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ABSTRACT: Objectives
To 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.Design
Representative national cross-sectional survey.Setting
Republic of Ireland.Participants
4369 men and 5995 women aged 18 or more (Survey of Lifestyle, Attitudes and Nutrition (SLÁN) 2007).Methods
SRH 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.Results
When 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.Conclusions
Various 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.
SUBMITTER: Niedhammer I
PROVIDER: S-EPMC3657673 | biostudies-literature | 2013 May
REPOSITORIES: biostudies-literature
Niedhammer Isabelle I Kerrad Sarra S Schütte Stefanie S Chastang Jean-François JF Kelleher Cecily C CC
BMJ open 20130528 5
<h4>Objectives</h4>To 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.<h4>Design</h4>Representative national cross-sectional survey.<h4>Setting</h4>Republic of Ireland.<h4>Participants</h4>4369 men and 5995 women aged 18 or more (Survey of Lifestyle, Attitudes and Nutrition (SLÁN) 2007).<h4>Methods</h4>SRH was measured using one single item. Th ...[more]