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Interpreting self reported limiting long term illness

G Cohen1, J Forbes, M Garraway

  • 1Department of Public Health Sciences, Medical School, University of Edinburgh.

BMJ (Clinical Research Ed.)
|September 16, 1995
PubMed
Summary
This summary is machine-generated.

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Self-reported limiting long-term illness is strongly linked to physical health limitations, not psychosocial factors. Physical functioning significantly increases the odds of having a limiting long-term illness.

Area of Science:

  • Public Health
  • Epidemiology
  • Health Services Research

Background:

  • Self-reported limiting long-term illness is a key indicator of population health.
  • Understanding its associations with various health dimensions is crucial for effective health interventions.

Purpose of the Study:

  • To investigate the relationship between self-reported limiting long-term illness and other self-reported health dimensions.
  • To explore the influence of physical and psychosocial health on limiting long-term illness.

Main Methods:

  • A stratified random sample of 6212 adults (aged 16+) from the Lothian region, Scotland, was surveyed in 1993.
  • Limiting long-term illness was assessed using the 1991 UK census question; other health dimensions were measured by the SF-36 health survey.

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Main Results:

  • Prevalence of limiting long-term illness was higher than census data indicated.
  • General and physical health scores strongly correlated with limiting long-term illness.
  • Physical functioning limitations, particularly in the lower quartile, more than doubled the odds of having limiting long-term illness.
  • Psychosocial health measures showed minimal influence after adjusting for physical health.

Conclusions:

  • Self-reported limiting long-term illness is primarily associated with physical limitations.
  • Psychosocial well-being has a less direct impact on reporting limiting long-term illness.
  • Socioeconomic factors influencing limiting long-term illness appear to be mediated through general health and physical limitations.