Self-Rated Health in middle-aged and elderly Chinese

distribution, determinants and associations with cardio-metabolic risk factors.

Nazanin Haseli-Mashhadi, A. Pan, Xingwang Ye, Jing Wang, Qibin Qi, Yong Liu, Huaixing Li, Zhijie Yu, X. Lin, Oscar H. Franco

Research output: Contribution to journalArticle

37 Citations (Scopus)

Abstract

Self-rated health (SRH) has been demonstrated to be an accurate reflection of a person's health and a valid predictor of incident mortality and chronic morbidity. We aimed to evaluate the distribution and factors associated with SRH and its association with biomarkers of cardio-metabolic diseases among middle-aged and elderly Chinese. Survey of 1,458 men and 1,831 women aged 50 to 70 years, conducted in one urban and two rural areas of Beijing and Shanghai in 2005. SRH status was measured and categorized as good (very good and good) vs. not good (fair, poor and very poor). Determinants of SRH and associations with biomarkers of cardio-metabolic diseases were evaluated using logistic regression. Thirty two percent of participants reported good SRH. Males and rural residents tended to report good SRH. After adjusting for potential confounders, residence, physical activity, employment status, sleep quality and presence of diabetes, cardiovascular disease, and depression were the main determinants of SRH. Those free from cardiovascular disease (OR 3.68; 95%CI 2.39; 5.66), rural residents (OR 1.89; 95% CI 1.47; 2.43), non-depressed participants (OR 2.50; 95% CI 1.67; 3.73) and those with good sleep quality (OR 2.95; 95% CI 2.22; 3.91) had almost twice or over the chance of reporting good SRH compared to their counterparts. There were significant associations -and trend- between SRH and levels of inflammatory markers, insulin levels and insulin resistance. Only one third of middle-aged and elderly Chinese assessed their health status as good or very good. Although further longitudinal studies are required to confirm our findings, interventions targeting social inequalities, lifestyle patterns might not only contribute to prevent chronic morbidity but as well to improve populations' perceived health.

Original languageEnglish (US)
Pages (from-to)368
Number of pages1
JournalBMC Public Health
Volume9
StatePublished - 2009
Externally publishedYes

Fingerprint

Health
Health Status
Metabolic Diseases
Sleep
Cardiovascular Diseases
Biomarkers
Morbidity
Self Report
Longitudinal Studies
Insulin Resistance
Life Style
Logistic Models
Exercise
Insulin
Depression
Mortality
Population

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Self-Rated Health in middle-aged and elderly Chinese : distribution, determinants and associations with cardio-metabolic risk factors. / Haseli-Mashhadi, Nazanin; Pan, A.; Ye, Xingwang; Wang, Jing; Qi, Qibin; Liu, Yong; Li, Huaixing; Yu, Zhijie; Lin, X.; Franco, Oscar H.

In: BMC Public Health, Vol. 9, 2009, p. 368.

Research output: Contribution to journalArticle

Haseli-Mashhadi, N, Pan, A, Ye, X, Wang, J, Qi, Q, Liu, Y, Li, H, Yu, Z, Lin, X & Franco, OH 2009, 'Self-Rated Health in middle-aged and elderly Chinese: distribution, determinants and associations with cardio-metabolic risk factors.', BMC Public Health, vol. 9, pp. 368.
Haseli-Mashhadi, Nazanin ; Pan, A. ; Ye, Xingwang ; Wang, Jing ; Qi, Qibin ; Liu, Yong ; Li, Huaixing ; Yu, Zhijie ; Lin, X. ; Franco, Oscar H. / Self-Rated Health in middle-aged and elderly Chinese : distribution, determinants and associations with cardio-metabolic risk factors. In: BMC Public Health. 2009 ; Vol. 9. pp. 368.
@article{a2f1b3637d294288a2bbc9871cb52c2c,
title = "Self-Rated Health in middle-aged and elderly Chinese: distribution, determinants and associations with cardio-metabolic risk factors.",
abstract = "Self-rated health (SRH) has been demonstrated to be an accurate reflection of a person's health and a valid predictor of incident mortality and chronic morbidity. We aimed to evaluate the distribution and factors associated with SRH and its association with biomarkers of cardio-metabolic diseases among middle-aged and elderly Chinese. Survey of 1,458 men and 1,831 women aged 50 to 70 years, conducted in one urban and two rural areas of Beijing and Shanghai in 2005. SRH status was measured and categorized as good (very good and good) vs. not good (fair, poor and very poor). Determinants of SRH and associations with biomarkers of cardio-metabolic diseases were evaluated using logistic regression. Thirty two percent of participants reported good SRH. Males and rural residents tended to report good SRH. After adjusting for potential confounders, residence, physical activity, employment status, sleep quality and presence of diabetes, cardiovascular disease, and depression were the main determinants of SRH. Those free from cardiovascular disease (OR 3.68; 95{\%}CI 2.39; 5.66), rural residents (OR 1.89; 95{\%} CI 1.47; 2.43), non-depressed participants (OR 2.50; 95{\%} CI 1.67; 3.73) and those with good sleep quality (OR 2.95; 95{\%} CI 2.22; 3.91) had almost twice or over the chance of reporting good SRH compared to their counterparts. There were significant associations -and trend- between SRH and levels of inflammatory markers, insulin levels and insulin resistance. Only one third of middle-aged and elderly Chinese assessed their health status as good or very good. Although further longitudinal studies are required to confirm our findings, interventions targeting social inequalities, lifestyle patterns might not only contribute to prevent chronic morbidity but as well to improve populations' perceived health.",
author = "Nazanin Haseli-Mashhadi and A. Pan and Xingwang Ye and Jing Wang and Qibin Qi and Yong Liu and Huaixing Li and Zhijie Yu and X. Lin and Franco, {Oscar H.}",
year = "2009",
language = "English (US)",
volume = "9",
pages = "368",
journal = "BMC Public Health",
issn = "1471-2458",
publisher = "BioMed Central",

}

TY - JOUR

T1 - Self-Rated Health in middle-aged and elderly Chinese

T2 - distribution, determinants and associations with cardio-metabolic risk factors.

AU - Haseli-Mashhadi, Nazanin

AU - Pan, A.

AU - Ye, Xingwang

AU - Wang, Jing

AU - Qi, Qibin

AU - Liu, Yong

AU - Li, Huaixing

AU - Yu, Zhijie

AU - Lin, X.

AU - Franco, Oscar H.

PY - 2009

Y1 - 2009

N2 - Self-rated health (SRH) has been demonstrated to be an accurate reflection of a person's health and a valid predictor of incident mortality and chronic morbidity. We aimed to evaluate the distribution and factors associated with SRH and its association with biomarkers of cardio-metabolic diseases among middle-aged and elderly Chinese. Survey of 1,458 men and 1,831 women aged 50 to 70 years, conducted in one urban and two rural areas of Beijing and Shanghai in 2005. SRH status was measured and categorized as good (very good and good) vs. not good (fair, poor and very poor). Determinants of SRH and associations with biomarkers of cardio-metabolic diseases were evaluated using logistic regression. Thirty two percent of participants reported good SRH. Males and rural residents tended to report good SRH. After adjusting for potential confounders, residence, physical activity, employment status, sleep quality and presence of diabetes, cardiovascular disease, and depression were the main determinants of SRH. Those free from cardiovascular disease (OR 3.68; 95%CI 2.39; 5.66), rural residents (OR 1.89; 95% CI 1.47; 2.43), non-depressed participants (OR 2.50; 95% CI 1.67; 3.73) and those with good sleep quality (OR 2.95; 95% CI 2.22; 3.91) had almost twice or over the chance of reporting good SRH compared to their counterparts. There were significant associations -and trend- between SRH and levels of inflammatory markers, insulin levels and insulin resistance. Only one third of middle-aged and elderly Chinese assessed their health status as good or very good. Although further longitudinal studies are required to confirm our findings, interventions targeting social inequalities, lifestyle patterns might not only contribute to prevent chronic morbidity but as well to improve populations' perceived health.

AB - Self-rated health (SRH) has been demonstrated to be an accurate reflection of a person's health and a valid predictor of incident mortality and chronic morbidity. We aimed to evaluate the distribution and factors associated with SRH and its association with biomarkers of cardio-metabolic diseases among middle-aged and elderly Chinese. Survey of 1,458 men and 1,831 women aged 50 to 70 years, conducted in one urban and two rural areas of Beijing and Shanghai in 2005. SRH status was measured and categorized as good (very good and good) vs. not good (fair, poor and very poor). Determinants of SRH and associations with biomarkers of cardio-metabolic diseases were evaluated using logistic regression. Thirty two percent of participants reported good SRH. Males and rural residents tended to report good SRH. After adjusting for potential confounders, residence, physical activity, employment status, sleep quality and presence of diabetes, cardiovascular disease, and depression were the main determinants of SRH. Those free from cardiovascular disease (OR 3.68; 95%CI 2.39; 5.66), rural residents (OR 1.89; 95% CI 1.47; 2.43), non-depressed participants (OR 2.50; 95% CI 1.67; 3.73) and those with good sleep quality (OR 2.95; 95% CI 2.22; 3.91) had almost twice or over the chance of reporting good SRH compared to their counterparts. There were significant associations -and trend- between SRH and levels of inflammatory markers, insulin levels and insulin resistance. Only one third of middle-aged and elderly Chinese assessed their health status as good or very good. Although further longitudinal studies are required to confirm our findings, interventions targeting social inequalities, lifestyle patterns might not only contribute to prevent chronic morbidity but as well to improve populations' perceived health.

UR - http://www.scopus.com/inward/record.url?scp=84859006362&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84859006362&partnerID=8YFLogxK

M3 - Article

VL - 9

SP - 368

JO - BMC Public Health

JF - BMC Public Health

SN - 1471-2458

ER -