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. 2001 Dec;13(1):35-52.

Determinants of self-perceived health

M Shields  1 , S Shooshtari
Affiliations
  • PMID: 15069807

Determinants of self-perceived health

M Shields et al. Health Rep. 2001 Dec.

Abstract

Objectives: This article examines determinants of self-perceived health. Factors associated with very good/excellent rather than good health are compared with those associated with fair/poor rather than good health.

Data source: The data are from the household cross-sectional and longitudinal components of the first three cycles (1994/95, 1996/97 and 1998/99) of Statistics Canada's National Population Health Survey (NPHS).

Analytical techniques: Cross-tabulations from the 1998/99 NPHS cross-sectional file were used to estimate the prevalence of very good/excellent and fair/poor health by sex and age group. Based on the longitudinal file, predictors of health perceptions in 1998/99 were studied in a multivariate model using generalized logistic regression.

Main results: While physical conditions were strongly related to health perceptions, some lifestyle, socio-economic and psychosocial factors were also statistically significant. Heavy smoking, irregular exercise and overweight were associated with fair/poor health ratings. Unhealthy changes in lifestyle were associated with fair/poor rather than good health. Distress, low self-esteem and low socio-economic status were negatively associated with very good/excellent health.

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