|
|
||||||||||||||
|
|
|||||||||||||||
THEORY AND METHODS |
1 INSERM, U687, HNSM, Saint-Maurice Cédex, France
2 Department of Epidemiology and Public Health, University College London, UK
3 Population Research Unit, Department of Sociology, University of Helsinki, Finland
Correspondence to:
Correspondence to:
Dr A Singh-Manoux
INSERM, U687, HNSM, 14 rue du Val dOsne, 94415 Saint-Maurice Cédex, France; Archana.Singh-Manoux{at}st-maurice.inserm.fr
Objectives: To investigate the determinants of self rated health (SRH) in men and women in the British Whitehall II study and the French Gazel cohort study.
Methods: The cross sectional analyses reported in this paper use data from wave 1 of the Whitehall II study (198588) and wave 2 of the Gazel study (1990). Determinants were either self reported or obtained through medical screening and employers records. The Whitehall II study is based on 20 civil service departments located in London. The Gazel study is based on employees of Frances national gas and electricity company (EDF-GDF). SRH data were available on 6889 men and 3403 women in Whitehall II and 13 008 men and 4688 women in Gazel.
Results: Correlation analysis was used to identify determinants of SRH from 35 measures in Whitehall II and 33 in Gazel. Stepwise multiple regressions identified five determinants (symptom score, sickness absence, longstanding illness, minor psychiatric morbidity, number of recurring health problems) in Whitehall II, explaining 34.7% of the variance in SRH. In Gazel, four measures (physical tiredness, number of health problems in the past year, physical mobility, number of prescription drugs used) explained 41.4% of the variance in SRH.
Conclusion: Measures of mental and physical health status contribute most to the SRH construct. The part played by age, early life factors, family history, sociodemographic variables, psychosocial factors, and health behaviours in these two occupational cohorts is modest.
Keywords: self rated health; stepwise regression
This article has been cited by other articles:
![]() |
T. Heponiemi, A. Kouvonen, J. Vanska, H. Halila, T. Sinervo, M. Kivimaki, and M. Elovainio Health, psychosocial factors and retirement intentions among Finnish physicians Occup. Med., September 1, 2008; 58(6): 406 - 412. [Abstract] [Full Text] [PDF] |
||||
![]() |
F Zhang, M Lewis, G Yang, J Iriondo-Perez, Y Zeng, and J Liu Apolipoprotein E polymorphism, life stress and self-reported health among older adults. J Epidemiol Community Health, April 1, 2008; 62(4): e3 - e3. [Abstract] [Full Text] [PDF] |
||||
![]() |
M Voss, S Stark, L Alfredsson, E Vingard, and M Josephson Comparisons of self-reported and register data on sickness absence among public employees in Sweden Occup. Environ. Med., January 1, 2008; 65(1): 61 - 67. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. Westin and R. Westerling Social capital and inequality in health between single and couple parents in Sweden Scand J Public Health, December 1, 2007; 35(6): 609 - 617. [Abstract] [PDF] |
||||
![]() |
M. Huisman, F. van Lenthe, and J. Mackenbach The predictive ability of self-assessed health for mortality in different educational groups Int. J. Epidemiol., December 1, 2007; 36(6): 1207 - 1213. [Abstract] [Full Text] [PDF] |
||||
![]() |
W. Sabbah, G. Tsakos, T. Chandola, A. Sheiham, and R.G. Watt Social Gradients in Oral and General Health J. Dent. Res., October 1, 2007; 86(10): 992 - 996. [Abstract] [Full Text] [PDF] |
||||
![]() |
F. Popham, J. J. Walker, and R. Mitchell Could using general health and longstanding limiting illness as a joint health outcome add to understanding in social inequalities research? J. Public Health Med., June 1, 2007; 29(2): 208 - 210. [Full Text] [PDF] |
||||
![]() |
F. Popham and R. Mitchell Self-rated life expectancy and lifetime socio-economic position: cross-sectional analysis of the British household panel survey Int. J. Epidemiol., February 1, 2007; 36(1): 58 - 65. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. Goldberg, A. Leclerc, S. Bonenfant, J. F. Chastang, A. Schmaus, N. Kaniewski, and M. Zins Cohort profile: the GAZEL Cohort Study Int. J. Epidemiol., February 1, 2007; 36(1): 32 - 39. [Full Text] [PDF] |
||||
![]() |
A. Steptoe, V. Peacey, and J. Wardle Sleep duration and health in young adults. Arch Intern Med, September 18, 2006; 166(16): 1689 - 1692. [Abstract] [Full Text] [PDF] |
||||
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS | REGISTER |