽  
Medical Problems ◽  
Cross Sectional ◽  
Objective Health ◽  
Sex Development ◽  
Xx Males

Objective The knowledge about health status in adults with disorder of sex development (DSD) is scarce. Design and methods A cross-sectional observational study in 14 European tertiary centers recruited 1040 participants (717 females, 311 males, 12 others) with DSD. Mean age was 32.4 ± 13.6 year (range 16–75). The cohort was divided into: Turner (n = 301), Klinefelter (n = 224), XY-DSD (n = 222), XX-DSD (excluding congenital adrenal hyperplasia (CAH) and 46,XX males) (n = 21), 46,XX-CAH (n = 226) and 45,X/46,XY (n = 45). Perceived and objective health statuses were measured and compared to European control data. Results In DSD, fair to very good general health was reported by 91.4% and only 8.6% reported (very) bad general health (controls 94.0% and 6.0%, P < 0.0001). Longstanding health issues other than DSD and feeling limited in daily life were reported in 51.0% and 38.6%, respectively (controls 24.5% and 13.8%, P < 0.0001 both). Any disorder except DSD was present in 84.3% (controls 24.6%, P < 0.0001). Males reported worse health than females. In the subgroup analysis, Klinefelter and 46,XX-DSD patients reported bad general health in 15.7% and 16.7%, respectively (Turner 3.2% and CAH 7.4%). Comorbidities were prevalent in all DSD subgroups but Klinefelter and Turner were most affected. Early diagnosis of DSD and a healthy lifestyle were associated with less comorbidities. Conclusions Overall, general health appeared to be good but a number of medical problems were reported, especially in Klinefelter and Turner. Early diagnosis of DSD and a healthy lifestyle seemed to be important. Lifelong follow-up at specialized centers is necessary.

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