Format

Send to

Choose Destination
J Behav Med. 2000 Oct;23(5):399-420.

Socioeconomic differences in self-assessed health in a chronically ill population: the role of different health aspects.

Author information

1
Department of Public Health, Erasmus University Rotterdam, The Netherlands. simon@mgz.fgg.eur.nl

Abstract

We investigated the role that different health aspects play in the explanation of socioeconomic differences in self-assessed health. Socioeconomic differences in self-assessed health were investigated in relation to chronic disease, functional limitations, psychosomatic symptoms, and perceived discomfort/distress. In multiple logistic regression analyses, for three cutoff points of self-assessed health, significant socioeconomic differences in self-assessed health could be observed after adjusting for age and gender. After separate adjustment for each of the four health aspects, the analyses showed that for a health assessment as less-than-good and less-than-fair, psychosomatic symptoms were the most powerful explanatory factor. Perceived discomfort/distress proved to be the most powerful factor for a poor health assessment. We found that socioeconomic differences in self-assessed health could, to a large extent (72-80%), be explained through socioeconomic differences in the prevalence of the four types of health problems included in the study. For all cutoff points, objective health aspects accounted for a relatively small part of the socioeconomic variability in self-assessed health. More subjective aspects of health accounted for more of the variability.

PMID:
11039154
[Indexed for MEDLINE]

Supplemental Content

Loading ...
Support Center