Cent Eur J Public Health 2009, 17(3):122-127 | DOI: 10.21101/cejph.b0017

Factors Influencing Self-perception of Health Status

Dorota Kaleta1, Kinga Polańska2, Elżbieta Dziankowska-Zaborszczyk1, Wojciech Hanke2,3, Wojciech Drygas1
1 Department of Preventive Medicine, Medical University, Łódź, Poland
2 Department of Environmental Epidemiology, Institute of Occupational Medicine, Łódź, Poland
3 Department of Informatics and Medical Statistics, Medical University, Łódź, Poland

The aim of this study was to evaluate subjective health status of Łódź adult population and to determine the factors affecting their self-perception of health. The study population consisted of randomly selected 1,056 adults aged 20-74 years from Łódź district. Logistic regression model was applied to assess the factors influencing the self-perception of health. More than 30% of study subjects described their health as poor or very poor. There were no statistically significant differences between men and women regarding self-perception of health (p>0.05). Older people more frequently reported their health as poor and very poor compared to those younger than 25 years of age. Four percent of men and 10% of women younger than 25 years of age described their health as poor or very poor whereas in age category 45-54 years that percentage increased to more than 40% (men RR=16.3; p<0.001, women RR=7.5; p<0.001), in 55-64 to 60% (men RR=18.6; p<0.001, women RR=10.0; p<0.001) and for people older than 64 years of age to 60% for men (RR=12.6; p<0.01) and 72% for women (RR=13.4; p<0.001). People with lower educational degree perceived their health as worse compared to those with university diploma (men RR=5.3; p<0.001; women 4.6; p<0.001). The risk of indicating the health as poor or very poor was 3.4 times higher for unemployed men comparing to employed (p<0.001) and 1.5 for unemployed women compared to employed (p>0.05). Men indicating no leisure-time physical activity significantly more frequently described their health as poor or very poor than men with satisfactory level of recreational physical activity (RR=2.2; p<0.01). Current and former smoker men described their health as worse compared to non-smokers (current smokers RR=1.5; p>0.05; former smokers RR=1.8; p>0.05). Preventive programs aimed at improving self-perceived health should concentrate on increasing recreational physical activity and elimination of smoking. Those actions should in particular target people in older age category.

Klíčová slova: subjective health, smoking, leisure-time physical activity, educational level, age

Vloženo: 23. říjen 2008; Revidováno: 26. únor 2009; Přijato: 26. únor 2009; Zveřejněno: 1. září 2009  Zobrazit citaci

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Kaleta D, Polańska K, Dziankowska-Zaborszczyk E, Hanke W, Drygas W. Factors Influencing Self-perception of Health Status. Cent Eur J Public Health. 2009;17(3):122-127. doi: 10.21101/cejph.b0017. PubMed PMID: 20020600.
Sdílet...
Stáhnout citaci
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Zobrazit celý článek

    Reference

    1. Lalonde M. A new perspective on the health of Canadians: a working document. Ottawa: Government of Canada; 1974.
    2. Ezzati M, Lopez AD, Rodgers A, Murray CJL. Comparative quantification of health risks: global and regional burden of diseases attributable to selected major risk factors. Geneva: WHO; 2004.
    3. Constitution of the World Health Organization. In Handbook of basic documents. 5th ed. Geneva: World Health Organization;1952. p. 3-20.
    4. Siegrist J. Impaired quality of life as risk factor in cardiovascular disease. J Chronic Dis. 1987;40(6):571-8. Přejít k původnímu zdroji... Přejít na PubMed...
    5. Svärdsudd K, Tibblin G. Is quality of life affecting survival? The study of men born in 1913. Scand J Prim Health Care Suppl. 1990;1:55-60.
    6. Miilunpalo S, Vuori I, Oja P, Pasanen M, Urponen H. Self-rated 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 workingage population. J Clin Epidemiol. 1997 May;50(5):517-28. Přejít k původnímu zdroji...
    7. Idler EL, Angel RJ. Self-rated health and mortality in the NHANES-I epidemiologic follow-up study. Am J Public Health. 1990 Apr;80(4):446-52. Přejít k původnímu zdroji...
    8. 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. Přejít k původnímu zdroji...
    9. FerraroKF,FarmerMM.Utilityofhealthdatafromsocialsurveys:istherea gold standard for measuring morbidity? Am Sociol Rev. 1999;64:303-15. Přejít k původnímu zdroji...
    10. Pohjonen T, Ranta R. Effects of worksite physical exercise intervention on physical fitness, perceived health status, and work ability among home care workers: five-year follow-up. Prev Med. 2001 Jun;32(6):465-75. Přejít k původnímu zdroji... Přejít na PubMed...
    11. Piko B. Health-related predictors of self-perceived health in a student population: the importance of physical activity. J Community Health. 2000 Apr;25(2):125-37. Přejít k původnímu zdroji...
    12. Thorlindsson T, Vilhjalmsson R, Valgeirsson G. Sport participation and perceived health status: a study of adolescents. Soc Sci Med. 1990;31(5):551-6. Přejít k původnímu zdroji...
    13. Carlson P. Risk behaviours and self rated health in Russia 1998. J Epidemiol Community Health. 2001 Nov;55(11):806-17. Přejít k původnímu zdroji...
    14. Ministry of Health of the Republic of Poland [homepage on the Internet]. Polish National health program for 2007-2015 [cited 2008 Oct 23]. Available from: http://www.mz.gov.pl/wwwmz/index?mr=&ms=&ml=pl&mi=437&mx=0&ma=243. (In Polish.)
    15. Demographic Yearbook of Poland 2007. Warsaw: Central Statistical Office; 2007.
    16. Rywik S, Kupsc W, Piotrowski W, Broda G, Piwonski J, Kurjata P, et al. Polish National Health Survey - Project WOBASZ. Methodological assumptions and logistics. Pol Popul Rev. 2005;27:37-50. (In Polish.)
    17. KunstAE, Bos V, Lahelma E, Bartley M, Lissau I, Regidor E, et al. Trends in socioeconomic inequalities in self-assessed health in 10 European countries. Int J Epidemiol. 2005 Apr;34(2):295-305. Přejít k původnímu zdroji... Přejít na PubMed...
    18. Wróblewska W. The male-female differences in health: the role of the health-related behaviours. In: Szamotulska K, editor. Polish population review. Warsaw: GUS; 2005. p. 27.
    19. Vingilis ER, Wade TJ, Seeley JS. Predictors of adolescent self-rated health. Analysis of the National Population Health Survey. Can J Public Health. 2002 May-Jun;93(3):193-7. Přejít k původnímu zdroji...
    20. Šplíchalová A, Tomášková H, Šlachtová H. Risks of different self-approach to health in an industrial city population. Cent Eur J Public Health. 2003 Sep;11(3):142-8.
    21. Erginoz E,Alikasifoglu M, Ercan O, Uysal O, Ercan G,Albayrak Kaymak D, et al. Perceived health status in a Turkish adolescent sample: risk and protective factors. Eur J Pediatr. 2004 Aug;163(8):485-94. Přejít k původnímu zdroji... Přejít na PubMed...
    22. Kozakiewicz K, Tendera M, Piwoński J, Głuszek J, Wiercińska E, Bielecki W, et al. Socioeconomic factors and their differentiation in the Polish population. In: Szamotulska K, editor. Polish population review. Warsaw: GUS; 2005.
    23. Statistical Yearbook of the Republic of Poland 2007: Łódź District. Warsaw: Central Statistical Office; 2007.
    24. Kaleta D, Makowiec-Dąbrowska T, JegierA. Leisure-time physical activity, cardiorespiratory fitness and work ability: a study in randomly selected residents of Łódź. Int J Occup Med Environ Health. 2004;17(4):45764.
    25. Nowak M. Factors determining physical fitness self-evaluation and health self-evaluation in physically active women. New Med. 2006;9(1):19
    26. Kwaśniewska M, Bielecki W, Drygas W. Sociodemographic and clinical determinants of quality of life in urban population of Poland. Cent Eur J Public Health. 2004 Jun;12(2):63-8.

    Zpět na obsah