Abstract
Background: The high and fluctuating mortality and rising health inequalities in post-Soviet countries have attracted considerable attention. However, there are very few individual-level data on distribution of health outcomes in Central Asian countries of the former Soviet Union. We analysed socioeconomic predictors of two self-rated health outcomes in a national survey in Kazakhstan. Methods. We used data from the 2012 Kazakhstan Household Health Survey on 12,560 respondents aged 15+. Self-rated health, self-reported worsening of health, and a range of socio-demographic variables were collected in an interview. The self-rated health outcomes were dichotomized and logistic regression was used to estimate their associations with education, income, ownership of a car, second house and computer, marital status, ethnicity and urban/rural residence. Results: The prevalence of poor/very poor self-rated health was 5.3%, and 11.0% of participants reported worse health compared to 1 year ago. After controlling for age, sex and region, all socio-demographic factors were related to self-rated health. After adjusting for all variables, education and car ownership showed the most consistent effects; the odds ratio of poor health and worsening of health were 0.43 (95% confidence interval 0.32-0.58) and 0.54 (0.44-0.68) for university vs. primary education, respectively, and 0.64 (0.51-0.82) and 0.68 (0.58-0.80) for car ownership, respectively. Unmarried persons, ethnic Russians and urban residents also had increased prevalence of poor health in multivariable models. Conclusions: Despite the limitations of using subjective health measures, these data suggest strong associations between two measures of self-rated health and a number of socioeconomic characteristics. Future studies and health policy initiatives in Kazakhstan and other Central Asian countries should take social determinants of health into account.
| Original language | English |
|---|---|
| Article number | 768 |
| Journal | BMC Public Health |
| Volume | 14 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - Jul 30 2014 |
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Keywords
- Central Asian countries
- Self-rated health
- Socioeconomic factors
ASJC Scopus subject areas
- Public Health, Environmental and Occupational Health
- Medicine(all)
Cite this
Levels and distribution of self-rated health in the Kazakh population : Results from the Kazakhstan household health survey 2012. / Supiyev, Adil; Nurgozhin, Talgat; Zhumadilov, Zhaxybay; Sharman, Almaz; Marmot, Michael; Bobak, Martin.
In: BMC Public Health, Vol. 14, No. 1, 768, 30.07.2014.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Levels and distribution of self-rated health in the Kazakh population
T2 - Results from the Kazakhstan household health survey 2012
AU - Supiyev, Adil
AU - Nurgozhin, Talgat
AU - Zhumadilov, Zhaxybay
AU - Sharman, Almaz
AU - Marmot, Michael
AU - Bobak, Martin
PY - 2014/7/30
Y1 - 2014/7/30
N2 - Background: The high and fluctuating mortality and rising health inequalities in post-Soviet countries have attracted considerable attention. However, there are very few individual-level data on distribution of health outcomes in Central Asian countries of the former Soviet Union. We analysed socioeconomic predictors of two self-rated health outcomes in a national survey in Kazakhstan. Methods. We used data from the 2012 Kazakhstan Household Health Survey on 12,560 respondents aged 15+. Self-rated health, self-reported worsening of health, and a range of socio-demographic variables were collected in an interview. The self-rated health outcomes were dichotomized and logistic regression was used to estimate their associations with education, income, ownership of a car, second house and computer, marital status, ethnicity and urban/rural residence. Results: The prevalence of poor/very poor self-rated health was 5.3%, and 11.0% of participants reported worse health compared to 1 year ago. After controlling for age, sex and region, all socio-demographic factors were related to self-rated health. After adjusting for all variables, education and car ownership showed the most consistent effects; the odds ratio of poor health and worsening of health were 0.43 (95% confidence interval 0.32-0.58) and 0.54 (0.44-0.68) for university vs. primary education, respectively, and 0.64 (0.51-0.82) and 0.68 (0.58-0.80) for car ownership, respectively. Unmarried persons, ethnic Russians and urban residents also had increased prevalence of poor health in multivariable models. Conclusions: Despite the limitations of using subjective health measures, these data suggest strong associations between two measures of self-rated health and a number of socioeconomic characteristics. Future studies and health policy initiatives in Kazakhstan and other Central Asian countries should take social determinants of health into account.
AB - Background: The high and fluctuating mortality and rising health inequalities in post-Soviet countries have attracted considerable attention. However, there are very few individual-level data on distribution of health outcomes in Central Asian countries of the former Soviet Union. We analysed socioeconomic predictors of two self-rated health outcomes in a national survey in Kazakhstan. Methods. We used data from the 2012 Kazakhstan Household Health Survey on 12,560 respondents aged 15+. Self-rated health, self-reported worsening of health, and a range of socio-demographic variables were collected in an interview. The self-rated health outcomes were dichotomized and logistic regression was used to estimate their associations with education, income, ownership of a car, second house and computer, marital status, ethnicity and urban/rural residence. Results: The prevalence of poor/very poor self-rated health was 5.3%, and 11.0% of participants reported worse health compared to 1 year ago. After controlling for age, sex and region, all socio-demographic factors were related to self-rated health. After adjusting for all variables, education and car ownership showed the most consistent effects; the odds ratio of poor health and worsening of health were 0.43 (95% confidence interval 0.32-0.58) and 0.54 (0.44-0.68) for university vs. primary education, respectively, and 0.64 (0.51-0.82) and 0.68 (0.58-0.80) for car ownership, respectively. Unmarried persons, ethnic Russians and urban residents also had increased prevalence of poor health in multivariable models. Conclusions: Despite the limitations of using subjective health measures, these data suggest strong associations between two measures of self-rated health and a number of socioeconomic characteristics. Future studies and health policy initiatives in Kazakhstan and other Central Asian countries should take social determinants of health into account.
KW - Central Asian countries
KW - Self-rated health
KW - Socioeconomic factors
UR - http://www.scopus.com/inward/record.url?scp=84904843914&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84904843914&partnerID=8YFLogxK
U2 - 10.1186/1471-2458-14-768
DO - 10.1186/1471-2458-14-768
M3 - Article
C2 - 25073469
AN - SCOPUS:84904843914
VL - 14
JO - BMC Public Health
JF - BMC Public Health
SN - 1471-2458
IS - 1
M1 - 768
ER -