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Self-rated health and its determinants among adults in Syria: a model from the Middle East
BACKGROUND: Self-rated health (SRH) has been widely used to research health inequalities in developed western societies, but few such studies are available in developing countries. Similar to many Arab societies, little research has been conducted in Syria on the health status of its citizens, parti...
Autores principales: | , , , , , |
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Formato: | Texto |
Lenguaje: | English |
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BioMed Central
2007
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1976325/ https://www.ncbi.nlm.nih.gov/pubmed/17651491 http://dx.doi.org/10.1186/1471-2458-7-177 |
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author | Asfar, Taghrid Ahmad, Balsam Rastam, Samer Mulloli, Tanja P Ward, Kenneth D Maziak, Wasim |
author_facet | Asfar, Taghrid Ahmad, Balsam Rastam, Samer Mulloli, Tanja P Ward, Kenneth D Maziak, Wasim |
author_sort | Asfar, Taghrid |
collection | PubMed |
description | BACKGROUND: Self-rated health (SRH) has been widely used to research health inequalities in developed western societies, but few such studies are available in developing countries. Similar to many Arab societies, little research has been conducted in Syria on the health status of its citizens, particularly in regards to SRH. This Study aims to investigate and compare determinants of SRH in adult men and women in Aleppo, Syria. METHODS: A cross-sectional survey of adults 18 to 65 years old residing in Aleppo (2,500,000 inhabitants), Syria was carried out in 2004, involving 2038 household representatives (45.2% men, age range 18–65 years, response rate 86%). SRH was categorized as excellent, normal, and poor. Odds ratios for poor and normal SRH, compared to excellent, were calculated separately for men and women using logistic regression. RESULTS: Women were more likely than men to describe their health as poor. Men and women were more likely to report poor SRH if they were older, reported two or more chronic health problems, or had high self perceived functional disability. Important gender-specific determinants of poor SRH included being married, low socioeconomic status, and not having social support for women, and smoking, low physical activity for men. CONCLUSION: Women were more likely than men to describe their health as poor. The link with age and pre-existing chronic conditions seems universal and likely reflects natural aging process. Determinants of SRH differed between men and women, possibly highlighting underlying cultural norms and gender roles in the society. Understanding the local context of SRH and its determinants within the prevailing culture will be important to tailor intervention programs aimed at improving health of the Syrian and similar Arab societies. |
format | Text |
id | pubmed-1976325 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2007 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-19763252007-09-13 Self-rated health and its determinants among adults in Syria: a model from the Middle East Asfar, Taghrid Ahmad, Balsam Rastam, Samer Mulloli, Tanja P Ward, Kenneth D Maziak, Wasim BMC Public Health Research Article BACKGROUND: Self-rated health (SRH) has been widely used to research health inequalities in developed western societies, but few such studies are available in developing countries. Similar to many Arab societies, little research has been conducted in Syria on the health status of its citizens, particularly in regards to SRH. This Study aims to investigate and compare determinants of SRH in adult men and women in Aleppo, Syria. METHODS: A cross-sectional survey of adults 18 to 65 years old residing in Aleppo (2,500,000 inhabitants), Syria was carried out in 2004, involving 2038 household representatives (45.2% men, age range 18–65 years, response rate 86%). SRH was categorized as excellent, normal, and poor. Odds ratios for poor and normal SRH, compared to excellent, were calculated separately for men and women using logistic regression. RESULTS: Women were more likely than men to describe their health as poor. Men and women were more likely to report poor SRH if they were older, reported two or more chronic health problems, or had high self perceived functional disability. Important gender-specific determinants of poor SRH included being married, low socioeconomic status, and not having social support for women, and smoking, low physical activity for men. CONCLUSION: Women were more likely than men to describe their health as poor. The link with age and pre-existing chronic conditions seems universal and likely reflects natural aging process. Determinants of SRH differed between men and women, possibly highlighting underlying cultural norms and gender roles in the society. Understanding the local context of SRH and its determinants within the prevailing culture will be important to tailor intervention programs aimed at improving health of the Syrian and similar Arab societies. BioMed Central 2007-07-25 /pmc/articles/PMC1976325/ /pubmed/17651491 http://dx.doi.org/10.1186/1471-2458-7-177 Text en Copyright © 2007 Asfar et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Asfar, Taghrid Ahmad, Balsam Rastam, Samer Mulloli, Tanja P Ward, Kenneth D Maziak, Wasim Self-rated health and its determinants among adults in Syria: a model from the Middle East |
title | Self-rated health and its determinants among adults in Syria: a model from the Middle East |
title_full | Self-rated health and its determinants among adults in Syria: a model from the Middle East |
title_fullStr | Self-rated health and its determinants among adults in Syria: a model from the Middle East |
title_full_unstemmed | Self-rated health and its determinants among adults in Syria: a model from the Middle East |
title_short | Self-rated health and its determinants among adults in Syria: a model from the Middle East |
title_sort | self-rated health and its determinants among adults in syria: a model from the middle east |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1976325/ https://www.ncbi.nlm.nih.gov/pubmed/17651491 http://dx.doi.org/10.1186/1471-2458-7-177 |
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