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Area- and Individual-Level Correlates of Self-Rated Health: Implications for Geographic Health Disparities

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 Co...

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Autores principales: Moss, Jennifer L., Roy, Siddhartha, Clebak, Karl T., Radico, Julie, Sell, Jarrett, Scartozzi, Christina, Zhou, Shuai, Chi, Guangqing, Oser, Tamara
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8381451/
https://www.ncbi.nlm.nih.gov/pubmed/34412529
http://dx.doi.org/10.1177/21501327211039715
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author Moss, Jennifer L.
Roy, Siddhartha
Clebak, Karl T.
Radico, Julie
Sell, Jarrett
Scartozzi, Christina
Zhou, Shuai
Chi, Guangqing
Oser, Tamara
author_facet Moss, Jennifer L.
Roy, Siddhartha
Clebak, Karl T.
Radico, Julie
Sell, Jarrett
Scartozzi, Christina
Zhou, Shuai
Chi, Guangqing
Oser, Tamara
author_sort Moss, Jennifer L.
collection PubMed
description 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.
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spelling pubmed-83814512021-08-24 Area- and Individual-Level Correlates of Self-Rated Health: Implications for Geographic Health Disparities Moss, Jennifer L. Roy, Siddhartha Clebak, Karl T. Radico, Julie Sell, Jarrett Scartozzi, Christina Zhou, Shuai Chi, Guangqing Oser, Tamara J Prim Care Community Health Original Research 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. SAGE Publications 2021-08-19 /pmc/articles/PMC8381451/ /pubmed/34412529 http://dx.doi.org/10.1177/21501327211039715 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Research
Moss, Jennifer L.
Roy, Siddhartha
Clebak, Karl T.
Radico, Julie
Sell, Jarrett
Scartozzi, Christina
Zhou, Shuai
Chi, Guangqing
Oser, Tamara
Area- and Individual-Level Correlates of Self-Rated Health: Implications for Geographic Health Disparities
title Area- and Individual-Level Correlates of Self-Rated Health: Implications for Geographic Health Disparities
title_full Area- and Individual-Level Correlates of Self-Rated Health: Implications for Geographic Health Disparities
title_fullStr Area- and Individual-Level Correlates of Self-Rated Health: Implications for Geographic Health Disparities
title_full_unstemmed Area- and Individual-Level Correlates of Self-Rated Health: Implications for Geographic Health Disparities
title_short Area- and Individual-Level Correlates of Self-Rated Health: Implications for Geographic Health Disparities
title_sort area- and individual-level correlates of self-rated health: implications for geographic health disparities
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8381451/
https://www.ncbi.nlm.nih.gov/pubmed/34412529
http://dx.doi.org/10.1177/21501327211039715
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