1 / 7

Self-Rated H ealth: Det erminants and Outcomes

Nahal Mavaddat GP and Primary Care Research Unit. Self-Rated H ealth: Det erminants and Outcomes. School for Primary Care Research. Research Questions. How are subjective perceptions of health and wellbeing created?

ira
Download Presentation

Self-Rated H ealth: Det erminants and Outcomes

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. NahalMavaddat GP and Primary Care Research Unit Self-Rated Health:Determinants and Outcomes School for Primary Care Research

  2. Research Questions How are subjective perceptions of health and wellbeing created? How do these influence morbidity and mortality outcomes among healthy subjects and patients with chronic disease?

  3. Self-Rated Health Question: Good? Fair? Poor? Excellent? In general, how do you rate your health?

  4. Self-Rated Health and Cardiovascular Outcome Hospitalisation and mortality from IHD or stroke in those not previously diagnosed with stroke, heart attack or angina n=7279 men aged 39-79 in EPIC-Norfolk Cohort (1992-2007)

  5. Determinants of Self-Rated Health:Proposed Model Physical Physical activity Symptoms Disease or treatment Pre-clinical disease INPUTS ORGANISM/ INTERNAL Mental Thoughts and feelings Resilience and optimism Coping strategies Sense of coherence Mental ill health Subjective Assessment of Health (SRH) ENVIRONMENT/ EXTERNAL Social Social class Social deprivation Social networks

  6. Determinants of Self-Rated Health: Publications • What determines self-rated health (SRH)? A cross-sectional study of functional status in the EPIC-Norfolk population. Mavaddatet al. J EpidComm Health doi: 10.1136/jech2009.090845 • Patient-centred assessment of the burden of multiple chronic conditions in primary care: a study of self rated health in the EPIC-Norfolk cohort Mavaddat et al. (in submission JECH) • Social inequalities in self-rated health by age: cross-sectional study of 22,357 middle-aged men and women. Mcfadden et al. BMC Public Health 2008;8(230):1471-2458 • Self-rated health does not explain the socioeconomic differential in mortality: a prospective study in the EPIC-Norfolk cohort.Mcfadden et al. J EpidComm Health 2009;63 (4),329-31 • Combined impact of health-related behaviours on self-rated health in men and women: The EPIC-Norfolk prospective population study. Van der Wilde et al. (for submission Eu J Epidemiol)

  7. Collaborators GP and Primary Care Research Unit Ann Louise Kinmonth, Simon Sanderson, NahalMavaddat, Rianne van der Wilde, Sonya Smith, Simon Cohn, Jonathan Mant, Stephen Sutton, Lisa Lim Clinical Gerontology Unit Emily Mcfadden, Kay-Tee Khaw Public Health Carol Brayne

More Related