Area- and Individual-Level Correlates of Self-Rated Health: Implications for Geographic Health Disparities.
J Prim Care Community Health
; 12: 21501327211039715, 2021.
Article
en En
| MEDLINE
| ID: mdl-34412529
ABSTRACT
BACKGROUND:
Self-rated health (SRH) is a common measure of overall health. However, little is known about multilevel correlates of physical and mental SRH.METHODS:
Patients attending primary care clinics completed a survey before their appointment, which we linked to community data from American Community Survey and other sources (n = 455). We conducted multilevel logistic regression to assess correlates of excellent/very good versus good/fair/poor physical and mental SRH.RESULTS:
43.9% of participants had excellent/very good physical SRH, and 55.2% had excellent/very good mental SRH. Physical SRH was associated with age (odds ratio[OR] = 0.82 per 10 years; 95% confidence interval[CI] = 0.72-0.93) and community correlates, including retail establishment density (OR = 0.94, 95% CI = 0.90-0.99) and percent of students eligible for free/reduced lunch (OR = 1.60, 95% CI = 1.08-2.38) (all P < .05). Mental SRH was not associated with any characteristics.CONCLUSIONS:
Practitioners in public health, social work, and medicine could use zip codes to intervene in patients and communities to improve physical SRH.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
1_ASSA2030
Problema de salud:
1_acesso_equitativo_servicos
/
1_desigualdade_iniquidade
Asunto principal:
Estudiantes
/
Estado de Salud
Aspecto:
Determinantes_sociais_saude
/
Equity_inequality
/
Patient_preference
Límite:
Child
/
Humans
Idioma:
En
Revista:
J Prim Care Community Health
Año:
2021
Tipo del documento:
Article
País de afiliación:
Estados Unidos