Area- and Individual-Level Correlates of Self-Rated Health: Implications for Geographic Health Disparities

Background Self-rated health (SRH) is a common measure of overall health. However, little is known about multilevel correlates of physical and mental SRH. Methods Patients attending primary care clinics completed a survey before their appointment, which we linked to community data from American Comm...

Full description

Bibliographic Details
Main Authors: Jennifer L. Moss, Siddhartha Roy, Karl T. Clebak, Julie Radico, Jarrett Sell, Christina Scartozzi, Shuai Zhou, Guangqing Chi, Tamara Oser
Format: Article
Language:English
Published: SAGE Publishing 2021-08-01
Series:Journal of Primary Care & Community Health
Online Access:https://doi.org/10.1177/21501327211039715
id doaj-18c572b2f10e49b2af11a1c29ccff45c
record_format Article
spelling doaj-18c572b2f10e49b2af11a1c29ccff45c2021-08-21T22:03:23ZengSAGE PublishingJournal of Primary Care & Community Health2150-13272021-08-011210.1177/21501327211039715Area- and Individual-Level Correlates of Self-Rated Health: Implications for Geographic Health DisparitiesJennifer L. Moss0Siddhartha Roy1Karl T. Clebak2Julie Radico3Jarrett Sell4Christina Scartozzi5Shuai Zhou6Guangqing Chi7Tamara Oser8Penn State College of Medicine, Hershey, PA, USAPenn State College of Medicine, Hershey, PA, USAPenn State College of Medicine, Hershey, PA, USAPenn State College of Medicine, Hershey, PA, USAPenn State College of Medicine, Hershey, PA, USAPenn State Health St. Joseph, Reading, PA, USAThe Pennsylvania State University, State College, PA, USAThe Pennsylvania State University, State College, PA, USAUniversity of Colorado School of Medicine, Aurora, CO, USABackground Self-rated health (SRH) is a common measure of overall health. However, little is known about multilevel correlates of physical and mental SRH. Methods Patients attending primary care clinics completed a survey before their appointment, which we linked to community data from American Community Survey and other sources (n = 455). We conducted multilevel logistic regression to assess correlates of excellent/very good versus good/fair/poor physical and mental SRH. Results 43.9% of participants had excellent/very good physical SRH, and 55.2% had excellent/very good mental SRH. Physical SRH was associated with age (odds ratio[OR] = 0.82 per 10 years; 95% confidence interval[CI] = 0.72-0.93) and community correlates, including retail establishment density (OR = 0.94, 95% CI = 0.90-0.99) and percent of students eligible for free/reduced lunch (OR = 1.60, 95% CI = 1.08-2.38) (all P  < .05). Mental SRH was not associated with any characteristics. Conclusions Practitioners in public health, social work, and medicine could use zip codes to intervene in patients and communities to improve physical SRH.https://doi.org/10.1177/21501327211039715
collection DOAJ
language English
format Article
sources DOAJ
author Jennifer L. Moss
Siddhartha Roy
Karl T. Clebak
Julie Radico
Jarrett Sell
Christina Scartozzi
Shuai Zhou
Guangqing Chi
Tamara Oser
spellingShingle Jennifer L. Moss
Siddhartha Roy
Karl T. Clebak
Julie Radico
Jarrett Sell
Christina Scartozzi
Shuai Zhou
Guangqing Chi
Tamara Oser
Area- and Individual-Level Correlates of Self-Rated Health: Implications for Geographic Health Disparities
Journal of Primary Care & Community Health
author_facet Jennifer L. Moss
Siddhartha Roy
Karl T. Clebak
Julie Radico
Jarrett Sell
Christina Scartozzi
Shuai Zhou
Guangqing Chi
Tamara Oser
author_sort Jennifer L. Moss
title Area- and Individual-Level Correlates of Self-Rated Health: Implications for Geographic Health Disparities
title_short Area- and Individual-Level Correlates of Self-Rated Health: Implications for Geographic Health Disparities
title_full Area- and Individual-Level Correlates of Self-Rated Health: Implications for Geographic Health Disparities
title_fullStr Area- and Individual-Level Correlates of Self-Rated Health: Implications for Geographic Health Disparities
title_full_unstemmed Area- and Individual-Level Correlates of Self-Rated Health: Implications for Geographic Health Disparities
title_sort area- and individual-level correlates of self-rated health: implications for geographic health disparities
publisher SAGE Publishing
series Journal of Primary Care & Community Health
issn 2150-1327
publishDate 2021-08-01
description Background Self-rated health (SRH) is a common measure of overall health. However, little is known about multilevel correlates of physical and mental SRH. Methods Patients attending primary care clinics completed a survey before their appointment, which we linked to community data from American Community Survey and other sources (n = 455). We conducted multilevel logistic regression to assess correlates of excellent/very good versus good/fair/poor physical and mental SRH. Results 43.9% of participants had excellent/very good physical SRH, and 55.2% had excellent/very good mental SRH. Physical SRH was associated with age (odds ratio[OR] = 0.82 per 10 years; 95% confidence interval[CI] = 0.72-0.93) and community correlates, including retail establishment density (OR = 0.94, 95% CI = 0.90-0.99) and percent of students eligible for free/reduced lunch (OR = 1.60, 95% CI = 1.08-2.38) (all P  < .05). Mental SRH was not associated with any characteristics. Conclusions Practitioners in public health, social work, and medicine could use zip codes to intervene in patients and communities to improve physical SRH.
url https://doi.org/10.1177/21501327211039715
work_keys_str_mv AT jenniferlmoss areaandindividuallevelcorrelatesofselfratedhealthimplicationsforgeographichealthdisparities
AT siddhartharoy areaandindividuallevelcorrelatesofselfratedhealthimplicationsforgeographichealthdisparities
AT karltclebak areaandindividuallevelcorrelatesofselfratedhealthimplicationsforgeographichealthdisparities
AT julieradico areaandindividuallevelcorrelatesofselfratedhealthimplicationsforgeographichealthdisparities
AT jarrettsell areaandindividuallevelcorrelatesofselfratedhealthimplicationsforgeographichealthdisparities
AT christinascartozzi areaandindividuallevelcorrelatesofselfratedhealthimplicationsforgeographichealthdisparities
AT shuaizhou areaandindividuallevelcorrelatesofselfratedhealthimplicationsforgeographichealthdisparities
AT guangqingchi areaandindividuallevelcorrelatesofselfratedhealthimplicationsforgeographichealthdisparities
AT tamaraoser areaandindividuallevelcorrelatesofselfratedhealthimplicationsforgeographichealthdisparities
_version_ 1721200272303194112