Self-rated Health and Its Indicators: A Case of the 2001 Korean National Health and Nutrition Examination Survey

  • Ahn Byung-Chul (School of Economics and Finance, Yeungnam University) ;
  • Joung Hyo-Jee (Graduate School of Public Health & Institute of Health and Environment, Seoul National University)
  • Published : 2006.03.01

Abstract

There were numerous evidences that subjective health evaluation was a powerful indicator for morbidity and mortality in many countries. Since self-rated health (SRH) was a reasonable health measure, identifying predictors for SRH would be beneficial for assessment of overall health, monitoring health status, and development of health promotion programs. Health risks, health behavior, socioeconomic characteristics and social capital were potential indicators for SRH. We examined association. between SRH and indicators such as health risk factors, subjective living condition, income, education level and dietary variety score. Total 4,262 subjects, aged between 20 and 69 years old, were selected from KNHANES 2001; those who completed health examination, nutrition survey, and provided their socioeconomic information. Results of logistic regression showed that it was likely to have better SRH for those who were younger, male and have higher education, higher income, better living condition, no metabolic syndrome and higher dietary variety.

Keywords

References

  1. Borg V, Kristensen TS, Burr H (2000): Work environment and changes in self-rated health: a five year follow-up study. Stress Medicine 16 (1): 37-47 https://doi.org/10.1002/(SICI)1099-1700(200001)16:1<37::AID-SMI830>3.0.CO;2-O
  2. Borg V, Kristensen TS (2000): Social class and self-rated health: can the gradient be explained by differences in life style or work environment? Social Science & Medicine 51 (7): 1019-1030 https://doi.org/10.1016/S0277-9536(00)00011-3
  3. Dasbach EJ, Klein R, Klein BEK, Moss SE (1994): Self-rated health and mortality in people with diabetes. American Journal of Public Health 84 (11): 1775-1779 https://doi.org/10.2105/AJPH.84.11.1775
  4. Dunn JR, Veenstra G, Ross N (2006): Psychosocial and neo-material dimensions of SES and health revisited: Predictors of self-rated health in a Canadian national survey. Social Science & Medicine 62(6): 1465-1473 https://doi.org/10.1016/j.socscimed.2005.07.038
  5. Franks P, Gold MR, Fiscella K (2003): Sociodemographics, selfrated health, and mortality in the US. Social Science & Medicine 56 (I2): 2505-2514 https://doi.org/10.1016/S0277-9536(02)00281-2
  6. Idler EL, Angel RJ (1990): Self-rated Health and Mortality in the NHANES-I Epidemiologic Follow-Up Study. American Journal of Public Health 80 (4): 446 https://doi.org/10.2105/AJPH.80.4.446
  7. Kelleher CC, Friel S, Nic Gabhainn S, Tay JB (2003): Socio-demographic predictors of self-rated health in the Republic of Ireland: findings from the National Survey on Lifestyle, Attitudes and Nutrition, SLAN. Social Science & Medicine 57 (3): 477-486 https://doi.org/10.1016/S0277-9536(02)00371-4
  8. Lee Y, Shinkai S (2003): A comparison of correlates of self-rated health and functional disability of older persons in the Far East: Japan and Korea. Archives of Gerontology and Geriatrics 37 (1): 63-76 https://doi.org/10.1016/S0167-4943(03)00021-9
  9. Leinsalu M (2002): Social variation in self-rated health in Estonia: a cross-sectional study. Social Science & Medicine 55 (5): 847861 https://doi.org/10.1016/S0277-9536(01)00221-0
  10. Liu G, Zhang Z (2004): Sociodemographic Differentials of the self-rated health of the Oldest-old Chinese. Population Research and Policy Review 23 (2): 117-133 https://doi.org/10.1023/B:POPU.0000019921.20777.1b
  11. Lopez R (2004): Income inequality and self-rated health in US metropolitan areas: A multi-level analysis. Social Science & Medicine 59(12): 2409-2419 https://doi.org/10.1016/j.socscimed.2004.03.033
  12. Manderbacka K, Kareholt I, Martikainen P, Lundberg O (2003) : The effect of point of reference on the association between self-rated health and mortality. Social Science & Medicine 56(7): 1447-1452 https://doi.org/10.1016/S0277-9536(02)00141-7
  13. McCallum J, Shadbolt B, Dong W(1994): Self-rated Health and Survival: A 7-year follow-up of Australian elderly. American Journal of Public Health 84 (7): 1100-1105 https://doi.org/10.2105/AJPH.84.7.1100
  14. Miilunpalo S, Vuori I, Oja P, Pasanen M, Urponen H (1997): Selfrated 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, Journal of Clinical Epidemiology 50 (5): 517-528 https://doi.org/10.1016/S0895-4356(97)00045-0
  15. National Cholesterol Education Program (2004): Third Report of the Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel nn Executive Summary. Available at : http://www.nhlbi.nih.gov/guidelines/cholesterol/atp3xsum.pdf
  16. Nicholson A, Bobak M, Murphy M, Rose R, Marmot M (2005): Socio-economic influences on self-rated health in Russian men and women-a life course approach. Social Science & Medicine 61 (11): 2345-2354 https://doi.org/10.1016/j.socscimed.2005.07.034
  17. Nishi N, Makino K, Fukuda H, Tatara K (2004): Effects of socioeconomic indicators on coronary risk factors, self-rated health and psychological well-being among urban Japanese civil servants. Social Science & Medicine 58 (6): 1159-1170 https://doi.org/10.1016/S0277-9536(03)00287-9
  18. Ostrove JM, Adler NE, Kuppermann M, Washington AE(2000): Objective and Subjective Assessments of Socioeconomic Status and Their Relationship to self-rated health in an Ethnically Diverse Sample of Pregnant Women. Health Psychology 19 (6): 613-618 https://doi.org/10.1037/0278-6133.19.6.613
  19. Shadbolt B (1997): Some correlates of self-rated health for Australian women. American Journal of Public Health 87 (6): 951-956 https://doi.org/10.2105/AJPH.87.6.951
  20. Stafford M, Martikainen P, Lahelma E, Marmot M(2004): Neighborhoods and self rated health: a comparison of public sector employees in London and Helsinki. J Epidemiol Connumity Health 58: 772-778 https://doi.org/10.1136/jech.2003.015941
  21. Subramanian SV, Kawachi I, Kennedy BP (2001): Does the state you live in make a difference? Multilevel analysis of self-rated health in the US. Social Science & Medicine 53(1): 9-19 https://doi.org/10.1016/S0277-9536(00)00309-9