Socioeconomic Status and Utilization of Health Care Services in Canada and the United States

Blackwell, Debra L.; Martinez, Michael E.; Gentleman, Jane F.; Sanmartin, Claudia; Berthelot, Jean‐Marie

doi:10.1097/mlr.0b013e3181adcbe9

Cited by 135 publications

(152 citation statements)

References 39 publications

(42 reference statements)

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“…It is possible that the low-SES women may not report serious illnesses because they cannot afford medical services, while the high-SES groups may tend to over-report less serious health problems (Singh-Manoux, Dugravot, Shipley et al, 2007). This pattern may be because the low-SES groups cannot afford medical services but the high-SES groups have better health literacy and make more frequent visits to doctors (Blackwell, Martinez, Gentleman et al, 2009). There is also evidence that women are more likely to exaggerate minor health problems or report health problems at an earlier stage (Singh-Manoux, Guéguen, Ferrie et al, 2008).…”

Section: Discussionmentioning

confidence: 94%

Self-rated health and interviewer-rated health: differentials in predictive power for mortality among subgroups of Chinese elders

Zhu¹,

Feng²,

Gu³

2017

IJPS

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Abstract:Interviewer-rated health (IRH) and self-rated health (SRH) have strong and independent predictive power for mortality, but their relative predictive power has not been examined among subpopulations. Because individuals from different subpopulations have distinct views, understandings, and judgments about health that influence their criteria and referents for SRH, we examine whether IRH is a valid predictor of mortality within subpopulations, which may provide added value for understanding its association with mortality. Using data from the 2005 and 2008 waves of the Chinese Longitudinal Healthy Longevity Survey, this study modeled associations of SRH and IRH with mortality in various subgroups among 12,583 older adults in China. We found that IRH is a robust predictor of mortality, independent of SRH, across major demographic and socioeconomic subpopulations after adjusting for a wide range of covariates. The predictive power of IRH for mortality was generally more robust than that of SRH in most subpopulations. Our findings suggest that IRH could be a good complement to SRH among subgroups of the Chinese older population.

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Section: Discussionmentioning

confidence: 94%

Self-rated health and interviewer-rated health: differentials in predictive power for mortality among subgroups of Chinese elders

Zhu¹,

Feng²,

Gu³

2017

IJPS

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“…Evidence from the United States shows that socioeconomic status is an important determinant of predictive power, but this is in a context where health, health literacy, access to healthcare, and health information are distributed unequally according to SES (Blackwell et al 2009;Blendon et al 2002;Zajacova 2007, 2010). Conversely, evidence from Europe shows that SES is a weak or null determinant of predictive power, likely because health information is more equally distributed across the social classes (Huisman et al 2007;Quesnel-Vallée 2007).…”

Section: Discussionmentioning

confidence: 99%

The moderating effect of sociodemographic factors on the predictive power of self-rated health for mortality in Canada

Falconer

Quesnel‐Vallée

2017

CSP

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Self-rated health is a reliable predictor for mortality, but its predictive power varies depending on social characteristics. This study tests the moderating effect of age, sex, education, and income on the power of self-rated health to predict mortality in Canada using data from the National Population Health Survey. Predictive power trajectories are modelled using time-series generalized estimating equation logistic regression. Findings show that self-rated health is a predictor for mortality up to 14 years prior to death in Canada, and is weakly moderated by income and education, and age/sex interactions. Self-rated health remains reliable across population sub-groups in Canada.Keywords: mortality; self-rated health; predictive power; sociodemography; Canadian population RésuméLa santé auto-évaluée est un prédicteur fiable de la mortalité, mais son pouvoir prédictif varie en fonction des caractéristiques sociales. Cette étude examine l'effet modérateur de l'âge, du sexe, de l'éducation, et du revenu sur le pouvoir de la santé auto-évaluée pour prédire la mortalité au Canada utilisant des données de l'Enquête nationale sur la santé de la population. Les trajectoires de puissance prédictive sont modélisées avec une régression logistique de l'équation d'estimation généralisée. Les résultats montrent que la santé auto-évaluée est un prédicteur de la mortalité jusqu'à 14 ans avant le décès au Canada, et est faiblement modérée par le revenu, l'éducation, et les interactions entre l'âge et le sexe. La santé auto-évaluée demeure valide parmi les sous-groupes de la population du Canada.

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“…Accepting health outcomes as partially influenced by modifiable behaviors (Robertson, Galdas, McCreary, Oliffe, & Tremblay, 2009), researchers over the past 30 years have focused attention on research suggesting that despite their elevated health risks, men in Western countries (particularly those aged between 18 and 64 years) tend to visit health providers at a lower rate than do women, even when accounting for obstetrical visits (Bertakis, Azari, Helms, Callahan, & Robbins, 1999;Blackwell, Martinez, Gentleman, Sanmartin, & Berthelot, 2009;Lee & Owens, 2002;Nabalamba & Millar, 2007;Pinkhasov et al, 2010). As detailed by Addis and Mahalik (2003), research on men's help seeking has adopted three main approaches: comparisons of male and female rates of health service use, considerations of how gender role socialization influences men's behaviors, and a social constructionist approach that recognizes health behaviors as gender performances.…”

Section: Summary Of the Current Theoretical And Empirical Literaturementioning

confidence: 99%

Beyond Ballistics

Wenger

2011

Am J Mens Health

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Although the literature on men's help seeking offers important insights into health service engagement patterns within this population, there remain gaps in our understanding. In addition to insufficient attention to a range of male experiences and a restricted focus on sex-specific or associated diseases, much of the extant work is limited by insufficient attention to how men navigate needs and supports across illness and a narrow conceptualization of the core concept of help seeking. Specifically, as research focuses on masculinity as a determinant of the decision to seek medical help (emphasis on prediction), less is known about how men, as gendered beings, are experiencing help seeking over the course of illness (emphasis on understanding). In this article, it is argued that research on men's help seeking can benefit from the integration of a dynamic conceptualization of help seeking that is considerate of shifting needs and a diversity of supports and which emphasizes the subjective, interactive, and ongoing patterns in how men are perceiving, interpreting, and responding to the challenges of illness.

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Socioeconomic Status and Utilization of Health Care Services in Canada and the United States

Cited by 135 publications

References 39 publications

Self-rated health and interviewer-rated health: differentials in predictive power for mortality among subgroups of Chinese elders

Self-rated health and interviewer-rated health: differentials in predictive power for mortality among subgroups of Chinese elders

The moderating effect of sociodemographic factors on the predictive power of self-rated health for mortality in Canada

Beyond Ballistics

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