Normative data and discriminative properties of short form 36 (SF-36) in Turkish urban population

Demiral, Yucel; Ergor, Gul; Unal, Belgin; Semin, Semih; Akvardar, Yildiz; Kıvırcık, Berna; Alptekin, Köksal
January 2006
BMC Public Health;2006, Vol. 6 Issue 1, p247
Academic Journal
Background: SF-36 has been both translated into different languages and adapted to different cultures to obtain comparable data on health status internationally. However there have been only a limited number of studies focused on the discriminative ability of SF-36 regarding social and disease status in developing countries. The aim of this study was to obtain population norms of the short form 36 (SF-36) health survey and the association of SF-36 domains with demographic and socioeconomic variables in an urban population in Turkey. Methods: A cross-sectional study. Face to face interviews were carried out with a sample of households. The sample was systematically selected from two urban Health Districts in Izmir, Turkey. The study group consisted of 1,279 people selected from a study population of 46,290 people aged 18 and over. Results: Internal consistencies of the scales were high, with the exception of mental health and vitality. Physical health scales were associated with both age and gender. On the other hand, mental health scales were less strongly associated with age and gender. Women reported poorer health compared to men in general. Social risk factors (employment status, lower education and economic strain) were associated with worse health profiles. The SF-36 was found to be capable of discriminating disease status. Conclusion: Our findings, cautiously generalisable to urban population, suggest that the SF-36 can be a valuable tool for studies on health outcomes in Turkish population. SF-36 may also be a promising measure for research on health inequalities in Turkey and other developing countries.


Related Articles

  • Methods for health surveys in difficult settings: charting progress, moving forward. Bostoen, Kristof; Bilukha, Oleg O.; Fenn, Bridget; Morgan, Oliver W.; Tam, Clarence C.; ter Veen, Annemarie; Checchi, Francesco // Emerging Themes in Epidemiology;2007, Vol. 4, p13 

    Health surveys are a very important component of the epidemiology toolbox, and play a critical role in gauging population health, especially in developing countries. Research on health survey methods, however, is sparse. In particular, current sampling methods are not well adapted for certain...

  • High Temporal, Geographic, and Income Variation in Body Mass Index among Adults in Brazil. Sichieri, Rosely; Coitinho, Denise C.; Leão, Marília M.; Recine, Elisabetta; Everhart, James E. // American Journal of Public Health;May94, Vol. 84 Issue 5, p793 

    Objectives. Population-based data on body mass index for developing countries are scarce. Body mass index data from two Brazilian surveys were examined to determine regional and temporal variations in the prevalences of underweight, overweight, and obesity. Methods. Nationwide surveys in 1974/75...

  • Measures of Strength for Maternal Health Programs in 55 Developing Countries: The MNPI Study. Ross, John; Begala, Jane // Maternal & Child Health Journal;Mar2005, Vol. 9 Issue 1, p59 

    Objectives: To measure levels and types of effort for national maternal and neonatal health programs in 55 developing countries, in 2002, as a replication of a 1999 study.Methods: Thirteen components of program effort were covered, based on 81 items in questionnaires completed by 10-25 expert...

  • Contexts of Control: Modern Slavery in the United States. Whitaker, M. Pippin; Hinterlong, James // Social Development Issues;2008, Vol. 30 Issue 3, p27 

    This article asks what contexts facilitate control of individuals in modern slavery. We review the modern- slavery literature relevant to context, and propose four new constructs and a new model for analyzing how social and economic factors facilitate control of slaves in the United States. We...

  • Measuring health and economic status of older adults in developing countries. Smith, James P. // Gerontologist;Aug94, Vol. 34 Issue 4, p491 

    Focuses on the improvement of health surveys for the elderly population in the Third World countries. Integration of health, social support and economic modules into a single survey design; Examination of the RAND Indonesian Family Life Survey.

  • Population scares. Bauer, P.T. // Commentary;Nov87, Vol. 84 Issue 5, p39 

    Since the 1960s, population pressure and growth have been widely regarded as prime causes of Third World poverty and prime obstacles to economic development. Examines evidence that, contrary to popular belief, rapid population growth has not prevented economic progress in the Third World,...

  • Population and growth causality in developing countries. Kapuria-Foreman, Vibha // Journal of Developing Areas;Jul95, Vol. 29 Issue 4, p531 

    Examines the short-run interrelationship between population growth and economic growth in 15 low- and middle-income developing countries. Outline of the anticipated relationship between population growth and the growth per capita income; Review of the relationship when aggregate data on...

  • Time to rethink policies.  // Scholastic Update;12/14/84, Vol. 118 Issue 7, p14 

    Time to rethink policies, according to Lester Brown of World-Watch Institute. Third World nations must realize that population growth is out-pacing economic growth: thus they must act quickly to curb population growth or wait until population pressure is so explosive they must take harsh measures.

  • Aging trends - Puerto Rico. Muschkin, Clara G.; Patterson, Carol J.; Muschkin, C G; Patterson, C J // Journal of Cross-Cultural Gerontology;Dec1997, Vol. 12 Issue 4, p373 

    When viewed in the context of Latin America, Puerto Rico is relatively ’old’ in terms of proportions of the population at older ages. Within the Caribbean subregion— the oldest of all developing world areas— Puerto Rico’s percentage of population at older ages...


Read the Article


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

Try another library?
Sign out of this library

Other Topics