Material, psychosocial and behavioural factors associated with self-reported health in the Republic of Ireland: cross-sectional results from the SLÁN survey

BMJ Open - Tập 3 Số 5 - Trang e002797 - 2013
Isabelle Niedhammer1,2,3,4, Sarra Kerrad1,2,3,4, Sabine Schutte1,2,3,4, Jean‐François Chastang1,3,4, Cecily Kelleher2
1INSERM, U1018, CESP Centre for Research in Epidemiology and Population Health, Epidemiology of Occupational and Social Determinants of Health Team, Villejuif, France
2UCD School of Public Health, Physiotherapy and Population Science, University College Dublin, Dublin, Ireland
3Univ Paris-Sud, UMRS 1018, Villejuif, France
4Université de Versailles St-Quentin, UMRS 1018, Villejuif, France

Tóm tắt

ObjectivesTo explore the associations between various material, psychosocial and behavioural factors and self-reported health (SRH), and to determine whether these associations varied according to educational level.DesignRepresentative national cross-sectional survey.SettingRepublic of Ireland.Participants4369 men and 5995 women aged 18 or more (Survey of Lifestyle, Attitudes and Nutrition (SLÁN) 2007).MethodsSRH was measured using one single item. Three groups of factors were studied: material, psychosocial and behavioural factors. Statistical analyses were performed using logistic regression analysis and interaction testing, the sample design being taken into account. All results were adjusted for age and educational level and stratified on gender.ResultsWhen each group of factors was studied separately, non-working status, no private health insurance, inability to afford enough food, no car, being non-married, low social participation, serious neighbourhood problems, low social support, smoking, no alcohol consumption, illicit drug use, low physical activity and obesity were associated with poor SRH. When studied together, some material and psychosocial factors were no longer significant. Four significant interaction terms were found, suggesting that some factors might have a stronger association with SRH among low-educated people.ConclusionsVarious types of factors were found to be associated with SRH, and most of these associations were similar according to educational level. Behavioural factors might be intermediate factors in the causal pathways from material and psychosocial factors to SRH. Prevention policies should integrate a large number of factors comprehensively to improve SRH.

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BMJ Open

Tập 3 Số 5

e002797

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