Self-rated health and its determinants among adults in Syria: a model from the Middle East

Asfar, Taghrid; Ahmad, Balsam; Rastam, Samer; Mulloli, Tanja P.; Ward, Kenneth D.; Maziak, Wasim
January 2007
BMC Public Health;2007, Vol. 7 Issue 1, p177
Academic Journal
Background: Self-rated health (SRH) has been widely used to research health inequalities in developed western societies, but few such studies are available in developing countries. Similar to many Arab societies, little research has been conducted in Syria on the health status of its citizens, particularly in regards to SRH. This Study aims to investigate and compare determinants of SRH in adult men and women in Aleppo, Syria. Methods: A cross-sectional survey of adults 18 to 65 years old residing in Aleppo (2,500,000 inhabitants), Syria was carried out in 2004, involving 2038 household representatives (45.2% men, age range 18-65 years, response rate 86%). SRH was categorized as excellent, normal, and poor. Odds ratios for poor and normal SRH, compared to excellent, were calculated separately for men and women using logistic regression. Results: Women were more likely than men to describe their health as poor. Men and women were more likely to report poor SRH if they were older, reported two or more chronic health problems, or had high self perceived functional disability. Important gender-specific determinants of poor SRH included being married, low socioeconomic status, and not having social support for women, and smoking, low physical activity for men. Conclusion: Women were more likely than men to describe their health as poor. The link with age and pre-existing chronic conditions seems universal and likely reflects natural aging process. Determinants of SRH differed between men and women, possibly highlighting underlying cultural norms and gender roles in the society. Understanding the local context of SRH and its determinants within the prevailing culture will be important to tailor intervention programs aimed at improving health of the Syrian and similar Arab societies.


Related Articles

  • Social capital, political trust and self rated-health: A population-based study in southern Sweden. Mohseni, Mohabbat; Lindström, Martin // Scandinavian Journal of Public Health;Jan2008, Vol. 36 Issue 1, p1 

    Aim: To investigate the association between political trust (an aspect of institutional trust) and self-rated health, taking generalized (horizontal) trust in other people into account. Methods: The 2004 public health survey in Skåne is a cross-sectional postal questionnaire study answered by...

  • Treatment of hypertension in Germany: is there a social gradient? Laaser, Ulrich; Breckenkamp, Jürgen; Bjegovic, Vesna // International Journal of Public Health;Feb2012, Vol. 57 Issue 1, p185 

    Objectives: Effective hypertension control remains low without much improvement since the 1990s. However, information is limited whether and how social status impacts on hypertension control. Methods: Data from the German Health Survey 1998 are used to explore the role of social status according...

  • Health disparities by occupation, modified by education: a cross-sectional population study Health disparities by occupation, modified by education: a cross-sectional population study. Volkers, Anita C.; Westert, Gert P.; Schellevis, Francois G. // BMC Public Health;2007, Vol. 7 Issue 1, p1 

    Background: Socio-economic disparities in health status are frequently reported in research. By comparison with education and income, occupational status has been less extensively studied in relation to health status or the occurrence of specific chronic diseases. The aim of this study was to...

  • Equity in community health insurance schemes: evidence and lessons from Armenia. Jonny Polonsky; Dina Balabanova; Barbara McPake; Timothy Poletti; Seema Vyas; Olga Ghazaryan; Mohga Kamal Yanni // Health Policy & Planning;May2009, Vol. 24 Issue 3, p209 

    Introduction Community health insurance (CHI) schemes are growing in importance in low-income settings, where health systems based on user fees have resulted in significant barriers to care for the poorest members of communities. They increase revenue, access and financial protection, but...

  • The influence of social status on pre-school children's eating habits, caries experience and caries prevention behavior. Pieper, Klaus; Dressler, Simone; Heinzel-Gutenbrunner, Monika; Neuhäuser, Anne; Krecker, Matthias; Wunderlich, Klaus; Jablonski-Momeni, Anahita // International Journal of Public Health;Feb2012, Vol. 57 Issue 1, p207 

    Objectives: To assess the prevalence of Early Childhood Caries (ECC) in a county in Northern Hesse and to correlate this parameter to various independent variables. Additionally to investigate the relationship between preventive measures and the socioeconomic status (SES). Methods: In spring...

  • Explaining the social gradient in sickness absence: a study of a general working population in Sweden. Löve, Jesper; Hensing, Gunnel; Holmgren, Kristina; Torén, Kjell // BMC Public Health;2013, Vol. 13 Issue 1, p1 

    Background: Some previous studies have proposed potential explanatory factors for the social gradient in sickness absence. Yet, this research area is still in its infancy and in order to comprise the full range of socioeconomic positions there is a need for studies conducted on random population...

  • Immigrant Status and Unmet Health Care Needs. Zheng Wu; Penning, Margaret J.; Schimmele, Christoph M. // Canadian Journal of Public Health;Sep/Oct2005, Vol. 96 Issue 5, p369 

    Objectives: To compare whether unmet health needs differ between immigrants and nonimmigrants, and examine whether help-seeking characteristics account for any unmet needs disparities. Methods: The data are from the Canadian Community Health Survey Cycle 1.1, conducted by Statistics Canada in...

  • Is the Association of Diabetes With Uncontrolled Blood Pressure Stronger in Mexican Americans and Blacks Than in Whites Among Diagnosed Hypertensive Patients? Liu, Xuefeng; Song, Ping // American Journal of Hypertension;Nov2013, Vol. 26 Issue 11, p1328 

    BACKGROUND Clinical evidence shows that diabetes may provoke uncontrolled blood pressure (BP) in hypertensive patients. However, racial differences in the associations of diabetes with uncontrolled BP outcomes among diagnosed hypertensive patients have not been evaluated. METHODS A total of...

  • FIGHTING OBESITY CAMPAIGN IN TURKEY: EVALUATION OF MEDIA CAMPAIGN EFFICACY. Arıkan, İnci; Karakaya, Kağan; Erata, Mustafa; Tüzün, Hakan; Baran, Emine; Göçmen, Levent; Kökalan Yeşil, Harika // Central European Journal of Public Health;Sep2014, Vol. 22 Issue 3, p170 

    Aim: This study aims to determine the frequency of behaviour change and related factors generated in the population through the "Fighting Obesity Campaign" of the Turkish Ministry of Health. Methods: Twelve statistical regions from NUTS-1 and 18 provinces were selected for the study sample. At...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics