Health Scope

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Self-Rated Health and Its Determinants in Female Population in Iran: A Community-Based Study

Jafar Hassanzadeh 1 and Shahab Rezaeian 2 , *
Authors Information
1 Research Centre for Health Sciences, Department of Epidemiology, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
2 Research Center for Environmental Determinants of Health (RCEDH), Kermanshah University of Medical Sciences, Kermanshah, Iran
Article information
  • Health Scope: February 2018, 7 (1); e68258
  • Published Online: February 28, 2018
  • Article Type: Research Article
  • Received: January 8, 2016
  • Revised: October 24, 2016
  • Accepted: December 15, 2016
  • DOI: 10.5812/jhealthscope.68258

To Cite: Hassanzadeh J, Rezaeian S. Self-Rated Health and Its Determinants in Female Population in Iran: A Community-Based Study, Health Scope. 2018 ; 7(1):e68258. doi: 10.5812/jhealthscope.68258.

Copyright © 2018, Journal of Health Scope. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited
1. Background
2. Methods
3. Results
4. Discussion
  • 1. Shibuya K, Hashimoto H, Yano E. Individual income, income distribution, and self rated health in Japan: cross sectional analysis of nationally representative sample. BMJ. 2002;324(7328):16-9. doi: 10.1136/bmj.324.7328.16. [PubMed: 11777798].
  • 2. Lindstrom M. Marital status, social capital, material conditions and self-rated health: a population-based study. Health Policy. 2009;93(2-3):172-9. doi: 10.1016/j.healthpol.2009.05.010. [PubMed: 19692141].
  • 3. Nedjat S, Hosseinpoor AR, Forouzanfar MH, Golestan B, Majdzadeh R. Decomposing socioeconomic inequality in self-rated health in Tehran. J Epidemiol Community Health. 2012;66(6):495-500. doi: 10.1136/jech.2010.108977. [PubMed: 21282143].
  • 4. Bombak AE, Bruce SG. Self-rated health and ethnicity: focus on indigenous populations. Int J Circumpolar Health. 2012;71:18538. doi: 10.3402/ijch.v71i0.18538. [PubMed: 22663937].
  • 5. Supiyev A, Nurgozhin T, Zhumadilov Z, Sharman A, Marmot M, Bobak M. Levels and distribution of self-rated health in the Kazakh population: results from the Kazakhstan household health survey 2012. BMC Public Health. 2014;14:768. doi: 10.1186/1471-2458-14-768. [PubMed: 25073469].
  • 6. Montazeri A, Goshtasebi A, Vahdaninia M. Educational inequalities in self-reported health in a general Iranian population. BMC Res Notes. 2008;1:50. doi: 10.1186/1756-0500-1-50. [PubMed: 18710503].
  • 7. Hiswåls AS, Ghilagaber G, Walander A, Wijk K, Öberg P, Soares J. Employment Status and Inequalities in Self-Reported Health. Epidemiol Biostat Public Health. 2014;11(4).
  • 8. Zarini GG, Vaccaro JA, Canossa Terris MA, Exebio JC, Tokayer L, Antwi J, et al. Lifestyle behaviors and self-rated health: the living for health program. J Environ Public Health. 2014;2014:315042. doi: 10.1155/2014/315042. [PubMed: 25530764].
  • 9. Mewton L, Andrews G. Poor self-rated health and its associations with somatisation in two Australian national surveys. BMJ Open. 2013;3(6). doi: 10.1136/bmjopen-2013-002965. [PubMed: 23811174].
  • 10. Burstrom B, Fredlund P. Self rated health: Is it as good a predictor of subsequent mortality among adults in lower as well as in higher social classes? J Epidemiol Community Health. 2001;55(11):836-40. doi: 10.1136/jech.55.11.836. [PubMed: 11604441].
  • 11. Wang C, Satariano WA. Self-rated current and future health independently predict subsequent mortality in an aging population. J Gerontol A Biol Sci Med Sci. 2007;62(12):1428-34. doi: 10.1093/gerona/62.12.1428. [PubMed: 18166696].
  • 12. Haddock CK, Poston WS, Pyle SA, Klesges RC, Vander Weg MW, Peterson A, et al. The validity of self-rated health as a measure of health status among young military personnel: evidence from a cross-sectional survey. Health Qual Life Outcomes. 2006;4:57. doi: 10.1186/1477-7525-4-57. [PubMed: 16939653].
  • 13. Zajacova A, Dowd JB. Reliability of self-rated health in US adults. Am J Epidemiol. 2011;174(8):977-83. doi: 10.1093/aje/kwr204. [PubMed: 21890836].
  • 14. Chola L, Alaba O. Association of neighbourhood and individual social capital, neighbourhood economic deprivation and self-rated health in South Africa--a multi-level analysis. PLoS One. 2013;8(7). e71085. doi: 10.1371/journal.pone.0071085. [PubMed: 23976923].
  • 15. Kim SS, Choi J, Park K, Chung Y, Park S, Heo J. Association between district-level perceived safety and self-rated health: a multilevel study in Seoul, South Korea. BMJ Open. 2014;4(7). e004695. doi: 10.1136/bmjopen-2013-004695. [PubMed: 25079921].
  • 16. Asfar T, Ahmad B, Rastam S, Mulloli TP, Ward KD, Maziak W. Self-rated health and its determinants among adults in Syria: a model from the Middle East. BMC Public Health. 2007;7:177. doi: 10.1186/1471-2458-7-177. [PubMed: 17651491].
  • 17. Singh-Manoux A, Dugravot A, Shipley MJ, Ferrie JE, Martikainen P, Goldberg M, et al. The association between self-rated health and mortality in different socioeconomic groups in the GAZEL cohort study. Int J Epidemiol. 2007;36(6):1222-8. doi: 10.1093/ije/dym170. [PubMed: 18025034].
  • 18. Min JW, Rhee S, Lee SE, Rhee J, Tran T. Comparative analysis on determinants of self-rated health among non-Hispanic White, Hispanic, and Asian American older adults. J Immigr Minor Health. 2014;16(3):365-72. doi: 10.1007/s10903-013-9852-2. [PubMed: 23744285].
  • 19. Salomon JA, Tandon A, Murray CJ. Comparability of self rated health: cross sectional multi-country survey using anchoring vignettes. BMJ. 2004;328(7434):258. doi: 10.1136/bmj.37963.691632.44. [PubMed: 14742348].
  • 20. Heshmat R, Kelishadi R, Motamed-Gorji N, Motlagh ME, Ardalan G, Arifirad T, et al. Association between body mass index and perceived weight status with self-rated health and life satisfaction in Iranian children and adolescents: the CASPIAN-III study. Qual Life Res. 2015;24(1):263-72. doi: 10.1007/s11136-014-0757-x. [PubMed: 25038635].
  • 21. Hosseini M, Maghami M, Kelishadi R, Motlagh ME, Khoshbin S, Amirkhani A, et al. First Report on Self-Rated Health in a Nationally-Representative Sample of Iranian Adolescents: The CASPIAN-iii study. Int J Prev Med. 2013;4(2):146-52. [PubMed: 23543891].
  • 22. Mohammadbeigi A, Valizadeh F, Mirshojaee SR, Ahmadli R, Mokhtari M, Ghaderi E, et al. Self-rated Health and Internet Addiction in Iranian Medical Sciences Students; Prevalence, Risk Factors and Complications. Int J Biomed Sci. 2016;12(2):65-70. [PubMed: 27493592].
  • 23. Jafari-Adli S, Qorbani M, Heshmat R, Ranjbar SH, Taheri E, Motlagh ME, et al. Association of short stature with life satisfaction and self-rated health in children and adolescents: the CASPIAN-IV study. J Pediatr Endocrinol Metab. 2016;29(11):1299-306. doi: 10.1515/jpem-2016-0215. [PubMed: 27754967].
  • 24. Ghalichi L, Nedjat S, Majdzadeh R, Hoseini M, Pournik O, Mohammad K. Determinants of Self-Rated Health in Tehran, from Individual Characteristics towards Community-Level Attributes. Arch Iran Med. 2015;18(5):266-71. [PubMed: 25959907].
  • 25. Baheiraei A, Bakouei F, Bakouei S, Eskandari N, Ahmari Tehran H. Social Capital as a Determinant of Self-Rated Health in Women of Reproductive Age: A Population-Based Study. Glob J Health Sci. 2015;8(2):273-80. doi: 10.5539/gjhs.v8n2p273. [PubMed: 26383196].
  • 26. Rezaeian S, Esmailnasab N. Social Determinants of Health Associated with Self-Reported HIV Testing among Women. Iran J Public Health. 2013;42(4):436-42. [PubMed: 23785685].
  • 27. Esmailnasab N, Hassanzadeh J, Rezaeian S, Barkhordari M. Use of Health Care Services and Associated Factors among Women. Iran J Public Health. 2014;43(1):70-8. [PubMed: 26060682].
  • 28. Wu S, Wang R, Zhao Y, Ma X, Wu M, Yan X, et al. The relationship between self-rated health and objective health status: a population-based study. BMC Public Health. 2013;13:320. doi: 10.1186/1471-2458-13-320. [PubMed: 23570559].
  • 29. Dubikaytis T, Harkanen T, Regushevskaya E, Hemminki E, Haavio-Mannila E, Laanpere M, et al. Socioeconomic differences in self-rated health among women: a comparison of St. Petersburg to Estonia and Finland. Int J Equity Health. 2014;13:39. doi: 10.1186/1475-9276-13-39. [PubMed: 24885151].
  • 30. Maharlouei N, Akbari M, Khabbaz Shirazy M, Yazdanpanah D, Lankarani KB. Factors associated with self-rated health status in Southwestern Iran: a population-based study. Public Health. 2016;140:179-85. doi: 10.1016/j.puhe.2016.06.027. [PubMed: 27498159].
  • 31. Huisman M, van Lenthe F, Mackenbach J. The predictive ability of self-assessed health for mortality in different educational groups. Int J Epidemiol. 2007;36(6):1207-13. doi: 10.1093/ije/dym095. [PubMed: 17510069].
  • 32. Dowd JB, Zajacova A. Does the predictive power of self-rated health for subsequent mortality risk vary by socioeconomic status in the US? Int J Epidemiol. 2007;36(6):1214-21. doi: 10.1093/ije/dym214. [PubMed: 17971388].
  • 33. Singh-Manoux A, Gueguen A, Martikainen P, Ferrie J, Marmot M, Shipley M. Self-rated health and mortality: short- and long-term associations in the Whitehall II study. Psychosom Med. 2007;69(2):138-43. doi: 10.1097/PSY.0b013e318030483a. [PubMed: 17289825].
  • 34. van Doorslaer E, Gerdtham UG. Does inequality in self-assessed health predict inequality in survival by income? Evidence from Swedish data. Soc Sci Med. 2003;57(9):1621-9. doi: 10.1016/S0277-9536(02)00559-2. [PubMed: 12948571].
  • 35. von dem Knesebeck O, Verde PE, Dragano N. Education and health in 22 European countries. Soc Sci Med. 2006;63(5):1344-51. doi: 10.1016/j.socscimed.2006.03.043. [PubMed: 16698158].
  • 36. Chen Y, While AE, Hicks A. Self-rated health and associated factors among older people living alone in Shanghai. Geriatr Gerontol Int. 2015;15(4):457-64. doi: 10.1111/ggi.12298. [PubMed: 24750391].
  • 37. Andersen FK, Christensen K, Frederiksen H. Self-rated health and age: a cross-sectional and longitudinal study of 11,000 Danes aged 45-102. Scand J Public Health. 2007;35(2):164-71. doi: 10.1080/14034940600975674. [PubMed: 17454920].
  • 38. Ren XS, Kazis L, Lee A, Rogers W, Pendergrass S. Health status and satisfaction with health care: a longitudinal study among patients served by the Veterans Health Administration. Am J Med Qual. 2001;16(5):166-73. doi: 10.1177/106286060101600504. [PubMed: 11591016].
  • 39. Sung NJ, Markuns JF, Park KH, Kim K, Lee H, Lee JH. Higher quality primary care is associated with good self-rated health status. Fam Pract. 2013;30(5):568-75. doi: 10.1093/fampra/cmt021. [PubMed: 23759366].
  • 40. Shi L, Starfield B, Politzer R, Regan J. Primary care, self-rated health, and reductions in social disparities in health. Health Serv Res. 2002;37(3):529-50. doi: 10.1111/1475-6773.t01-1-00036. [PubMed: 12132594].
  • 41. Kantaris M, Theodorou M, Galanis P, Kaitelidou D. Access and utilisation of health services by domestic helpers in Cyprus. Int J Health Plann Manage. 2014;29(4):e383-93. doi: 10.1002/hpm.2272. [PubMed: 25314927].
  • 42. Sun J, Deng S, Xiong X, Tang S. Equity in access to healthcare among the urban elderly in China: does health insurance matter? Int J Health Plann Manage. 2014;29(2):e127-44. doi: 10.1002/hpm.2227. [PubMed: 25028751].
  • 43. Pu C, Bai YM, Chou YJ. The impact of self-rated health on medical care utilization for older people with depressive symptoms. Int J Geriatr Psychiatry. 2013;28(5):479-86. doi: 10.1002/gps.3849. [PubMed: 22700167].
  • 44. Kristenson M, Lundberg J, Garvin P. Socioeconomic differences in outpatient healthcare utilisation are mainly seen for musculoskeletal problems in groups with poor self-rated health. Scand J Public Health. 2011;39(8):805-12. doi: 10.1177/1403494811423430. [PubMed: 21976054].
  • 45. Pu C, Tang GJ, Fang YT, Chou YJ. Which domain of self-rated health best predicts medical care utilization among Taiwanese adults? J Epidemiol. 2012;22(5):417-24. doi: 10.2188/jea.JE20110144. [PubMed: 22672999].
  • 46. Mavaddat N, Parker RA, Sanderson S, Mant J, Kinmonth AL. Relationship of self-rated health with fatal and non-fatal outcomes in cardiovascular disease: a systematic review and meta-analysis. PLoS One. 2014;9(7). e103509. doi: 10.1371/journal.pone.0103509. [PubMed: 25076041].
  • 47. Supranowicz P, Wysocki MJ, Car J, Debska A, Gebska-Kuczerowska A. Determinants of self-rated health of Warsaw inhabitants. Rocz Panstw Zakl Hig. 2012;63(3):273-84. [PubMed: 23173332].
  • 48. Zheng H, Thomas PA. Marital status, self-rated health, and mortality: overestimation of health or diminishing protection of marriage? J Health Soc Behav. 2013;54(1):128-43. doi: 10.1177/0022146512470564. [PubMed: 23321283].
  • 49. Molarius A, Granstrom F, Feldman I, Blomqvist MK, Pettersson H, Elo S. Can financial insecurity and condescending treatment explain the higher prevalence of poor self-rated health in women than in men? A population-based cross-sectional study in Sweden. Int J Equity Health. 2012;11:50. doi: 10.1186/1475-9276-11-50. [PubMed: 22937777].
  • 50. Sozmen K, Baydur H, Simsek H, Unal B. Decomposing socioeconomic inequalities in self assessed health in Turkey. Int J Equity Health. 2012;11:73. doi: 10.1186/1475-9276-11-73. [PubMed: 23217368].
  • 51. Tsai J, Ford ES, Li C, Zhao G, Pearson WS, Balluz LS. Multiple healthy behaviors and optimal self-rated health: findings from the 2007 Behavioral Risk Factor Surveillance System Survey. Prev Med. 2010;51(3-4):268-74. doi: 10.1016/j.ypmed.2010.07.010. [PubMed: 20647019].
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