Self-reported health assessments in the 2002 World Health Survey: how do they correlate with education?

Abstract:

OBJECTIVE:To assess the value of self-rated health assessments by examining the association between education and self-rated poor health. METHODS:We used the globally representative population-based sample from the 2002 World Health Survey, composed of 219,713 men and women aged 25 and over in 69 countries, to examine the association between education and self-rated poor health. In a binary regression model with a logit link function, we used self-rated poor health as the binary dependent variable, and age, sex and education as the independent variables. FINDINGS:Globally, there was an inverse association between years of schooling and self-rated poor health (odds ratio, OR: 0.929; 95% confidence interval, CI: 0.926-0.933). Compared with the individuals in the highest quintile of years of schooling, those in the lowest quintile were twice as likely to report poor health (OR: 2.292; 95% CI: 2.165-2.426). We found a dose-response relationship between quintiles of years of schooling and the ORs for reporting poor health. This association was consistent among men and women; low-, middle- and high-income countries; and regions. CONCLUSION:Our findings suggest that self-reports of health may be useful for epidemiological investigations within countries, even in low-income settings.

authors

Subramanian SV,Huijts T,Avendano M

doi

10.2471/BLT.09.067058

subject

Has Abstract

pub_date

2010-02-01 00:00:00

pages

131-8

issue

2

eissn

0042-9686

issn

1564-0604

journal_volume

88

pub_type

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