dc.contributor.author | Tay, J. B | |
dc.date.accessioned | 2018-08-24T08:26:32Z | |
dc.date.available | 2018-08-24T08:26:32Z | |
dc.date.issued | 2004-11-01 | |
dc.identifier.citation | Tay, J. B (2004). Influence of sociodemographic and neighbourhood factors on self rated health and quality of life in rural communities: findings from the agriproject in the republic of ireland. Journal of Epidemiology & Community Health 58 (11), 904-911 | |
dc.identifier.issn | 0143-005X | |
dc.identifier.uri | http://hdl.handle.net/10379/9930 | |
dc.description.abstract | Objective: To examine the influence of sociodemographic and neighbourhood factors on self rated health, quality of life, and perceived opportunities for change ( as one measure of empowerment) in rural Irish communities.
Design: Pooled data from cross sectional surveys two years apart.
Setting: Respondents in four randomly selected rural district electoral divisions with a population size of between 750 and 2000.
Participants: 1738 rural dwellers aged 15 - 93, 40.5% men, interviewed at two time points.
Main outcome measures: Determinants of self rated health (SRH), quality of life (QOL), and perceived opportunities for change, rated on a closed option Likert scale and assessed in multivariate logistic regression models.
Main results: Overall 23.8% of the sample reported poor SRH, 22.2% poor QOL, and 50.1% low perceived opportunities for change. Low financial security and dissatisfaction with work were each significantly associated with poor SRH ( OR = 1.96 (1.50 to 2.56) and 1.54 (1.11 to 2.14)), with poor QOL ( OR = 2.04 ( 1.56 to 2.68) and 1.87 (1.34 to 2.61). Concern about access to public services was significantly predictive of SRH ( OR = 1.47 ( 1.11 to 1.94)) rather than access to health care ( that is, hospital and GP services). There were distinct sex specific patterns and a generational effect for educational status in men. Variables associated with social networks and social support were less strongly predictive of SRH and QOL when economic measures were accounted for.
Conclusion: Inter-relations between indicators of health status, wellbeing, and deprivation are not well studied in rural communities. Material deprivation has a direct influence on both health status and quality of life, although immediate sources of support are relatively well preserved. | |
dc.publisher | BMJ | |
dc.relation.ispartof | Journal of Epidemiology & Community Health | |
dc.rights | Attribution-NonCommercial-NoDerivs 3.0 Ireland | |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/3.0/ie/ | |
dc.subject | long-term illness | |
dc.subject | multilevel analysis | |
dc.subject | income-distribution | |
dc.subject | gender-differences | |
dc.subject | needs-assessment | |
dc.subject | deprivation | |
dc.subject | mortality | |
dc.subject | attitudes | |
dc.subject | promotion | |
dc.subject | england | |
dc.title | Influence of sociodemographic and neighbourhood factors on self rated health and quality of life in rural communities: findings from the agriproject in the republic of ireland | |
dc.type | Article | |
dc.identifier.doi | 10.1136/jech.2002.006643 | |
dc.local.publishedsource | http://jech.bmj.com/content/jech/58/11/904.full.pdf | |
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