Self-rated health and socio-economic status among older adults in Northern Iceland

Sigurðardóttir, Árún K; Kristófersson, Gísli Kort; Gústafsdóttir, Sonja Stelly; Sigurdsson, Stefan; Arnadottir, Solveig A.; Steingrimsson, Jon A.; Gunnarsdóttir, Elín Díanna

doi:10.1080/22423982.2019.1697476

Cited by 9 publications

(9 citation statements)

References 37 publications

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“…The pattern is corroborated by previous evidence from Finland, Poland, and Spain, to the effect that poor health status is significantly associated with negative emotional states and reduced life satisfaction and well-being [32]. The strong association between a pessimistic outlook and poor SRH supports results from an older Irish population that showed the importance of personality for subjective health [12] and a recent study of an older rural population in northern Iceland that showed an association between decreased mental health and poor SRH [33]. Previous research from northern Finland has also showed the importance of physical, social and symbolic support for the wellbeing of home-dwelling older people in a rural setting [34].…”

Section: Discussionsupporting

confidence: 78%

Daily moderate-intensity physical activities and optimism promote healthy ageing in rural northern Sweden: a cross-sectional study.

Stark

Olofsson

2021

International Journal of Circumpolar Health

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The aim of our study was to explore the association between self-reported health factors and self-rated health (SRH) among an older rural population in northern Sweden and whether confounders optimistic outlook or daily moderate-intensity physical activity could moderate the association between self-reported health factors and SRH, controlling for age. The study is based on a sample (N = 1946) from the “Health on Equal Terms” Västernorrland survey 2018 aged 65–84. Prevalence and multivariate logistic regression analyses were performed. The results indicated most rural older people perceived very good or good SRH, though physical and mental health issues and impaired mobility increased with advanced age. Mental well-being exhibited a stronger association with poor SRH than physical health or impaired mobility. In addition, confounders optimistic outlook and daily moderate-intensity physical activity, separately and together could moderate the association between health factors and poor SRH. In conclusion, older people in a rural setting perceived good health, despite common physical and mental health issues. Promoting daily moderate-intensity physical activity and activities contributing to an optimistic outlook can protect against poor SRH in old age.

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Section: Discussionsupporting

confidence: 78%

Daily moderate-intensity physical activities and optimism promote healthy ageing in rural northern Sweden: a cross-sectional study.

Stark

Olofsson

2021

International Journal of Circumpolar Health

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“…This study was part of a larger, population-based research project, which has previously been described in detail [ 29 ]. In brief, a stratified random sample from the national register that considered place of residency (by zip codes), age and gender was used in three areas in Northern Iceland.…”

Section: Methodsmentioning

confidence: 99%

“…The scores range from 1 to 5, with a higher score reflecting higher self-rated health. The measurement is considered valid and reliable at the population level among people without cognitive impairment, is critically used internationally [ 40 , 41 ] and in Iceland [ 29 ].…”

Section: Methodsmentioning

confidence: 99%

Making Europe health literate: including older adults in sparsely populated Arctic areas

et al. 2022

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Background Older people have been identified as having lower health literacy (HL) than the general population average. Living in sparsely populated Arctic regions involves unique health challenges that may influence HL. The research aim was to explore the level of HL, its problematic dimensions, and its association with the selection of contextual factors among older adults living in sparsely populated areas in Northern Iceland. Method This was a cross-sectional study based on a stratified random sample from the national register of one urban town and two rural areas. The study included 175 participants (57.9% participation rate) who were community-dwelling (40% rural) and aged 65–92 years (M 74.2 ± SD 6.3), 43% of whom were women. Data were collected in 2017-2018 via face-to-face interviews, which included the standardised European Health Literacy Survey Questionnaire-short version (HLS-EU-Q16) with a score range from 0 to 16 (low-high HL). Results The level of HL ranged from 6–16 (M 13.25, SD ± 2.41) with 65% having sufficient HL (score 13–16), 31.3% problematic HL (score 9–12) and 3.7% inadequate HL (score 0–8). Most problematic dimension of HL was within the domains of disease prevention and health promotion related to information in the media. Univariate linear regression revealed that better HL was associated with more education (p=0.001), more resiliency (p=0.001), driving a car (p=0.006), good access to health care- (p=0.005) and medical service (p=0.027), younger age (p=0.005), adequate income (p=0.044) and less depression (p=0.006). Multivariable analysis showed that more education (p=0.014) and driving a car (p=0.017) were independent predictors of better HL. Conclusion Difficulties in HL concern information in the media. HL was strongly associated with education and driving a car however, not with urban-rural residency. Mobility and access should be considered for improving HL of older people.

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“…To include mental health would possibly strengthen the association between higher level of health conditions and lower perceived health (Sigurdardottir et al . 2019).…”

Section: Discussionmentioning

confidence: 99%

How do multimorbidity and lifestyle factors impact the perceived health of adults with intellectual disabilities?

Olsen

Halvorsen

Søndenaa

et al. 2021

J intellect Disabil Res

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Background Adults with intellectual disability (ID) have poorer physical and perceived health than the general population. Knowledge of perceived health predictors is both limited and important for guiding the development of preventive actions. The aims of this study were to investigate (1) the associations between perceived health and demographics, degree of ID, physical health conditions, and weight and physical activity level and (2) lifestyle factors and multimorbidity as predictors for perceived health adjusted for age, gender, and level of ID. Method The North Health in Intellectual Disability study is a community based cross‐sectional survey. The POMONA‐15 health indicators were used. Univariate and multivariate logistic regression analyses with poor versus good health as the dependent variable were applied. Results The sample included 214 adults with a mean age 36.1 (SD 13.8) years; 56% were men, and 27% reported perceiving their health as poor. In univariate analyses, there were significant associations between poor health ratings and female gender, lower motor function, number of physical health conditions and several indicators of levels of physical activity. In the final adjusted model, female gender [odds ratio (OR) 2.4, P < 0.05], level of ID (OR 0.65, P < 0.05), numbers of physical health conditions (OR 1.6, P < 0.001) and lower motor function (OR 1.5 P < 0.05) were significant explanatory variables for poor perceived health, with a tendency to independently impact failure to achieve 30 min of physical activity daily (OR 2.0, P = 0.07). Conclusion Adults with ID with female gender, reduced motor function and more physical health conditions are at increased risk of lower perceived health and should be given attention in health promoting interventions. A lack of physical activity tends to negatively influence perceived health.

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Self-rated health and socio-economic status among older adults in Northern Iceland

Cited by 9 publications

References 37 publications

Daily moderate-intensity physical activities and optimism promote healthy ageing in rural northern Sweden: a cross-sectional study.

Daily moderate-intensity physical activities and optimism promote healthy ageing in rural northern Sweden: a cross-sectional study.

Making Europe health literate: including older adults in sparsely populated Arctic areas

How do multimorbidity and lifestyle factors impact the perceived health of adults with intellectual disabilities?

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