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Logo of jepicomhInstructions for authorsCurrent TOCJournal of Epidemiology and Community Health
J Epidemiol Community Health. Nov 1999; 53(11): 731–736.
PMCID: PMC1756802

Determinants of self rated health for Canadians with chronic disease and disability

Abstract

OBJECTIVE: To identify the factors associated with self rated health of people with and without chronic health conditions or long term disability. SETTING: Canadian household population. DESIGN: Analysis of 1994/95 National Population Health Survey interview data with 13,995 respondents aged 20 years and older. Determinants of poor and good compared with excellent health were examined using multivariate nominal logistic regression. Factors included in the analyses were illness related (chronic disease, long and short-term disability, and pain) demographic, lifestyle (smoking, physical activity, drinking), and social psychological resources (mastery, chronic stress, distress, self esteem, and social support). RESULTS: Illness related variables were associated with poor health, with smaller but significant contributions from demographic and lifestyle factors. Psychological resources, especially high mastery and self esteem, are associated with better health in those with chronic conditions or disability. CONCLUSION: The determinants of self rated health for people with chronic illness and disability make the greatest contribution to the findings for the overall population.

 

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Selected References

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  • Mossey JM, Shapiro E. Self-rated health: a predictor of mortality among the elderly. Am J Public Health. 1982 Aug;72(8):800–808. [PMC free article] [PubMed]
  • Kaplan GA, Salonen JT, Cohen RD, Brand RJ, Syme SL, Puska P. Social connections and mortality from all causes and from cardiovascular disease: prospective evidence from eastern Finland. Am J Epidemiol. 1988 Aug;128(2):370–380. [PubMed]
  • Sørensen KH. State of health and its association with death among old people at three-years follow-up. II. Consumption of medicine subjective and objective general health. Dan Med Bull. 1988 Dec;35(6):597–600. [PubMed]
  • Wannamethee G, Shaper AG. Self-assessment of health status and mortality in middle-aged British men. Int J Epidemiol. 1991 Mar;20(1):239–245. [PubMed]
  • Idler EL, Kasl SV, Lemke JH. Self-evaluated health and mortality among the elderly in New Haven, Connecticut, and Iowa and Washington counties, Iowa, 1982-1986. Am J Epidemiol. 1990 Jan;131(1):91–103. [PubMed]
  • Idler EL, Kasl S. Health perceptions and survival: do global evaluations of health status really predict mortality? J Gerontol. 1991 Mar;46(2):S55–S65. [PubMed]
  • Mor V, Wilcox V, Rakowski W, Hiris J. Functional transitions among the elderly: patterns, predictors, and related hospital use. Am J Public Health. 1994 Aug;84(8):1274–1280. [PMC free article] [PubMed]
  • D'Arcy C, Siddique CM. Unemployment and health: an analysis of "Canada Health Survey" data. Int J Health Serv. 1985;15(4):609–635. [PubMed]
  • Wolinsky FD, Stump TE, Clark DO. Antecedents and consequences of physical activity and exercise among older adults. Gerontologist. 1995 Aug;35(4):451–462. [PubMed]
  • Poikolainen K, Vartiainen E, Korhonen HJ. Alcohol intake and subjective health. Am J Epidemiol. 1996 Aug 15;144(4):346–350. [PubMed]
  • House JS, Landis KR, Umberson D. Social relationships and health. Science. 1988 Jul 29;241(4865):540–545. [PubMed]
  • Berkman LF, Syme SL. Social networks, host resistance, and mortality: a nine-year follow-up study of Alameda County residents. Am J Epidemiol. 1979 Feb;109(2):186–204. [PubMed]
  • Kaplan BH, Cassel JC, Gore S. Social support and health. Med Care. 1977 May;15(5 Suppl):47–58. [PubMed]
  • Schulz R, Decker S. Long-term adjustment to physical disability: the role of social support, perceived control, and self-blame. J Pers Soc Psychol. 1985 May;48(5):1162–1172. [PubMed]
  • Fuhrer MJ, Rintala DH, Hart KA, Clearman R, Young ME. Relationship of life satisfaction to impairment, disability, and handicap among persons with spinal cord injury living in the community. Arch Phys Med Rehabil. 1992 Jun;73(6):552–557. [PubMed]
  • Tambay JL, Catlin G. Sample design of the national population health survey. Health Rep. 1995;7(1):29–42. [PubMed]
  • Pearlin LI, Schooler C. The structure of coping. J Health Soc Behav. 1978 Mar;19(1):2–21. [PubMed]
  • Cohen S, Wills TA. Stress, social support, and the buffering hypothesis. Psychol Bull. 1985 Sep;98(2):310–357. [PubMed]
  • Menec VH, Chipperfield JG. The interactive effect of perceived control and functional status on health and mortality among young-old and old-old adults. J Gerontol B Psychol Sci Soc Sci. 1997 May;52(3):P118–P126. [PubMed]
  • Helgeson VS. Moderators of the relation between perceived control and adjustment to chronic illness. J Pers Soc Psychol. 1992 Oct;63(4):656–666. [PubMed]

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