Abstract
Introduction: Self-rated health has been considered a subjective measure of general health status. We aim was identified factors associated with self-rated health in the Costa Ricans adult population. Methods: a population cross-sectional study with a total of 992 men and 1570 women representing a new retirement cohort participating in the project Costa Rica: Longevity and Healthy Aging Study and referred to as CRELES-RC. Self-rated health was measured through a single question on the assessment of health status that considers five options: excellent, very good, good, fair and poor. Odds ratios (OR) were calculated to quantify the contribution of chronic diseases and other factors to poor self-rated health. Results: The logistic regression models determined that self-rated health is associated with the area of residence, educational level, perception of the economic situation, physical activity, emotional support and the presence of chronic disease. People with a chronic disease, except cancer, indicate poorer self-rated health. The strongest relationship was with arthritis, lung disease, and diabetes. Conclusions: the study allowed to identify that the area of residence, education, physical activity, emotional support and chronic illness could affect people’s health.
References
Alazraqui, M., Diez-Roux, A. V., Fleischer, N. y Spinelli, H. (2009). Self-rated health and social inequalities, Buenos Aires, Argentina, 2005. Cadernos de Saúde Pública, 25, 1990-2000. DOI: https://doi.org/10.1590/S0102-311X2009000900013
Ambresin, G., Chondros, P., Dowrick, C., Herrman, H. y Gunn, J. M. (2014). Self-rated health and long-term prognosis of depression. The Annals of Family Medicine, 12(1), 57-65. DOI: https://doi.org/10.1370/afm.1562
Brenes-Camacho, G. (2011). Favourable changes in economic well-being and self-rated health among the elderly. Social Science & Medicine, 72, 1228-1235. DOI: https://doi.org/10.1016/j.socscimed.2011.02.027
Bryła, M., Burzyńska, M. y Maniecka-Bryła, I. (2013). Self-rated quality of life of city-dwelling elderly people benefitting from social help: results of a cross-sectional study. Health and quality of life outcomes, 11, 181. DOI: https://doi.org/10.1186/1477-7525-11-181
Caicedo, B. y Restrepo, M. (2020). The role of individual, household, and area of residence factors on self-rated health in Colombian adults: A multilevel study. Biomédica, 40, 296-308. Doi: https://doi.org/10.7705/biomedica.4818
Chandola, T. y Jenkinson, C. (2000). Validating self-rated health in different ethnic groups. Ethnicity & Health, 5(2), 151–159. DOI: https://doi.org/10.1080/713667451
Colberg, S. R., Sigal, R. J., Yardley, J. E., Riddell, M. C., Dunstan, D. W., Dempsey, P. C., ... y Tate, D. F. (2016). Physical activity/exercise and diabetes: a position statement of the American Diabetes Association. Diabetes care, 39(11), 2065-2079. DOI: https://doi.org/10.2337/dc16-1728
Cott, C.A., Gignac, M.A. y Badley, E.M. (1999). Determinants of self rated health for Canadians with chronic disease and disability. Journal of Epidemiology & Community Health, 53, 731-736. DOI: http://dx.doi.org/10.1136/jech.53.11.731
Cramm, J.M. y Nieboer, A.P. (2011). The influence of social capital and socio-economic conditions on self-rated health among residents of an economically and health-deprived south African township. International Journal for Equity in Health, 10(51). DOI: https://doi.org/10.1186/1475-9276-10-51
Dai, Y., Zhang, C. Y., Zhang, B. Q., Li, Z., Jiang, C. y Huang, H. L. (2016). Social support and the self-rated health of older people: A comparative study in Tainan Taiwan and Fuzhou Fujian province. Medicine, 95(24), e3881. DOI: https://doi.org/10.1097/MD.0000000000003881
Dow, W.H., Brenes, G. y Rosero, L. (2013). CRELES: Costa Rican Longevity and Healthy Aging Study, Retirement Cohort. Methods, Wave 1. Berkeley, CA: Department of Demography, University of California, Berkeley [Electronic Document]. Recuperado de http://www.creles.berkeley.edu
Franks, P., Gold, M. y Fiscella, K. (2003). Sociodemographics, self-rated health, and mortality in the US. Social Science & Medicine 56, 2505–2514. DOI: https://doi.org/10.1016/s0277-9536(02)00281-2
Jylhä, M., Guralnik, J., Balfour, J. y Fried, L. (2001). Walking difficulty, walking speed and age as predictors of self-rated health: The women’s health and aging study. Journal of Gerontology: Medical Sciences, 56(10), 609-617. Doi: https://doi.org/10.1093/gerona/56.10.m609
Kashiwagi, S. (2017). Relation between smoking habits and self-rated health of older persons in the Philippines: evidence-based tobacco policy advocacy. Open Journal of Political Science, 7, 488-500. DOI: https://doi.org/10.4236/ojps.2017.74038
Khatib, M., Mansbach-Kleinfeld, I., Abu-Kaf, S., Ifrah, A. y Sheikh-Muhammad, A. (2021). Correlates of psychological distress and self-rated health among Palestinian citizens of Israel: findings from the health and environment survey (HESPI). Israel Journal of Health Policy Research, 10(1), 1-14. DOI: https://doi.org/10.1186/s13584-021-00439-z
Koller, K. R., Wilson, A. S., Asay, E. D., Metzger, J. S. y Neal, D. E. (2014). Agreement Between Self-Report and Medical Record Prevalence of 16 Chronic Conditions in the Alaska EARTH Study. Journal of Primary Care & Community Health, 5(3), 160–165. DOI: https://doi.org/10.1177/2150131913517902
Lamidi, E. (2020). Trends in self-rated health by union status and education, 2000–2018. SSM - Population Health 11, 100616. DOI: https://doi.org/10.1016/j.ssmph.2020.100616
Latham, K. y Peek, C.W. (2013). Self-rated health and morbidity onset among late midlife US adults. Journal of Gerontology Series B: Psychological Sciences and Social Sciences, 68(1), 107–116. DOI: https://doi.org/ 10.1093/geronb/gbs104.
Liang, J., Quiñones, A. R., Bennett, J. M., Ye, W., Xu, X. y Shaw, B. A. (2010). Evolving Self-Rated Health in Middle and Old Age: How Does it Differ Across Black, Hispanic, and White Americans?. Journal of aging and health, 22(1), 3-26. DOI: https://doi.org/10.1177%2F0898264309348877
Lin, X., Zhang, X., Guo, J., Roberts, C. K., McKenzie, S., Wu, W. C., ... y Song, Y. (2015). Effects of exercise training on cardiorespiratory fitness and biomarkers of cardiometabolic health: a systematic review and meta‐analysis of randomized controlled trials. Journal of the American heart association, 4(7), e002014. DOI: https://doi.org/10.1161/ JAHA.115.002014
Maharlouei, M., Akbari, M., Khabbaz, M., Yazdanpanah, D. y Lankarani, K.B. (2016). Factors associated with self-rated health status in Southwestern Iran: a population-based study. Public Health, 140, 179-185. DOI: https://doi.org/10.1016/j.puhe.2016.06.027
Manor, O., Matthews, S. y Power, C. (2000). Dichotomous or categorical response? Analysing self-rated health and lifetime social class. International journal of epidemiology, 29(1), 149-157. DOI: https://doi.org/10.1093/ije/29.1.149
Marquez-Velarde, G., Jones, N. E. y Keith, V. M. (2020). Racial stratification in self-rated health among Black Mexicans and White Mexicans. SSM-Population Health, 10, 100509. DOI: https://doi.org/10.1016/j.ssmph.2019.100509
Mendoza-Romero, D., Urbina, A., Cristancho-Montenegro, A. y Rombaldi, A. (2019). Impact of smoking and physical inactivity on self-rated health in women in Colombia. Preventive medicine reports, 16, 100976. DOI: https://doi.org/10.1016/j.pmedr.2019.100976
Metsios, G. S., Stavropoulos-Kalinoglou, A. y Kitas, G. D. (2015). The role of exercise in the management of rheumatoid arthritis. Expert review of clinical immunology, 11(10), 1121-1130. DOI: https://doi.org/10.1586/1744666X.2015.1067606
Putcha, N., Puhan, M. A., Hansel, N. N., Drummond, M. B. y Boyd, C. M. (2013). Impact of co-morbidities on self-rated health in self-reported COPD: an analysis of NHANES 2001-2008. Journal of Chronic Obstructive Pulmonary Disease, 10(3), 324–332. Doi: https://doi.org/10.3109/15412555.2012.744963
Reyes-Fernández, B., Rosero-Bixby, L. y Koivumaa-Honkanen, H. (2016). Effects of Self-Rated Health and Self-Rated Economic Situation on Depressed Mood Via Life Satisfaction Among Older Adults in Costa Rica. Journal of aging and health, 28(2), 225–243. DOI: https://doi.org/10.1177/0898264315589577
Saeedi, P., Salpea, P., Karuranga, S., Petersohn, I., Malanda, B., Gregg, E., …, Williams, R. (2020). Mortality attributable to diabetes in 20–79 years old adults, 2019 estimates: Results from the International Diabetes Federation Diabetes Atlas, 9th edition. Diabetes Research and Clinical Practice, 162. DOI: https://doi.org/10.1016/j.diabres.2020.108086.
Sigal, R. J., Armstrong, M. J., Bacon, S. L., Boulé, N. G., Dasgupta, K., Kenny, G. P. y Riddell, M. C. (2018). Physical activity and diabetes. Canadian journal of diabetes, 42, S54-S63. DOI: https://doi.org/10.1016/j.jcjd.2017.10.008
Sluik, D., Buijsse, B., Muckelbauer, R., Kaaks, R., Teucher, B., Tj, A., ... y Boeing, H. (2012). Physical activity and mortality in individuals with diabetes mellitus: a prospective study and meta-analysis. Archives of internal medicine, 172(17), 1285-1295. DOI: https://doi.org/10.1001/archinternmed.2012.3130
Stephan, Y., Sutin, A. R., Luchetti, M., Hognon, L., Canada, B. y Terracciano, A. (2020). Personality and self-rated health across eight cohort studies. Social Science & Medicine, 263, 113245. DOI: https://doi.org/10.1016/j.socscimed.2020.113245
Todorova, I. L., Tucker, K. L., Jimenez, M. P., Lincoln, A. K., Arevalo, S. y Falcón, L. M. (2013). Determinants of self-rated health and the role of acculturation: implications for health inequalities. Ethnicity & health, 18(6), 563–585. DOI: https://doi.org/10.1080/13557858.2013.771147
van den Hoek, J., Boshuizen, H.C., Roorda, L.D., Tijhuis, G.J., Nurmohamed, M.T., van den Bos, G.A.M. y Dekker, J. (2017). Mortality in patients with rheumatoid arthritis: a 15-year prospective cohort study. Rheumatology International, 37, 487–493. DOI: https://doi.org/10.1007/s00296-016-3638-5
Veenstra, G. (2011). Race, gender, class, and sexual orientation: intersecting axes of inequality and self-rated health in Canada. International journal for equity in health, 10(1), 1-11. DOI: https://doi.org/10.1186/1475-9276-10-3
Vélez, A. (2007). Nuevas dimensiones del concepto de salud: el derecho a la salud en el estado social de derecho. Revista hacia la promoción de la salud, 12, 63-78. Recuperado de: https://www.redalyc.org/articulo.oa?id=3091/309126689006
Wang, L., Dong, W., Ou, Y., Chen, S., Chen, J. y Jiang, Q. (2018). Regional differences and determinants of self-rated health in a lower middle income rural Society of China. International journal for equity in health, 17(1), 162. DOI: https://doi.org/10.1186/s12939-018-0875-0
Wu, S., Wang, R., Zhao, Y., Ma, X., Wu, M., Yan, X. y He, J. (2013). The relationship between self-rated health and objective health status: a population-based study. BMC Public Health 13, 320. DOI: https://doi.org/10.1186/1471-2458-13-320
Xu, J., Zhang, J., Feng, L. y Qiu, J. (2010). Self-rated health of population in southern China: association with socio-demographic characteristics measured with multiple-item self-rated health measurement scale. BMC Public Health 10, 393. DOI: https://doi.org/10.1186/1471-2458-10-393