Self-rated health status and associated factors in Ilam, west of Iran: results of a population-based cross-sectional study
BackgroundSelf-rated health (SRH) is a single-item subjective indicator that asks individuals to assess their overall health and acts as a good indicator to reveal general health status. This study aimed to determine the SRH status and determining factors.MethodsThis was a population-based cross sec...
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Frontiers Media S.A.
2025-01-01
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2024.1435687/full |
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| author | Mohammad Bazyar Hojatollah Kakaei Hamed Azadi Mohsen Jalilian Mohammad Ali Mansournia Kamran Malekan Reza Pakzad Reza Pakzad Reza Pakzad Reza Pakzad |
| author_facet | Mohammad Bazyar Hojatollah Kakaei Hamed Azadi Mohsen Jalilian Mohammad Ali Mansournia Kamran Malekan Reza Pakzad Reza Pakzad Reza Pakzad Reza Pakzad |
| author_sort | Mohammad Bazyar |
| collection | DOAJ |
| description | BackgroundSelf-rated health (SRH) is a single-item subjective indicator that asks individuals to assess their overall health and acts as a good indicator to reveal general health status. This study aimed to determine the SRH status and determining factors.MethodsThis was a population-based cross sectional study conducted in Ilam city (West of Iran) in 2023. A total of 1,370 people were invited to participate in the study using multi-stage stratified cluster random sampling method. Demographic and SRH status data were collected by face-to-face interview. SRH was indicated by a single question in five scales of very good, good, fair, poor and very poor. Multiple ordinal logistic regression was used for data analysis.ResultsThe 59.38% (95% CI: 56.76 to 62) participants reported a good SRH status. By ordinal multiple logistic regression, odds ratio (OR) and 95% confidence interval (CI) was calculated and based on that, female gender [OR: 1.68 (1.29 to 2.20)], not having insurance coverage [OR: 1.35; (1.01 to 1.80)], history of job loss [OR: 1.72; (1.28 to 2.31)], hopelessness for the future [OR: 5.07; (3.96 to 6.49)], and having underlying diseases [OR: 2.95; (2.25 to 3.88)], were positively associated with poor SRH status. The Kurd race [OR: 0.45; (0.25 to 0.78)], higher economic status [OR: 0.72; (0.54 to 0.96)] and use of health care service [OR: 0.68; (0.53 to 0.88)] were negatively associated with poor SRH status. The most effective variables for poor SRH status were hopelessness about the future and suffering from underlying diseases.ConclusionIt is important to devise corrective measures and effective public health policies to address causes and factors associated with poor SRH. It is also necessary for local health officials to allocate financial resources and introduce other kinds of supportive initiatives to provide targeted support for those who are struggling with poverty and suffering chronic diseases. |
| format | Article |
| id | doaj-art-cf263e4c94fb4da98f9dd57e81db1ab4 |
| institution | Kabale University |
| issn | 2296-2565 |
| language | English |
| publishDate | 2025-01-01 |
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| series | Frontiers in Public Health |
| spelling | doaj-art-cf263e4c94fb4da98f9dd57e81db1ab42025-01-07T06:41:03ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-01-011210.3389/fpubh.2024.14356871435687Self-rated health status and associated factors in Ilam, west of Iran: results of a population-based cross-sectional studyMohammad Bazyar0Hojatollah Kakaei1Hamed Azadi2Mohsen Jalilian3Mohammad Ali Mansournia4Kamran Malekan5Reza Pakzad6Reza Pakzad7Reza Pakzad8Reza Pakzad9Department of Health Management and Economics, Faculty of Health, Ilam University of Medical Sciences, Ilam, IranDepartment of Occupational Health, Faculty of Health, Ilam University of Medical Sciences, Ilam, IranDepartment of Anesthesiology, School of Allied Medical Sciences, Ilam University of Medical Sciences, Ilam, IranDepartment of Public Health, Faculty of Health, Ilam University of Medical Sciences, Ilam, IranDepartment of Epidemiology, School of Public Health, Tehran University of Medical Sciences, Tehran, IranSchool of Medicine, Kurdistan University of Medical Sciences, Sanandaj, IranHealth and Environment Research Center, Ilam University of Medical Sciences, Ilam, IranPsychosocial Injuries Research Center, Ilam University of Medical Sciences, Ilam, IranDepartment of Epidemiology, Faculty of Health, Ilam University of Medical Sciences, Ilam, Iran0Student Research Committee, Ilam University Medical Sciences, Ilam, IranBackgroundSelf-rated health (SRH) is a single-item subjective indicator that asks individuals to assess their overall health and acts as a good indicator to reveal general health status. This study aimed to determine the SRH status and determining factors.MethodsThis was a population-based cross sectional study conducted in Ilam city (West of Iran) in 2023. A total of 1,370 people were invited to participate in the study using multi-stage stratified cluster random sampling method. Demographic and SRH status data were collected by face-to-face interview. SRH was indicated by a single question in five scales of very good, good, fair, poor and very poor. Multiple ordinal logistic regression was used for data analysis.ResultsThe 59.38% (95% CI: 56.76 to 62) participants reported a good SRH status. By ordinal multiple logistic regression, odds ratio (OR) and 95% confidence interval (CI) was calculated and based on that, female gender [OR: 1.68 (1.29 to 2.20)], not having insurance coverage [OR: 1.35; (1.01 to 1.80)], history of job loss [OR: 1.72; (1.28 to 2.31)], hopelessness for the future [OR: 5.07; (3.96 to 6.49)], and having underlying diseases [OR: 2.95; (2.25 to 3.88)], were positively associated with poor SRH status. The Kurd race [OR: 0.45; (0.25 to 0.78)], higher economic status [OR: 0.72; (0.54 to 0.96)] and use of health care service [OR: 0.68; (0.53 to 0.88)] were negatively associated with poor SRH status. The most effective variables for poor SRH status were hopelessness about the future and suffering from underlying diseases.ConclusionIt is important to devise corrective measures and effective public health policies to address causes and factors associated with poor SRH. It is also necessary for local health officials to allocate financial resources and introduce other kinds of supportive initiatives to provide targeted support for those who are struggling with poverty and suffering chronic diseases.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1435687/fullself-rated healthcross sectional studyprevalencelogistic modelsrisk factors |
| spellingShingle | Mohammad Bazyar Hojatollah Kakaei Hamed Azadi Mohsen Jalilian Mohammad Ali Mansournia Kamran Malekan Reza Pakzad Reza Pakzad Reza Pakzad Reza Pakzad Self-rated health status and associated factors in Ilam, west of Iran: results of a population-based cross-sectional study Frontiers in Public Health self-rated health cross sectional study prevalence logistic models risk factors |
| title | Self-rated health status and associated factors in Ilam, west of Iran: results of a population-based cross-sectional study |
| title_full | Self-rated health status and associated factors in Ilam, west of Iran: results of a population-based cross-sectional study |
| title_fullStr | Self-rated health status and associated factors in Ilam, west of Iran: results of a population-based cross-sectional study |
| title_full_unstemmed | Self-rated health status and associated factors in Ilam, west of Iran: results of a population-based cross-sectional study |
| title_short | Self-rated health status and associated factors in Ilam, west of Iran: results of a population-based cross-sectional study |
| title_sort | self rated health status and associated factors in ilam west of iran results of a population based cross sectional study |
| topic | self-rated health cross sectional study prevalence logistic models risk factors |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2024.1435687/full |
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