The association between self-rated health and social environments, health behaviors and health outcomes: a structural equation analysis

Craig, Bevan Adrian; Morton, Darren; Morey, Peter; Kent, Lillian; Gane, A Barry; Butler, Terry; Rankin, Paul; Price, Kevin Ross

doi:10.1186/s12889-018-5323-y

Cited by 31 publications

(26 citation statements)

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“…Individual factors such as age, gender, level of schooling and pre-marital relationships have been thoroughly discussed in the literature as key determinants that affect adolescents' health and social outcomes [18,23,34,[51][52][53]. While social determinants may reify the familiar dominant narrative of the risk discourse, ALHIV having increased mental health problems and lag in adherence, contraception use, disclosure, and viral load [10,25,28,[54][55][56][57][58][59].…”

Section: Discussionmentioning

confidence: 99%

Adolescents living with HIV, complex needs and resilience in Blantyre, Malawi

et al. 2020

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Background: Adolescents living with HIV (ALHIV) in Malawi experience multiple challenges associated with their illness and various social, environmental, economic and cultural factors. In exploring their various medical concerns and social vulnerabilities, we consider the role of multiple services in creating a pathway for resilience. Methods: Multiple methods and case studies allowed for triangulation of evidence and provided a holistic understanding of resilience among adolescents with complex needs. The research methods included: (1) a survey to identify examples of young people with complex needs, (2) qualitative interviews and field notes to further explore these needs, (3) patient files and health passports to identify clinical challenges, and (4) ecomapping exercises to personalize cases and identify resilience-enabling resources and supports. We present four case studies to highlight the complex experiences and access to services of ALHIV, and to illustrate their growing power and decision-making capacity over time. Results: Adversity experienced by ALHIV varied by gender, family situation, years of schooling, and use of teen-clubs for support. The two female adolescents emphasised their need to be accepted and how this impacted sexuality and reproduction. The two males illustrated how ideas of masculinity influenced their sexual practice and involvement with health services and the correctional justice system. Multiple risks (alcohol use, sexual activities) and complex needs (belonging, having a purpose in life/productive activities, autonomy, desire for offspring) influence pathways to resilience. ALHIV were able to strengthen their own wellbeing by resisting negative behaviours and peer pressure and caregiver interactions through 'strategic silence'. Conclusion: ALHIV experienced self-transformation as a result of taking ART, with fewer severe episodes of illness and distressing skin conditions. Continuous engagement at the teen-club clinic transformed both productive activities and social relationships among ALHIV as they set life goals, gained a sense of empowerment, requested SRH services, and formed intimate relationships. These transformative opportunities allowed them to learn ways of minimizing risk of reinfection and violence, and of navigating health worker-caregiver-adolescent interactions.

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Section: Discussionmentioning

confidence: 99%

Adolescents living with HIV, complex needs and resilience in Blantyre, Malawi

et al. 2020

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“…“How would you rate your health in general?” with the answer options “very good,” “good,” “fair”, “bad” and “very bad” [ 16 ]. This measure has been widely used in public health studies [ 17 , 18 ], including among young adults and students [ 4 , 19 ]. Through a single subjective question, self-rated health provides a convenient and quick method of assessing reliably an individual’s health status where health, as officially defined by the World Health Organization, is a state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity.…”

Section: Introductionmentioning

confidence: 99%

The association between depressive symptoms and self-rated health among university students: a cross-sectional study in France and Japan

et al. 2020

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Background Depressive disorders in University students have risen dramatically in the past few decades to the extent that students’ mental health has become a current global public health priority. Obtaining information from University students about their mental health is challenging because of potential embarrassment of disclosing one’s concerns and fear of stigmatization. Self-rated health might be a good solution to evaluate mental health state by a simple and neutral indicator. The aim of the study is to investigate the association between depressive symptoms and self-rated health by sex among University students in France and Japan. Methods A cross-sectional study was conducted by using two large cohorts of students aged ≥18 years (n = 5655 in Bordeaux, France and n = 17,148 in Kyoto, Japan). Depressive symptoms (PHQ-2 scale), Likert scale of self-rated health, socio-demographic characteristics and health habits were collected through self-administered questionnaires. Multivariate logistic regression models were performed to describe the association between depressive symptoms and other variables including self-rated health, stratified by sex. Results A high score of PHQ-2 (high depressive symptoms) was associated with poor self-rated health in both cohorts independently of all other variables (OR 2.82, 95%CI 1.99–4.01 in France, OR 7.10, 95%CI 5.76–8.74 in Japan). Although the prevalence of depressive symptoms between sexes was different in French students (males 15.4%, females 25.0%, p < 0.001), it was similar in Japanese students (males 3.5%, females 3.3%, p = 0.466), who reported less depressive symptoms than French students. The association between depressive symptoms and poor self-rated health was greater in Japanese females (OR 12.40, 95%CI 7.74–20.00) than in males (OR 6.30, 95%CI 4.99–7.95), whereas the strength of the association was almost similar in French students (OR 2.17, 95%CI 0.86–5.47 in males, OR 2.98, 95%CI 2.03–4.38 in females). Conclusions Depressive symptoms were associated with self-rated health among University students in both countries with slightly differences in sex. Self-rated health would be a simple, reliable and universal indicator for healthcare professionals and University staff to identify students at risk of depression.

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“…with the answer options "very good," "good," "fair", "bad" and "very bad" [16]. This measure has been widely used in public health studies [17,18], including among young adults and students [4,19]. Through a single subjective question, selfrated health provides a convenient and quick method of assessing reliably an individual's health status where health, as o cially de ned by the World Health Organization, is a state of complete physical, mental, and social well-being, not merely the absence of disease or in rmity.…”

Section: Introductionmentioning

confidence: 99%

The Association between Depressive Symptoms and Self-Rated Health among University Students: A Cross-Sectional Study in France and Japan

Ishida

Montagni

Matsuzaki

et al. 2020

Preprint

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Background: Depressive disorders in University students have risen dramatically in the past few decades to the extent that students’ mental health has become a current global public health priority. Obtaining information from University students about their mental health is challenging because of potential embarrassment of disclosing one’s concerns and fear of stigmatization. Self-rated health might be a good solution to evaluate mental health state by a simple and neutral indicator. The aim of the study is to investigate the association between depressive symptoms and self-rated health by sex among University students in France and Japan. Methods: A cross-sectional study was conducted by using two large cohorts of students aged ≥18 years (n=5,655 in Bordeaux, France and n=17,148 in Kyoto, Japan). Depressive symptoms (PHQ-2 scale), Likert scale of self-rated health, socio-demographic characteristics and health habits were collected through self-administered questionnaires. Multivariate logistic regression models were performed to describe the association between depressive symptoms and other variables including self-rated health, stratified by sex. Results: A high score of PHQ-2 (high depressive symptoms) was associated with poor self-rated health in both cohorts independently of all other variables (OR 2.82, 95%CI 1.99-4.01 in France, OR 7.10, 95%CI 5.76-8.74 in Japan). Although the prevalence of depressive symptoms between sexes was different in French students (males 15.4%, females 25.0%, p<0.001), it was similar in Japanese students (males 3.5%, females 3.3%, p=0.466), who reported less depressive symptoms than French students. The association between depressive symptoms and poor self-rated health was greater in Japanese females (OR 12.40, 95%CI 7.74-20.00) than in males (OR 6.30, 95%CI 4.99-7.95), whereas the strength of the association was almost similar in French students (OR 2.17, 95%CI 0.86-5.47 in males, OR 2.98, 95%CI 2.03-4.38 in females). Conclusions: Depressive symptoms were associated with self-rated health among University students in both countries with slightly differences in sex. Self-rated health would be a simple, reliable and universal indicator for healthcare professionals and University staff to identify students at risk of depression.

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The association between self-rated health and social environments, health behaviors and health outcomes: a structural equation analysis

Cited by 31 publications

References 40 publications

Adolescents living with HIV, complex needs and resilience in Blantyre, Malawi

Adolescents living with HIV, complex needs and resilience in Blantyre, Malawi

The association between depressive symptoms and self-rated health among university students: a cross-sectional study in France and Japan

The Association between Depressive Symptoms and Self-Rated Health among University Students: A Cross-Sectional Study in France and Japan

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