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Lifestyle approach to management of the menopause
Published in Barry G. Wren, Progress in the Management of the Menopause, 2020
J. R. Guthrie, L. Dennerstein, P. R. Ebeling, J. D. Wark, E. C. Dudley, J. L. Hopper, A. Green, H. G. Burger
To describe the healthy midlife woman three different health outcomes are defined: (1) optimal self-rated health, i.e. the woman who continually rates her health as better than the health of her peers; (2) optimal bone health, i.e. the woman who has high bone mineral density of the hip and spine; and (3) optimal cardiovascular health, i.e. the woman who has a low cardiovascular risk profile. Previous research has established self-rated health as a significant predictor of the use of health services1 and it appears to be related to mortality independent of objective health status2,3. An increase in bone fragility occurs in women as a result of both aging and the menopause, and is characteristic of osteoporosis4,5. Bone mineral densitometry is an established technique for measuring this bone fragility6. Cardiovascular disease has also been implicated as a long-term sequela of the cessation of ovarian endocrine activity7. Studies8,9 have shown that around the menopause there is an escalation in coronary risk, with an increase in low-density lipoprotein (LDL) cholesterol and a decrease in high- density lipoprotein (HDL) cholesterol. However, whether menopause per se or whether changes in lifestyle factors are responsible for altering the risk of coronary heart disease remains controversial10. Lifestyle factors which influence self-rated health, bone mineral density and cardiovascular risk factors were investigated for this paper.
Perceived health and consultation of GPs among ethnic minorities compared to the general population in the Netherlands
Published in Gert P Westert, Lea Jabaaij, François G Schellevis, Morbidity, Performance and Quality in Primary Care, 2018
Walter Devillé, Ellen Uiters, Gert Westert, Peter Groenewegen
It seems clear from the various analyses that the four ethnic minorities in the Netherlands rate their health worse compared to the Dutch patients. Self-rated health is associated with various patient characteristics, e.g. education. Taking these characteristics into account, and controlling for socio-economic differences, the difference in poor health between the various ethnic groups and the Dutch increases. Ethnicity seems to be independently associated with self-rated health, as it was in other research.16, 17 These differences seem to cluster in two groups, a Caribbean one (Surinamese and Antillean) and a Mediterranean one (Turkish and Moroccan). Different ethnic groups may rate their health in a different way and use different references. Also, the distances between the various cut-off points may differ and certainly the use of the moderate category may differ between populations. Fair health was included in poor health for this analysis.18 But we see that in the Mediterranean cluster poor self-rated health seems to be concentrated in female and/or married respondents.
Primary care
Published in Joachim P Sturmberg, Carmel M Martin, The Foundations of Primary Care, 2018
Joachim P Sturmberg, Carmel M Martin
Self-rated health is a related but different concept to quality of life. ‘How do you rate your health – excellent, very good, good, fair or poor’ seeks an individual’s perception of his health, irrespective of disease, diagnoses, or other factors. Adjusting the self-rated health response for these attributes shows that – in cohort studies – it is an independent predictor of mortality.18 Poor self-rated health is associated with an up to 93.5 times greater mortality risk compared to those in excellent health.18
Volunteering Experience among Older Adults with End-stage Renal Disease (ESRD)
Published in Journal of Gerontological Social Work, 2022
Ng Lay Hwan, Nur Atikah Mohamed Hussin
In addition, Borgonovi (2008) found that volunteers have better health and experience greater happiness than individuals who do not volunteer. In this study, we also observed an improvement in participants’ self-rated health. As prior analysis has shown, volunteering contributed to the heightened sense of self-worth, which leads to feelings of satisfaction and gratitude. This is especially noticeable when the older people with ESRD recognize they can still play their role as an assistant to other people. According to Role Theory, when a person can compensate for their perceived lack of fulfillment in their roles (Staines, 1980), they will consequently be able to cultivate a support system from other volunteers as well. Some contexts may have played a role in explaining the positive effects of volunteering in our study. One important factor is that Malaysia is a collectivistic society. Living in harmony and helping each other are common goals for Malaysians. Therefore, the ability to assist others is likely to impact the lives of Malaysian older people with ESRD. It gives them the feeling of being an ‘ordinary’ man or woman, that they were not different from others, because they were able to maintain a role as a productive member of society (Mundle et al., 2012).
Caregiving Stress and Self-Rated Health during the COVID-19 Pandemic: The Mediating Role of Resourcefulness
Published in Issues in Mental Health Nursing, 2021
Elliane Irani,, Atsadaporn Niyomyart,, Jaclene A. Zauszniewski,
The purpose of this study was to: (a) examine whether caregiving stress during the COVID-19 pandemic and resourcefulness contribute to self-rated health among family caregivers, and (b) examine the role of resourcefulness as a mediator in the relationship between caregiving stress and self-rated health. We hypothesized that higher caregiving stress during the pandemic and lower resourcefulness levels would be associated with poorer self-rated health. We also hypothesized that resourcefulness would mediate the relationship between caregiving stress and self-rated health. Self-rated health has been widely used as a global indicator of health and is associated with chronic diseases and symptoms, healthcare utilization, and mortality (Assari et al., 2020; DeSalvo et al., 2006; Han et al., 2018; Miilunpalo et al., 1997; Molarius & Janson, 2002). Therefore, the findings of this study can highlight potential intervening points to offset the negative effects of the pandemic on family caregivers on the short and long terms.
The mediating effect of perceived health on the relationship between physical activity and subjective well-being in Chinese college students
Published in Journal of American College Health, 2021
Zhanjia Zhang, Bo Chen, Weiyun Chen
According to the bottom-up theory of SWB, SWB is derived from a summation of pleasurable and unpleasurable moments and experiences, which indicates that SWB is a function of external events, situations, and demographics.15 In light of this perspective, researchers have been long seeking to identify the correlates of SWB. Health, among other factors, has been identified to be significant covariate of SWB, in terms of both objectively defined indicators of physical health and subjectively perceived health. Blanchflower and Oswald16 used the data on sixteen European countries and found that happier countries systematically reported lower levels of hypertension. Perceived health, or self-rated health, refers to an individual’s perception of his or her health status. Evidence has shown that perceived health has a stronger correlation with SWB than objectively measured health.17,18 From the perspective of perceived health, Subramanian, Kim, and Kawachi19 found that perceived health and happiness were positively correlated within individuals and communities in the USA. Gerdtham and Johannesson20 also found perceived health status was a significant correlate of SWB in Sweden.