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Determinants of Self-Rated Health for Adults in Türkiye

Year 2023, , 279 - 285, 15.06.2023

Duygu Ürek , Sevilay Karaman , İpek Bilgin , Özgür Uğurluoğlu , Oğuz Işık

https://doi.org/10.33808/clinexphealthsci.923476

Abstract

Objective: Self-rated health as an important health outcome is affected by several factors. It is of great importance to investigate the determinants of self-rated health of individuals in order to obtain better results regarding public health. The purpose of this study was to determine the factors that affect the self-rated health of adults in Türkiye.
Methods: Logistic regression analysis was performed to analyze data from the TurkStat’s 2014 Health Survey, with 19,129 people. The independent variables were related to socio-economic characteristics, health problems, lifestyle, and utilisation of healthcare services, while the dependent variable was self-rated health.
Results: It was found that younger people, men, and people with higher educational and income levels rated their health status better. The health status of individuals with chronic diseases, mental disorders, sleeping problems and those who did not have a normal range body mass index also rated their health status as poor. However, the self-rated health of people who had no inpatient treatment in the last 12 months and those who took no prescription medicine in the last two weeks was good.
Conclusion: This study provided the identification of the most advantaged and disadvantaged groups through determining the factors affecting the health status of adults in Türkiye. To improve the unfavourable condition of disadvantaged individuals, more specific interventions need to be designed and implemented.

Keywords

Self-rated health health status health inequalities Türkiye

References

  • Cai J, Coyte PC, Zhao H. Determinants of and socio-economic disparities in self-rated health in China. Int J Equity Health. 2017;16(7):1-28. DOI: 10.1186/s12939-016-0496-4.
  • Dubikaytis T, Härkänen T, Regushevskaya E, Hemminki, E, Haavio-Mannila, E, Laanpere M, Kuznetsova O, Koskinen S. Socio economic differences in self-rated health among women: A comparison of St. Petersburg to Estonia and Finland. Int J Equity Health. 2014;13(39):1-11. DOI: 10.1186/1475-9276-13-39.
  • Al-Shami Ni'meh A, Shojaia H, Darwish H, Giacaman R. Factors associated with self-rated health among elderly Palestinian women: An analysis of cross-sectional survey data. Lancet. 2017;390(Special Issue),S18-S19. DOI: 10.1016/S0140-6736(17)32069-X.
  • Filha MM, Szwarcwald CL, SouzaJunior PRBD. Measurements of reported morbidity and interrelationships with health dimensions. Rev Saude Publica. 2008;42(1):73-81. DOI: 10.1590/S0034-89102008000100010.
  • Girón P. Determinants of self-rated health in Spain: Differences by age groups for adults. Eur J Public Health. 2010;22(1):36-40. DOI: 10.1093/eurpub/ckq133.
  • Gold M, Franks P, Erickson P. Assessing the health of the nation: the predictive validity of a preference-based measure and self-rated health. Med Care. 1996;34(2):163-177. DOI: 1097/00005650-199602000-00008.
  • Hassanzadeh J, Rezaeian S. Self-rated health and its determinants in female population in Iran: A community-based study. Health Scope. 2018;7(1):e68258. DOI: 10.5812/jhealthscope.68258.
  • Shields M, Shooshtari S. Determinants of self-perceived health. Health Rep. 2001;13(1):35-52. PMID: 15069807.
  • Maddox GL. Some correlates of differences in self-assessment of health status among the elderly. J Gerontol. 1962;17(April):180-185. DOI: 10.1093/geronj/17.2.180.
  • Suchman EA, Phillips BS, Streib GF. An analysis of the validity of health questionnaires. Soc F. 1957;36(3):223-232. DOI: 10.2307/2573809.
  • Garrity TF, Somes GW, Marx MB. Factors influencing self-assessment of health. Soc Sci Med. Part A: Medical Psychology & Medical Sociology. 1978;12(Mar):77-81. DOI: 10.1016/0271-7123(78)90032-9.
  • Zack MM. Health-related quality of life—United States, 2006 and 2010. MMWR Surveill Summ. 2013;62(3):105-111. PMID: 24264499.
  • Darviri C, Fouka G, Gnardellis C, Artemiadis AK, Tigani X, Alexopoulos EC. Determinants of self-rated health in a representative sample of a rural population: A cross-sectional study in Greece. Int J Environ Res Public Health. 2012;9(3):943-954. DOI: 10.3390/ijerph9030943.
  • Bethune R, Absher N, Obiagwu M, Qarmout T, Steeves M, Yaghoubi M, Tikoo R, Szafron M, Dell C, Farag M. Social determinants of self-reported health for Canada's indigenous peoples: A public health approach. Public Health. 2019;176(November):172-180. DOI: 10.1016/j.puhe.2018.03.007.
  • Szwarcwald CL, Damacena GN, Souza Júnior, PRBD, de Almeida WS, de Lima LTM, Malta DC, Stopa SR, Vieira MLFP, Pereira CA. Determinants of self-rated health and the influence of healthy behaviors: Results from the National Health Survey, 2013. Rev Bras Epidemiol. 2015;18(Suppl 2):33-44. DOI: 10.1590/1980-5497201500060004.
  • Şenol V, Çetinkaya F, Ünalan D, Öztürk EB. Determinants of self-rated health in general population in Kayseri, Turkey. Turk J Med Sci. 2010;30(1):88-96. DOI: 10.5336/medsci.2008-8657.
  • Asfar T, Ahmad B, Rastam S, Mulloli TP, Ward KD, Maziak W. Self-rated health and its determinants among adults in Syria: A model from the Middle East. BMC Public Health. 2007;7(177):1-9. DOI: 10.1186/1471-2458-7-177.
  • Balabanova DC, McKee M. Self-reported health in Bulgaria: Levels and determinants. Scand J Public Health. 2002;30(4):306-312. DOI: 10.1080/14034940210164867.
  • Gilmore AB, McKee M, Rose R. Determinants of and inequalities in self-perceived health in Ukraine. Soc Sci Med. 2002;55(12):2177-2188. DOI: 10.1016/s0277-9536(01)00361-6.
  • Subramanian SV, Kim D, Kawachi I. Covariation in the socio-economic determinants of self rated health and happiness: A multivariate multilevel analysis of individuals and communities in the USA. J Epidemiol Community Health. 2005;59(8):664-669. DOI: 10.1136/jech.2004.025742.
  • Darviri C, Artemiadis AK, Tigani X, Alexopoulos EC. Lifestyle and self-rated health: A cross-sectional study of 3,601 citizens of Athens, Greece. BMC Public Health. 2011; 11(1):1-9. DOI: 10.1186/1471-2458-11-619.
  • Supranowicz P, Wysocki MJ, Car J, Debska A, Gebska-Kuczerowska A. Determinants of self-rated health of Warsaw inhabitants. Rocz Panstw Zakl Hig. 2012;63(3):273-284. PMID: 23173332.
  • Subramanian SV, Huijts T, Avendano M. Self-reported health assessments in the 2002 World Health Survey: How do they correlate with education?. Bull World Health Organ. 2010;88(2):131-138. DOI: 10.2471/BLT.09.067058.
  • Olson KL, Stiefel M, Ross C, Stadler S, Hornak R, Sandhoff B, Merenich JA. Self-rated health among patients with coronary artery disease enrolled in a cardiovascular risk reduction service. Popul Health Manag. 2016;19(1):24-30. DOI:10.1089/pop.2014.0178.
  • OECD. Stat. Labour Statistics. Accessed [1 April 2021]. http://stats.oecd.org/.
  • Macintyre, S., McKay, L., & Ellaway, A. Who is more likely to experience common disorders: men, women, or both equally? Lay perceptions in the West of Scotland. Int J Epidemiol. 2005;34(2):461-466. DOI: 10.1093/ije/dyh333.
  • Benach J, Muntaner C. Employment and working conditions as health determinants. Improving equity in healh by addressing social determinants. World Health Organization, 2011.
  • Virtanen M, Kivimäki M, Joensuu M, Virtanen P, Elovainio M, Vahtera J. Temporary employment and health: a review. Int J Epidemiol. 2005;34(3):610–622. DOI: 10.1093/ije/dyi024.
  • Cowell A. The relationship between education and health behavior: some empirical evidence. Health Econ. 2006;15(2):125-146. DOI: 10.1002/hec.1019.
  • Cavelaars A, Kunst A, Geurts J, Crialesi R. Educational differences in smoking: international comparison. BMJ. 2000;320(April):1102–1107. DOI: 10.1136/bmj.320.7242.1102.
  • Crum RM, Bucholz KK, Helzer JE, Anthony JC. The risk of alcohol abuse and dependence in adulthood: the association with educational level. Am J Epidemiol. 1992;135(9):989–999. DOI: 10.1093/oxfordjournals.aje.a116411.
  • Hosseini SR, Saadat P, Esmaili M, Bijani A. The prevalence of self-reported sleep problems and some factors affecting it among the elderly in Amirkola. Shiraz E Medical J. 2018;19(3):e59461. DOI: 10.5812/semj.59461.
  • Ha DT, Feskens EJ, Deurenberg P, Mai LB, Khan NC, Kok FJ. Nationwide shifts in the double burden of overweight and underweight in Vietnamese adults in 2000 and 2005: Two national nutrition surveys. BMC Public Health. 2011;11(1):1-9. DOI: 10.1186/1471-2458-11-62.
  • Ho SH. Survival analysis of living arrangements and health care utilization in terms of total mortality among the middle aged and elderly in Taiwan. Nurs Res. 2008;16(2):160-168. DOI: 10.1097/01.jnr.0000387301.04246.7c.
  • Ho SH. Correlations among self-rated health, chronic disease, and healthcare utilization in widowed older adults in Taiwan. Nurs Res. 2018;26(5):308-315. DOI: 10.1097/jnr.0000000000000248.

Year 2023, , 279 - 285, 15.06.2023

Duygu Ürek , Sevilay Karaman , İpek Bilgin , Özgür Uğurluoğlu , Oğuz Işık

https://doi.org/10.33808/clinexphealthsci.923476

Abstract

References

  • Cai J, Coyte PC, Zhao H. Determinants of and socio-economic disparities in self-rated health in China. Int J Equity Health. 2017;16(7):1-28. DOI: 10.1186/s12939-016-0496-4.
  • Dubikaytis T, Härkänen T, Regushevskaya E, Hemminki, E, Haavio-Mannila, E, Laanpere M, Kuznetsova O, Koskinen S. Socio economic differences in self-rated health among women: A comparison of St. Petersburg to Estonia and Finland. Int J Equity Health. 2014;13(39):1-11. DOI: 10.1186/1475-9276-13-39.
  • Al-Shami Ni'meh A, Shojaia H, Darwish H, Giacaman R. Factors associated with self-rated health among elderly Palestinian women: An analysis of cross-sectional survey data. Lancet. 2017;390(Special Issue),S18-S19. DOI: 10.1016/S0140-6736(17)32069-X.
  • Filha MM, Szwarcwald CL, SouzaJunior PRBD. Measurements of reported morbidity and interrelationships with health dimensions. Rev Saude Publica. 2008;42(1):73-81. DOI: 10.1590/S0034-89102008000100010.
  • Girón P. Determinants of self-rated health in Spain: Differences by age groups for adults. Eur J Public Health. 2010;22(1):36-40. DOI: 10.1093/eurpub/ckq133.
  • Gold M, Franks P, Erickson P. Assessing the health of the nation: the predictive validity of a preference-based measure and self-rated health. Med Care. 1996;34(2):163-177. DOI: 1097/00005650-199602000-00008.
  • Hassanzadeh J, Rezaeian S. Self-rated health and its determinants in female population in Iran: A community-based study. Health Scope. 2018;7(1):e68258. DOI: 10.5812/jhealthscope.68258.
  • Shields M, Shooshtari S. Determinants of self-perceived health. Health Rep. 2001;13(1):35-52. PMID: 15069807.
  • Maddox GL. Some correlates of differences in self-assessment of health status among the elderly. J Gerontol. 1962;17(April):180-185. DOI: 10.1093/geronj/17.2.180.
  • Suchman EA, Phillips BS, Streib GF. An analysis of the validity of health questionnaires. Soc F. 1957;36(3):223-232. DOI: 10.2307/2573809.
  • Garrity TF, Somes GW, Marx MB. Factors influencing self-assessment of health. Soc Sci Med. Part A: Medical Psychology & Medical Sociology. 1978;12(Mar):77-81. DOI: 10.1016/0271-7123(78)90032-9.
  • Zack MM. Health-related quality of life—United States, 2006 and 2010. MMWR Surveill Summ. 2013;62(3):105-111. PMID: 24264499.
  • Darviri C, Fouka G, Gnardellis C, Artemiadis AK, Tigani X, Alexopoulos EC. Determinants of self-rated health in a representative sample of a rural population: A cross-sectional study in Greece. Int J Environ Res Public Health. 2012;9(3):943-954. DOI: 10.3390/ijerph9030943.
  • Bethune R, Absher N, Obiagwu M, Qarmout T, Steeves M, Yaghoubi M, Tikoo R, Szafron M, Dell C, Farag M. Social determinants of self-reported health for Canada's indigenous peoples: A public health approach. Public Health. 2019;176(November):172-180. DOI: 10.1016/j.puhe.2018.03.007.
  • Szwarcwald CL, Damacena GN, Souza Júnior, PRBD, de Almeida WS, de Lima LTM, Malta DC, Stopa SR, Vieira MLFP, Pereira CA. Determinants of self-rated health and the influence of healthy behaviors: Results from the National Health Survey, 2013. Rev Bras Epidemiol. 2015;18(Suppl 2):33-44. DOI: 10.1590/1980-5497201500060004.
  • Şenol V, Çetinkaya F, Ünalan D, Öztürk EB. Determinants of self-rated health in general population in Kayseri, Turkey. Turk J Med Sci. 2010;30(1):88-96. DOI: 10.5336/medsci.2008-8657.
  • Asfar T, Ahmad B, Rastam S, Mulloli TP, Ward KD, Maziak W. Self-rated health and its determinants among adults in Syria: A model from the Middle East. BMC Public Health. 2007;7(177):1-9. DOI: 10.1186/1471-2458-7-177.
  • Balabanova DC, McKee M. Self-reported health in Bulgaria: Levels and determinants. Scand J Public Health. 2002;30(4):306-312. DOI: 10.1080/14034940210164867.
  • Gilmore AB, McKee M, Rose R. Determinants of and inequalities in self-perceived health in Ukraine. Soc Sci Med. 2002;55(12):2177-2188. DOI: 10.1016/s0277-9536(01)00361-6.
  • Subramanian SV, Kim D, Kawachi I. Covariation in the socio-economic determinants of self rated health and happiness: A multivariate multilevel analysis of individuals and communities in the USA. J Epidemiol Community Health. 2005;59(8):664-669. DOI: 10.1136/jech.2004.025742.
  • Darviri C, Artemiadis AK, Tigani X, Alexopoulos EC. Lifestyle and self-rated health: A cross-sectional study of 3,601 citizens of Athens, Greece. BMC Public Health. 2011; 11(1):1-9. DOI: 10.1186/1471-2458-11-619.
  • Supranowicz P, Wysocki MJ, Car J, Debska A, Gebska-Kuczerowska A. Determinants of self-rated health of Warsaw inhabitants. Rocz Panstw Zakl Hig. 2012;63(3):273-284. PMID: 23173332.
  • Subramanian SV, Huijts T, Avendano M. Self-reported health assessments in the 2002 World Health Survey: How do they correlate with education?. Bull World Health Organ. 2010;88(2):131-138. DOI: 10.2471/BLT.09.067058.
  • Olson KL, Stiefel M, Ross C, Stadler S, Hornak R, Sandhoff B, Merenich JA. Self-rated health among patients with coronary artery disease enrolled in a cardiovascular risk reduction service. Popul Health Manag. 2016;19(1):24-30. DOI:10.1089/pop.2014.0178.
  • OECD. Stat. Labour Statistics. Accessed [1 April 2021]. http://stats.oecd.org/.
  • Macintyre, S., McKay, L., & Ellaway, A. Who is more likely to experience common disorders: men, women, or both equally? Lay perceptions in the West of Scotland. Int J Epidemiol. 2005;34(2):461-466. DOI: 10.1093/ije/dyh333.
  • Benach J, Muntaner C. Employment and working conditions as health determinants. Improving equity in healh by addressing social determinants. World Health Organization, 2011.
  • Virtanen M, Kivimäki M, Joensuu M, Virtanen P, Elovainio M, Vahtera J. Temporary employment and health: a review. Int J Epidemiol. 2005;34(3):610–622. DOI: 10.1093/ije/dyi024.
  • Cowell A. The relationship between education and health behavior: some empirical evidence. Health Econ. 2006;15(2):125-146. DOI: 10.1002/hec.1019.
  • Cavelaars A, Kunst A, Geurts J, Crialesi R. Educational differences in smoking: international comparison. BMJ. 2000;320(April):1102–1107. DOI: 10.1136/bmj.320.7242.1102.
  • Crum RM, Bucholz KK, Helzer JE, Anthony JC. The risk of alcohol abuse and dependence in adulthood: the association with educational level. Am J Epidemiol. 1992;135(9):989–999. DOI: 10.1093/oxfordjournals.aje.a116411.
  • Hosseini SR, Saadat P, Esmaili M, Bijani A. The prevalence of self-reported sleep problems and some factors affecting it among the elderly in Amirkola. Shiraz E Medical J. 2018;19(3):e59461. DOI: 10.5812/semj.59461.
  • Ha DT, Feskens EJ, Deurenberg P, Mai LB, Khan NC, Kok FJ. Nationwide shifts in the double burden of overweight and underweight in Vietnamese adults in 2000 and 2005: Two national nutrition surveys. BMC Public Health. 2011;11(1):1-9. DOI: 10.1186/1471-2458-11-62.
  • Ho SH. Survival analysis of living arrangements and health care utilization in terms of total mortality among the middle aged and elderly in Taiwan. Nurs Res. 2008;16(2):160-168. DOI: 10.1097/01.jnr.0000387301.04246.7c.
  • Ho SH. Correlations among self-rated health, chronic disease, and healthcare utilization in widowed older adults in Taiwan. Nurs Res. 2018;26(5):308-315. DOI: 10.1097/jnr.0000000000000248.
There are 35 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Articles
Authors

Duygu Ürek 0000-0001-6471-5601

Sevilay Karaman 0000-0003-4367-9466

İpek Bilgin 0000-0002-5267-4248

Özgür Uğurluoğlu 0000-0002-9453-9925

Oğuz Işık 0000-0001-7368-7024

Publication Date June 15, 2023
Submission Date April 21, 2021
Published in Issue Year 2023

Cite

APA Ürek, D., Karaman, S., Bilgin, İ., Uğurluoğlu, Ö., et al. (2023). Determinants of Self-Rated Health for Adults in Türkiye. Clinical and Experimental Health Sciences, 13(2), 279-285. https://doi.org/10.33808/clinexphealthsci.923476
AMA Ürek D, Karaman S, Bilgin İ, Uğurluoğlu Ö, Işık O. Determinants of Self-Rated Health for Adults in Türkiye. Clinical and Experimental Health Sciences. June 2023;13(2):279-285. doi:10.33808/clinexphealthsci.923476
Chicago Ürek, Duygu, Sevilay Karaman, İpek Bilgin, Özgür Uğurluoğlu, and Oğuz Işık. “Determinants of Self-Rated Health for Adults in Türkiye”. Clinical and Experimental Health Sciences 13, no. 2 (June 2023): 279-85. https://doi.org/10.33808/clinexphealthsci.923476.
EndNote Ürek D, Karaman S, Bilgin İ, Uğurluoğlu Ö, Işık O (June 1, 2023) Determinants of Self-Rated Health for Adults in Türkiye. Clinical and Experimental Health Sciences 13 2 279–285.
IEEE D. Ürek, S. Karaman, İ. Bilgin, Ö. Uğurluoğlu, and O. Işık, “Determinants of Self-Rated Health for Adults in Türkiye”, Clinical and Experimental Health Sciences, vol. 13, no. 2, pp. 279–285, 2023, doi: 10.33808/clinexphealthsci.923476.
ISNAD Ürek, Duygu et al. “Determinants of Self-Rated Health for Adults in Türkiye”. Clinical and Experimental Health Sciences 13/2 (June 2023), 279-285. https://doi.org/10.33808/clinexphealthsci.923476.
JAMA Ürek D, Karaman S, Bilgin İ, Uğurluoğlu Ö, Işık O. Determinants of Self-Rated Health for Adults in Türkiye. Clinical and Experimental Health Sciences. 2023;13:279–285.
MLA Ürek, Duygu et al. “Determinants of Self-Rated Health for Adults in Türkiye”. Clinical and Experimental Health Sciences, vol. 13, no. 2, 2023, pp. 279-85, doi:10.33808/clinexphealthsci.923476.
Vancouver Ürek D, Karaman S, Bilgin İ, Uğurluoğlu Ö, Işık O. Determinants of Self-Rated Health for Adults in Türkiye. Clinical and Experimental Health Sciences. 2023;13(2):279-85.

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