Journal of Preventive Medicine and Public Health

Original Articles

Determinants of Poor Self-rated Health in Korean Adults With Diabetes: Hwi-Won Lee, Minkyo Song, Jae Jeong Yang, Daehee Kang; J Prev Med Public Health. 2015;48(6):287-300. Published online October 23, 2015; DOI: https://doi.org/10.3961/jpmph.15.048

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Objectives
Self-rated health is a measure of perceived health widely used in epidemiological studies. Our study investigated the determinants of poor self-rated health in middle-aged Korean adults with diabetes.
Methods
A cross-sectional study was conducted based on the Health Examinees Study. A total of 9759 adults aged 40 to 69 years who reported having physician-diagnosed diabetes were analyzed with regard to a range of health determinants, including sociodemographic, lifestyle, psychosocial, and physical variables, in association with self-rated health status using multivariate logistic regression models. A p-value <0.05 was considered to indicate statistical significance.
Results
We found that negative psychosocial conditions, including frequent stress events and severe distress according to the psychosocial well-being index, were most strongly associated with poor self-rated health (odds ratio [OR]_{Frequent stress events}, 5.40; 95% confidence interval [CI], 4.63 to 6.29; OR_{Severe distress}, 11.08; 95% CI, 8.77 to 14.00). Moreover, younger age and being underweight or obese were shown to be associated with poor self-rated health. Physical factors relating to participants’ medical history of diabetes, such as a younger age at diagnosis, a longer duration of diabetes, insulin therapy, hemoglobin A_1c levels of 6.5% or more, and comorbidities, were other correlates of poor reported health.
Conclusions
Our findings suggest that, in addition to medical variables, unfavorable socioeconomic factors, and adverse lifestyle behaviors, younger age, being underweight or obese, and psychosocial stress could be distinc factors in predicting negative perceived health status in Korean adults with diabetes.

Summary

Citations

Citations to this article as recorded by

A Scoping Review of Possible Solutions for Decreasing Socioeconomic Inequalities in Type 2 Diabetes Mellitus
Laleh Gharacheh, Mostafa Amini-Rarani, Amin Torabipour, Saeed Karimi
International Journal of Preventive Medicine.2024;[Epub] CrossRef
Exploring factors associated with self‐rated health in individuals with diabetes and its impact on quality of life: Evidence from the Survey of Health, Ageing, and Retirement in Europe
Rosa Marie Brückner, Aline Schönenberg, Rebecca Wientzek, Mandy Schreiber, Tino Prell
Journal of Diabetes.2024;[Epub] CrossRef
Gender Disparities in Healthy Aging: A Cross-National Comparative Study in the United States and South Korea from 2006 to 2016
Lanlan Chu, Anjelynt Lor, Mary-Genevieve Moisan, Kieu My Phi
The International Journal of Aging and Human Development.2023; 96(1): 33. CrossRef
People with Diabetes Have Poorer Self-Rated Health (SRH) and Diabetes Moderates the Association between Age and SRH
Weixi Kang, Antonio Malvaso
Diseases.2023; 11(2): 73. CrossRef
The Relationship between Self-Perceived Health and Physical Activity in the Mental Health of Korean Cancer Survivors
Sungjung Kwak, Jieun Shin, Jong-Yeup Kim
Healthcare.2023; 11(11): 1549. CrossRef
Sleep Duration, Sleep Quality, and Insomnia in Association With Self-Rated Health: A Systematic Review and Meta-Analysis
Sohrab Amiri
Sleep Medicine Research.2023; 14(2): 66. CrossRef
Diabetes Moderates the Link between Personality Traits and Self-Rated Health (SRH)
Weixi Kang
Healthcare.2023; 11(15): 2149. CrossRef
Low Social Support and Risk for Depression in People With Type 2 Diabetes Mellitus: A Systematic Review and Meta-analysis
Akhmad Azmiardi, Bhisma Murti, Ratih Puspita Febrinasari, Didik Gunawan Tamtomo
Journal of Preventive Medicine and Public Health.2022; 55(1): 37. CrossRef
Self-rated health and perceived environmental quality in Brunei Darussalam: a cross-sectional study
Evi Nurvidya Arifin, Chang-Yau Hoon, Ly Slesman, Abby Tan
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Syed Afroz Keramat, Khorshed Alam, Bright Opoku Ahinkorah, Md Sariful Islam, Md Irteja Islam, Md Zobayer Hossain, Sazia Ahmed, Jeff Gow, Stuart JH Biddle
ClinicoEconomics and Outcomes Research.2021; Volume 13: 777. CrossRef
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Hyo Rim Ju, Ye Rim Jeon, Seo Young Kang, Jung Ah Lee, Young Sik Kim
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Physical Exercise, Social Interaction, Access to Care, and Community Service: Mediators in the Relationship Between Socioeconomic Status and Health Among Older Patients With Diabetes
Qingwen Deng, Wenbin Liu
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Jin-Won Noh, Yoosoo Chang, Minsun Park, Young Dae Kwon, Seungho Ryu
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Peter Meisel, Birte Holtfreter, Henry Völzke, Thomas Kocher
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Civic Participation and Self-rated Health: A Cross-national Multi-level Analysis Using the World Value Survey: Saerom Kim, Chang-yup Kim, Myung Soon You; J Prev Med Public Health. 2015;48(1):18-27. Published online January 27, 2015; DOI: https://doi.org/10.3961/jpmph.14.031

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Abstract PDF

Objectives
Civic participation, that which directly influences important decisions in our personal lives, is considered necessary for developing a society. We hypothesized that civic participation might be related to self-rated health status.
Methods
We constructed a multi-level analysis using data from the World Value Survey (44 countries, n=50 859).
Results
People who participated in voting and voluntary social activities tended to report better subjective health than those who did not vote or participate in social activities, after controlling for socio-demographic factors at the individual level. A negative association with unconventional political activity and subjective health was found, but this effect disappeared in a subset analysis of only the 18 Organization for Economic Cooperation and Development (OECD) countries. Moreover, social participation and unconventional political participation had a statistically significant contextual association with subjective health status, but this relationship was not consistent throughout the analysis. In the analysis of the 44 countries, social participation was of borderline significance, while in the subset analysis of the OECD countries unconventional political participation was a stronger determinant of subjective health. The democratic index was a significant factor in determining self-rated health in both analyses, while public health expenditure was a significant factor in only the subset analysis.
Conclusions
Despite the uncertainty of its mechanism, civic participation might be a significant determinant of the health status of a country.

Summary

Citations

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Effect of social capital, social support and social network formation on the quality of life of American adults during COVID-19
Ebenezer Larnyo, Sharon Tettegah, Brianna Griffin, Jonathan Aseye Nutakor, Natasha Preece, Stephen Addai-Dansoh, Natalia Dubon, Senyuan Liu
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Kaitlyn Battershill, Victor Kuperman
Journal of Civil Society.2023; 19(4): 437. CrossRef
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Social Indicators Research.2021; 157(3): 841. CrossRef
Depression Fully Mediates the Effect of Multimorbidity on Self-Rated Health for Economically Disadvantaged African American Men but Not Women
Shervin Assari, James Smith, Mohsen Bazargan
International Journal of Environmental Research and Public Health.2019; 16(10): 1670. CrossRef

Trends in Gender-based Health Inequality in a Transitional Society: A Historical Analysis of South Korea: Heeran Chun, Sung-Il Cho, Young-Ho Khang, Minah Kang, Il-Ho Kim; J Prev Med Public Health. 2012;45(2):113-121. Published online March 31, 2012; DOI: https://doi.org/10.3961/jpmph.2012.45.2.113

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95 Download
7 Crossref

Abstract PDF

Objectives

This study examined the trends in gender disparity in the self-rated health of people aged 25 to 64 in South Korea, a rapidly changing society, with specific attention to socio-structural inequality.

Methods

Representative sample data were obtained from six successive, nationwide Social Statistics Surveys of the Korean National Statistical Office performed during 1992 to 2010.

Results

The results showed a convergent trend in poor self-rated health between genders since 1992, with a sharper decline in gender disparity observed in younger adults (aged 25 to 44) than in older adults (aged 45 to 64). The diminishing gender gap seemed to be attributable to an increase in women's educational attainment levels and to their higher status in the labor market.

Conclusions

The study indicated the importance of equitable social opportunities for both genders for understanding the historical trends in the gender gap in the self-reported health data from South Korea.

Summary

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Gender bias in cardiovascular healthcare of a tertiary care centre of North India
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Research Support, Non-U.S. Gov't

Gender, Professional and Non-Professional Work, and the Changing Pattern of Employment-Related Inequality in Poor Self-Rated Health, 1995-2006 in South Korea.: Il Ho Kim, Young Ho Khang, Sung Il Cho, Heeran Chun, Carles Muntaner; J Prev Med Public Health. 2011;44(1):22-31.; DOI: https://doi.org/10.3961/jpmph.2011.44.1.22

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101 Download
24 Crossref

Abstract PDF

OBJECTIVES
We examined gender differential changes in employment-related health inequalities according to occupational position (professional/nonprofessional) in South Korea during the last decade. METHODS: Data were taken from four rounds of Social Statistical Surveys of South Korea (1995, 1999, 2003, and 2006) from the Korean National Statistics Office. The total study population was 55435 male and 33 913 female employees aged 25-64. Employment arrangements were divided into permanent, fixed-term, and daily employment. RESULTS: After stratification according to occupational position (professional/nonprofessional) and gender, different patterns in employment - related health inequalities were observed. In the professional group, the gaps in absolute and relative employment inequalities for poor self-rated health were more likely to widen following Korea's 1997 economic downturn. In the nonprofessional group, during the study period, graded patterns of employment-related health inequalities were continuously observed in both genders. Absolute health inequalities by employment status, however, decreased among men but increased among women. In addition, a remarkable increase in relative health inequalities was found among female temporary and daily employees (p = 0.009, < 0.001, respectively), but only among male daily employees (p = 0.001). Relative employment-related health inequalities had clearly widened for female daily workers between 2003 and 2006 (p = 0.047). The 1997 Korean economic downturn, in particular, seemingly stimulated a widening gap in employment health inequalities. CONCLUSIONS: Our study revealed that whereas absolute health inequalities in relation to employment status increased in the professional group, relative employment-related health inequalities increased in the nonprofessional group, especially among women. In view of the high concentration of female nonstandard employees, further monitoring of inequality should consider gender specific patterns according to employee's occupational and employment status.

Summary

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Original Article

Social Support and Self-rated Health Status in a Low Income Neighborhood of Seoul, Korea.: Min Kyoung Lim, Myoung Hee Kim, Young Jeon Shin, Weon Seob Yoo, Bong Min Yang; Korean J Prev Med. 2003;36(1):54-62.

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Abstract PDF: OBJECTIVES
To assess the distribution of social support, and explore its effects on self-rated health status in a low income neighborhood of Seoul, Korea. METHODS: In September 2001 we conducted a survey in a low income neighborhood of Seoul, Korea, in which 862 residents, aged 18 years or over, participated. We measured the general sociodemographic characteristics, self-rated health status and social support with the instrument developed from Korean translation of the Medical Outcomes Study Social Support Survey (MOS-SSS) scale of the US. Logistic regression was used to identify the determinants of social support, and explore its effects on self-rated health status. RESULTS: Lower social class, women or divorced people had much less social support compared to higher social class, men or those never married, respectively. Those families on much lower income also received less social support. Social support has a positive impact on the self-rated health status, which remains statistically significant even when other relevant variables are adjusted. CONCLUSIONS: This study suggests that social support has an important role in health, and the socially disadvantaged have lower social support. Therefore, to improve the health status of the poor, it is necessary to encourage community participation, and develop strategies that could strengthen their provision of social support.; Summary

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