Gender, ethnicity, health behaviour & self-rated health in Singapore

Wei‐Yen Lim · Stefan Ma · Derrick Heng · Vineta Bhalla · Suok Kai Chew

113 citations0/0 files storedBMC Public Health

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Health disparities and outcomes Public Health and Social Inequalities Health and Medical Studies

Abstract

BACKGROUND: Self-rated health and the factors that influence it have never been described in Singapore before. This paper presents a descriptive study of self-rated health in a nationally representative cross-sectional survey of 6236 persons. METHODS: As part of the National Health Surveillance Survey 2001, 6236 subjects aged 18 years and above were interviewed in the homes of participants by trained interviewers. The subjects were asked "In general, how would you rate your health today?", and given 5 possible responses. These were then categorized as "Good" (very good and good) and "Poor" (moderate, bad and very bad) self-rated health. The association of socio-economic and health behaviour risk factors with good self-rated health was studied using univariate and multivariate logistic regression analysis. RESULTS: Univariate analyses suggest that gender, ethnicity, marital status, education, household income, age, self-reported doctor-diagnosed illnesses, alcohol intake, exercise and BMI are all associated with poor self-rated health. In multivariate regression analyses, gender, ethnicity, household income, age, self-reported illness and current smoking and BMI were associated with poor self-rated health. There are gender differences in the association of various factors such as household income, smoking and BMI to self-rated health. CONCLUSION: Socioeconomic factors and health behaviours are significantly associated with self-rated health, and gender differences are striking. We discuss why these factors may impact self-rated health and why gender differences may have been observed, propose directions for further research and comment on the public policy implications of our findings.

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References

1997Self-Rated Health and Mortality: A Review of Twenty-Seven Community Studies 2001The world health report 2001 - Mental health: new understanding, new hope 1999Social capital and self-rated health: a contextual analysis.2001Mental Health: New Understanding, New Hope 2005Predicting Mortality and Healthcare Utilization with a Single Question 2004Pathways between socioeconomic determinants of health 2003Sociodemographics, self-rated health, and mortality in the US 2001Self rated health and mortality: a long term prospective study in eastern Finland

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