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ORIGINAL RESEARCH article

Front. Public Health
Sec. Life-Course Epidemiology and Social Inequalities in Health
Volume 12 - 2024 | doi: 10.3389/fpubh.2024.1435687
This article is part of the Research Topic Biosocial Determinants and Solutions of Mental Health Conditions in Low and Middle-Income Countries View all 8 articles

Self-Rated Health status and associated factors in Ilam, west of Iran: results of a population-based cross-sectional study

Provisionally accepted
Mohammad Bazyar Mohammad Bazyar 1Hojatollah Kakaei Hojatollah Kakaei 1Hamed Azadi Hamed Azadi 1Mohsen Jalilian Mohsen Jalilian 1Mohammad Mansournia Mohammad Mansournia 2Kamran Malekan Kamran Malekan 3Reza Pakzad Reza Pakzad 1*
  • 1 Medical University of Ilam, Ilam, Ilam, Iran
  • 2 Tehran University of Medical Sciences, Tehran, Tehran, Iran
  • 3 Kurdistan University of Medical Sciences, Sanandaj, Kurdistan, Iran

The final, formatted version of the article will be published soon.

    Background: Self-rated health (SRH) is a single-item subjective indicator that asks individuals to assess their overall health and acts as a good indicator to reveal general health status. This study aimed to determine the SRH status and determining factors. Method: This was a population-based cross sectional study conducted in Ilam city (West of Iran) in 2023. A total of 1370 people were invited to participate in the study using multi-stage stratified cluster random sampling method. Demographic and SRH status data were collected by face-to-face interview. SRH was indicated by a single question in five scales of very good, good, fair, poor and very poor. Multiple ordinal logistic regression was used for data analysis. Result: The 59.38% (95% CI: 56.76 to 62) participants reported a good SRH status. By ordinal multiple logistic regression, odds ratio (OR) and 95% confidence interval (CI) was calculated and based on that, female gender [OR: 1.68 (1.29 to 2.20)], not having insurance coverage [OR: 1.35; (1.01 to 1.80)], history of job loss [OR: 1.72; (1.28 to 2.31)], hopelessness for the future [OR: 5.07; (3.96 to 6.49)], and having underlying diseases [OR: 2.95; (2.25 to 3.88)], were positively associated with poor SRH status. The Kurd race [OR: 0.45; (0.25 to 0.78)], higher economic status [OR: 0.72; (0.54 to 0.96)] and use of health care service [OR: 0.68; (0.53 to 0.88)] were negatively associated with poor SRH status. The most effective variables for poor SRH status were hopelessness about the future and suffering from underlying diseases. Conclusion: It is important to devise corrective measures and effective public health policies to address causes and factors associated with poor SRH. It is also necessary for local health officials to allocate financial resources and introduce other kinds of supportive initiatives to provide targeted support for those who are struggling with poverty and suffering chronic diseases.

    Keywords: self-rated health, Cross sectional study, Prevalence, Logistic Models, Risk factors

    Received: 31 May 2024; Accepted: 24 Dec 2024.

    Copyright: © 2024 Bazyar, Kakaei, Azadi, Jalilian, Mansournia, Malekan and Pakzad. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Reza Pakzad, Medical University of Ilam, Ilam, Ilam, Iran

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