Socioeconomic factors, perceived control and self-reported health in Russia. A cross-sectional survey.
Russia has the lowest life expectancy among industrialised countries, but little is known about other health outcomes and determinants of health in the Russian population.
Here we report a cross-sectional study in a national sample of the Russian population of social and psychosocial determinants of two self-reported health indicators : self-rated health (shown to predict mortality in prospective studies) and physical functioning (validated against more ohjective health measures).
A multi-stage sample of the Russian population aged 18 years and more was interviewed (n=1599, response rate 66%). The questionnaire included political attitudes, social and economic circumstances, psychosocial factors, smoking, alcohol consumption, self-rated health and physical functioning (from the SF36 instrument).
Scores of perceived control over life and over one's health were calculated from 6 and 3 questions, respectively.
Data were analysed in logistic regression for two dichotomised outcomes : poor self-rated health (worse than average) and low physical functioning (less than 60% of maximum).
Overall, 25% of subjects rated their health as worse than average ; this is substantially more than in western countries.
Perceived control over life was strongly related to both outcomes ; age-and sex-adjusted OR for I standard deviation increase in control were 0.60 (95% CI 0.52-0.69) for poor self-rated health and 0.67 (0.57-0.81) for low physical functioning. (...)
Mots-clés Pascal : Autoévaluation, Santé, Capacité fonctionnelle, Statut socioéconomique, Epidémiologie, Homme, Russie, Eurasie, Facteur psychosocial
Mots-clés Pascal anglais : Self evaluation, Health, Functional capacity, Socioeconomic status, Epidemiology, Human, Russia, Eurasia
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0384481
Code Inist : 002B30A01A2. Création : 25/01/1999.