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1 – 10 of over 18000
Article
Publication date: 25 March 2022

Dona Ghosh

This paper explored the reliability of self-reported health and the impact of the social position in determining the inconsistent health response (IHR), in late life. Reliability…

Abstract

Purpose

This paper explored the reliability of self-reported health and the impact of the social position in determining the inconsistent health response (IHR), in late life. Reliability of self-reported health is important to evaluate, as it is the primary step for asking health-care facility. As self-reported health is a subjective measure, elderly people might have a tendency of under-reporting the health problem because of lower socioeconomic status. This incidence can cause inaccurate estimate of the health problem of the aged at the time of formulating health policy or providing health-care infrastructure. Therefore, the purpose of this study is to explore the sources of inconsistent responses of self-reported health by comparing it with the existence of chronicle ailment and to identify the vulnerable group that health care supports.

Design/methodology/approach

The study uses nationally representative unit-level data from the National Sample Survey of India. Using the bi-variate probit model, joint estimation of reported health and IHRs is determined. The study compares perceived and actual health status and explores how individual characteristics and socioeconomic position contributes to IHRs among the elderly population.

Findings

Major findings of this study are as follows: firstly, self-reported health has little reliability, as it is compared with the existence of chronicle ailment. Older people in the rural areas have greater tendency to under-estimate the health problem, whereas urban elders tend to over-estimate it; and secondly, the inconsistency in health response is significantly associated with social caste, economic status and attainment of education.

Social implications

The results of this study from bivariate probit model offer deeper understandings about the reliability of self-reported health and provide further insights to improve policy design formulated to mitigate the health inequality among the elders. This study might be helpful to design an inexpensive and easily available health measure, which is very important for a highly populated aging country with limited health-care resources.

Originality/value

To the best of author’s knowledge, it is the first study that has identified the sources of inconsistent health and direction of inconsistency that is where self-reported health over- or under-estimates the actual health response among the elderly in a developing country like India, where the growth rate of population aging is faster than the world.

Details

Working with Older People, vol. 26 no. 4
Type: Research Article
ISSN: 1366-3666

Keywords

Article
Publication date: 12 March 2019

Joanne Ross, Courtney Field, Sharlene Kaye and Julia Bowman

The purpose of this paper is to examine the prevalence and predictors of low self-reported physical health status among NSW prison inmates.

Abstract

Purpose

The purpose of this paper is to examine the prevalence and predictors of low self-reported physical health status among NSW prison inmates.

Design/methodology/approach

Cross-sectional random sample of 1,098 adult male and female prisoners, interviewed as part of the 2015 Justice Health and Forensic Mental Health Network Patient Health Survey.

Findings

Almost a quarter of participants had “low self-reported physical health status”. Independent predictors of “low health status” were having been in out of home care before the age of 16 years, being illiterate, smoking 20 or more cigarettes a day, not eating more than one serve of fruit a day, not being physically active in the 12 months before incarceration, higher body mass index score and low self-reported mental health status. Many of these predictors are modifiable risk factors for chronic disease, which could be targeted during incarceration.

Originality/value

This paper demonstrates the utility of a using a single item measure of self-reported physical health status among Australian prisoners, and helps to characterise those prisoners in greatest need of intervention for issues relating to their health.

Details

International Journal of Prisoner Health, vol. 15 no. 2
Type: Research Article
ISSN: 1744-9200

Keywords

Article
Publication date: 19 November 2020

MA. Xinxin

Social participation (SP) has been shown to have a favorable impact on health status, particularly among elders in developed countries. However, empirical study is scarce for…

Abstract

Purpose

Social participation (SP) has been shown to have a favorable impact on health status, particularly among elders in developed countries. However, empirical study is scarce for China. This study explores the relation between social participation (SP) and health status among middle-aged adults and elders in China when controlled socioeconomic characteristics of individuals.

Design/methodology/approach

This paper employs an empirical study based on the data from a three-wave national longitudinal survey: the Chinese Health and Retirement Longitudinal Study (CHARLS) from 2011, 2013 to 2015. It collects data from 28,895 individuals aged 45–84. It uses lagged variable method (LV) to address the reverse causality problem, and the random-effects model or fixed-effect model to address the heterogeneity problem.

Findings

The paper finds the social participation positively affect self-reported health statistically. The influence of social participation on self-reported health flows through two channels: the improved mental health effect (SP-MH-SRH channel) and the increased income effect (SP-income-SRH channel). In comparison with the SAP-income-SRH channel, the influence of the SP-MH-SRH channel l is greater.

Research limitations/implications

First, the absence of other measures of volunteering, such as hours of social participation that are not available in the employed dataset. Second, even though the LV model and FE model are used in the paper, there may remain the endogeneity problem in the results. Third, the influences of formal and informal social participation should be distinguished in the future research.

Social implications

Social participation may improve the self-reported health status. The influence of SP on health may be due to the improved mental health effect (SP-MH-SRH channel). In order to improve the mental and physical health status of middle-aged adults and elders the government should consider even more promotion of social participation.

Originality/value

First, this paper focuses on the correlation between social participation and well-being (self-reported health) of middle-aged adults and elderly in China, the previous studies on the issue for China are scarce. Second, this paper uses the lagged variable method (LV) to address the reverse causal relation problem, and the fixed-effects model or the random-effects model to address the heterogeneity problem. Third, the two channels (the improved mental health effect and the increased income effect) are firstly investigated in this study.

Details

International Journal of Social Economics, vol. 48 no. 1
Type: Research Article
ISSN: 0306-8293

Keywords

Article
Publication date: 21 November 2016

Rocco Palumbo, Carmela Annarumma, Paola Adinolfi and Marco Musella

The purpose of this paper is to discuss the changing patterns of users’ behavior in the health care service system. Although patient engagement and health services’ co-production…

Abstract

Purpose

The purpose of this paper is to discuss the changing patterns of users’ behavior in the health care service system. Although patient engagement and health services’ co-production are understood as essential ingredients in the recipe for sustainable health systems, some determinants to patient involvement are still widely neglected by both policy makers and health care professionals. Among others, inadequate health literacy performs as a significant barrier to patient empowerment.

Design/methodology/approach

A survey aimed at objectively measuring health literacy-related skills was administered to a random sample of 600 Italian patients. The Italian version of the Newest Vital Sign (NVS) was used to assess the ability of the respondents to deal with written health information. Moreover, the respondents were asked to self-report their ability to navigate the health system. It was presumed that inadequate health literacy as measured by the NVS is related with impaired self-reported functional, interactive, and critical health-related competencies, paving the way for the inability and the unwillingness of patients to be involved in the health care provision.

Findings

About half of the sample showed inadequate health literacy. However, poor NVS scores were only slightly associated with limited self-reported functional, interactive, and critical health-related competencies. In general, patients with inadequate health-related skills were not likely to be engaged in the provision of health services. Elderly, people suffering from financial deprivation and less educated individuals were found to be at special risk of living with limited health literacy.

Practical implications

Limited health literacy is a common and relevant issue among people dealing with the health care service system. The impaired ability to collect, process, and use health information produces barriers to patient engagement and prevents the evolution of patients’ behavior toward health care co-production.

Originality/value

Health literacy is a widely overlooked issue in the Italian national health system. This paper contributes in shedding light on the determinants and effects of health literacy of Italian hospital patients. Besides, some insights on the validity of the methodological tools typically used to assess health-related skills are provided.

Details

Journal of Health Organization and Management, vol. 30 no. 8
Type: Research Article
ISSN: 1477-7266

Keywords

Book part
Publication date: 6 August 2018

Gül Seçkin, Susan Hughes, Cassie Hudson, David Laljer and Dale Yeatts

Purpose: The aim of the study is to consider the use of the Internet as a potential facilitator of positive health-related perceptions. Specifically, we propose that online health

Abstract

Purpose: The aim of the study is to consider the use of the Internet as a potential facilitator of positive health-related perceptions. Specifically, we propose that online health information seeking fosters positive perceptions of health. Using path modeling, we theorized several mechanisms through which information seeking could be conducive to positive health perceptions, which we conceptualized into the following four dimensions: (1) sense of empowerment in managing health, (2) self-reported ability to take better care of health, (3) sense of improved health-related quality of life, and (4) self-reported improvement of health.

Methodology: Our sample consisted of respondents who have used the Internet as a resource for health information (n = 710), drawn from the largest national probability-based online research panel. Our comparison subsample consisted of older respondents (age ≥ 60; n = 194). We used Internet-specific measures and employed structural equation models (SEM) to estimate the direct, indirect, and total effects of health-related use of the Internet on subjective health perceptions. Based on our review of the literature, competent health communication with healthcare providers and sense of empowerment in managing personal health were modeled as mediator variables. We assessed whether the proposed mediational relationships, if significant, differed across our indicators of positive health perceptions and whether any differential associations were observed among older adults. We run parallel models for each indicator of positive health perception.

Findings: Provider-patient communication informed by the Internet resources were perceived to impart a greater sense of empowerment to manage health among our respondents, which in turn, was associated with perceived contributions to better self-reported ability to provide self-care, increased health-related quality of life, and improvement in self-reported health. The SEM results revealed a good fit with our full sample and subsample.

Research Implications: Conceptualization of the multidimensional aspects of online health information seeking with separate multi-indicator analyses of the outcome variable is important to further our understanding of how technology may impact the pathways involved in influencing health perceptions and as a result health outcomes.

Details

eHealth: Current Evidence, Promises, Perils and Future Directions
Type: Book
ISBN: 978-1-78754-322-5

Keywords

Book part
Publication date: 10 April 2019

Marco Angrisani, Brian Finley and Arie Kapteyn

We examine sample characteristics and elicited survey measures of two studies, the Health and Retirement Study (HRS), where interviews are done either in person or by phone, and…

Abstract

We examine sample characteristics and elicited survey measures of two studies, the Health and Retirement Study (HRS), where interviews are done either in person or by phone, and the Understanding America Study (UAS), where surveys are completed online and a replica of the HRS core questionnaire is administered. By considering variables in various domains, our investigation provides a comprehensive assessment of how Internet data collection compares to more traditional interview modes. We document clear demographic differences between the UAS and HRS samples in terms of age and education. Yet, sample weights correct for these discrepancies and allow one to satisfactorily match population benchmarks as far as key socio- demographic variables are concerned. Comparison of a variety of survey outcomes with population targets shows a strikingly good fit for both the HRS and the UAS. Outcome distributions in the HRS are only marginally closer to population targets than outcome distributions in the UAS. These patterns arise regardless of which variables are used to construct post-stratification weights in the UAS, confirming the robustness of these results. We find little evidence of mode effects when comparing the subjective measures of self-reported health and life satisfaction across interview modes. Specifically, we do not observe very clear primacy or recency effects for either health or life satisfaction. We do observe a significant social desirability effect, driven by the presence of an interviewer, as far as life satisfaction is concerned. By and large, our results suggest that Internet surveys can match high-quality traditional surveys.

Details

The Econometrics of Complex Survey Data
Type: Book
ISBN: 978-1-78756-726-9

Keywords

Article
Publication date: 1 January 2004

Suzanne C. Tough, Alexandra J. Faber, Christine V. Newburn‐Cook, Deborah E. White, Nonie J. Fraser‐Lee and Corine Frick

Aims to describe pregnant women with poor emotional health and the relationship between self‐reported emotional health and prenatal care satisfaction. To this end, 1,265 women who…

1124

Abstract

Aims to describe pregnant women with poor emotional health and the relationship between self‐reported emotional health and prenatal care satisfaction. To this end, 1,265 women who delivered a live‐born singleton infant were interviewed and information abstracted from prenatal records. Concludes that patient assessment of satisfaction with prenatal care may be related to both self‐reported emotional health and delivery of medical care. Identifying and addressing emotional health of prenatal patients may improve compliance with medical recommendations, ultimately improving health outcomes.

Details

International Journal of Health Care Quality Assurance, vol. 17 no. 1
Type: Research Article
ISSN: 0952-6862

Keywords

Book part
Publication date: 8 December 2023

Sharon Sassler, Fenaba Rena Addo, Brienna Perelli-Harris, Trude Lappegård and Stefanie Hoherz

The protective aspects of relationships for health have been extensively studied. Here, we assess whether different dimensions of partnership status at the time of a child’s birth…

Abstract

The protective aspects of relationships for health have been extensively studied. Here, we assess whether different dimensions of partnership status at the time of a child’s birth are associated with better self-assessed health later in mid-life. Data are from three countries with different social welfare policies relating to union status and parenting: the US, the UK, and Norway. Results indicate that women who were partnered at first birth had better health at midlife in all three countries than women who were unpartnered. The analysis indicates no differences in the mid-life health of Norwegian women who were married or cohabiting at birth, whereas for US and UK women, being married at the birth of a first child is more beneficial for mid-life health than bearing the child in a cohabiting union. In the US, women who are least likely to marry do not demonstrate better mid-life health if they had wed relative to cohabiting. In the UK, in contrast, the women least likely to be married at the birth experience better returns if they marry. These findings highlight the importance of paying closer attention to heterogeneous treatment effects as they relate to childbearing, relationship status, and mid-life health.

Details

Cohabitation and the Evolving Nature of Intimate and Family Relationships
Type: Book
ISBN: 978-1-80455-418-0

Keywords

Article
Publication date: 10 October 2016

Damiano Fiorillo

The purpose of this paper is to investigate whether social relations are associated with the health of workers. It uses two types of health status measures – self-reported and…

Abstract

Purpose

The purpose of this paper is to investigate whether social relations are associated with the health of workers. It uses two types of health status measures – self-reported and more objective health – and it considers two types of social relationships: individual social relations, measured through the frequency of meetings with friends; and contextual social relations, the average frequency with which people meet friends at the community level.

Design/methodology/approach

A probit model is estimated from the worker sample accounting for the possibility of selecting individuals in the labour market (selection equation). Then expanded probit models (including inverse Mills ratio) are used on both self-reported and more objective health measures using new data from an income and living conditions survey carried out in 2006 by the Italian Statistics Office. Robustness checks are employed to deal with possible problems when interpreting the results.

Findings

The study finds that social relations are correlated with health status of workers with differences among health outcomes. Social relations at the individual level are positively correlated with self-perceived health (SPH), negatively associated with chronic condition (CC) but not related to limitations in daily activities. Contextual social relations are negatively linked with CC and limitations in daily activities but not correlated with SPH.

Research limitations/implications

Although the results are consistent with the argument that individual and contextual social relations influence workers’ health, the author cannot prove causality.

Social implications

Improving the health of workers could reduce health inequalities and could increase work performance. The implication at a macro-economic level of an improvement in the health conditions of workers is relevant in Italy, where the level of labour productivity is low compared to the other developed countries (OECD, 2013). Policy makers should consider the benefits, both at social and economic level, of public policies designed to improve the social and physical infrastructure of social relations.

Originality/value

This paper is the first to relate individual and contextual social relations simultaneously to workers’ health. Moreover, it makes several other contributions to this area: it control for unobserved worker heterogeneity; it uses both subjective self-reported health as well as a more objective measure of health based on CC and limitations in activities of daily living; it adopts a multilevel approach to examine in the same framework the individual and contextual relationship of social relations with individual health status of workers, in so doing, filling a gap in the literature on social capital and public health.

Details

Journal of Economic Studies, vol. 43 no. 5
Type: Research Article
ISSN: 0144-3585

Keywords

Article
Publication date: 10 January 2018

Pratik Adhikary, Zoë A. Sheppard, Steven Keen and Edwin van Teijlingen

Although South Asia is a growing supplier of migrant labour, there is a paucity of research on the health and well-being of male Nepalese migrant workers. The purpose of this…

Abstract

Purpose

Although South Asia is a growing supplier of migrant labour, there is a paucity of research on the health and well-being of male Nepalese migrant workers. The purpose of this paper is to assess the health and mental well-being of Nepalese construction and factory workers employed in Malaysia, Qatar and Saudi Arabia.

Design/methodology/approach

A structured questionnaire administered, in and around Nepal’s international airport, to 403 migrants who had worked for over six months in their host countries. Logistic regression was used to investigate factors associated with self-reported health status and mental health symptoms.

Findings

Over 13 per cent reported poor or very poor health and nearly a quarter reported mental health issues. Whilst age and exercise were significantly associated with health status, poor work environments and perceived health risks were associated with both mental health issues and health status.

Research limitations/implications

The study is limited to males only and those working in the factories and the construction industry. To improve migrant health and mental well-being, Nepalese and host governments should consider mandatory health insurance and a range of pre-departure and arrival education around general literacy, mental health assessments and workplace health and safety.

Originality/value

There have been no known studies on the health and well-being of Nepalese migrant construction and factory workers in the Middle East and Malaysia. The strong association between self-reported poor health and perceived work environment is an important issue that policy makers in Nepal and destination countries should address.

Details

International Journal of Migration, Health and Social Care, vol. 14 no. 1
Type: Research Article
ISSN: 1747-9894

Keywords

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