Self-Assessment of Health among the Citizens of Serbia in the Transition Period
-
Natasa Mihailovic
,
Ivana Simic-Vukomanovic
,
Marina Luketina-Sunjka
,
Sandra Zivanovic
,
Biljana Milicic
,
Vesna Milicic
Abstract
Background: The aim of the research was to compare the differences between the self-assessment of the health in the latest National Health Surveys research and in the one before that.
Methods: We used the database of the latest National Health Survey in the Republic of Serbia (2013) and of the one before that (2006), as cross-sectional studies (n=29485). Logistic regression was used to predict the relationship between self-assessment of health and independent predictors.
Results: Health condition of the interviewees improved according to their self-assessment. With aging respondents who poorly assessed their health; women assessed their health 1.7 and 1.6 times poorer in the latest research and in the one before that respectively. The odds ratio in patients diagnosed with some disease in the previous 12 months ranged from 2.15 (1.85 – 2.51) to 4.03 (3.22 – 5.05) in the latest research. The strongest predictor was sick leave in the past 12 months with 95% CI = 3.19 (1.87-5.44) in the latest research and 95% CI = 2.27 (1.67-3.08) in the one before that.
Conclusion: There was an improvement of the health condition of individuals. Female interviewees, less educated, unemployed, the ones who have some disease and who were on a sick leave rated their health as bad.
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26. Guibu IA, Moraes JC, Guerra AA Junior, et al (2017). Main characteristics of patients of primary health care services in Brazil. Rev Saude Publica, 51(Suppl 2):17s.
27. Osika Friberg I, Krantz G, Määttä S, Jär-brink K (2016). Sex differences in health care consumption in Sweden: A register-based cross-sectional study. Scand J Public Health, 44: 264-73.
28. Stanojevic Jerkovic O, Sauliune S, et al (2017). Determinants of self-rated health in elderly populations in urban areas in Slovenia, Lithuania and UK: findings of the EURO-URHIS 2 survey. Eur J Public Health, 27(suppl_2):74-79.
29. Bhojani U, Thriveni B, Devadasan R, et al (2012). Out-of-pocket healthcare pay-ments on chronic conditions impoverish urban poor in Bangalore, India. BMC Public Health, 12: 990.
30. Neter E, Stein N, Rennert G, Hagoel L (2016). Self-rated health is prospectively associated with uptake of screening for the early detection of colorectal cancer, not vice versa. Eur J Cancer Prev, 25: 282-7.
31. Abera GG, Alemayehu YK Henry J (2017). Public-on-private dual practice among physicians in public hospitals of Tigray National Regional State, North Ethiopia: perspectives of physicians, patients and managers. BMC Health Serv Res, 17: 713.
32. Siciliani L, Moran V, Borowitz M (2014). Measuring and comparing health care waiting times in OECD countries. Health Policy, 118: 292-303.
2. Lagomarsino G, Garabrant A, Adyas A, Muga R, Otoo N (2012). Moving to-wards universal health coverage: health insurance reforms in nine developing countries in Africa and Asia. Lancet, 380(9845):933-43.
3. Jakovljevic MM, Ogura S (2016). Health Economics at the Crossroads of Centu-ries – From the Past to the Future. Front Public Health, 4:115.
4. Knecht S, Kenning P (2016). Changing health behavior motivation from I-must to I-want. Prog Brain Res, 229: 427-38.
5. Jakovljevic MM, Arsenijevic J, Pavlova M, et al (2017). Within the triangle of healthcare legacies: comparing the performance of South-Eastern European health systems. J Med Econ, 20: 483-92.
6. Mihailovic NM, Kocic SS, Trajkovic G, Ja-kovljevic M (2017). Satisfaction with health services among the Citizens of Serbia. Front Pharmacol, 8: 50.
7. Simic S (2012). Quality of health protection and patient safety. In: Social medicine. Ed, Babic M, Bjegovic Mikanovic V, Vukovic D. Faculty of Medicine University of Bel-grade Publishing, Belgrade, pp. 315-36.
8. Wu S, Wang R, Zhao Y, et al (2013). The re-lationship between self-rated health and objective health status: a population-based study. BMC Public Health, 13: 320.
9. Mihailovic N. The effect of health care utili-zation patterns in public and private sec-tor on patients' self-assessment of their health condition and satisfaction with the health care system in the Republic of Ser-bia [PhD thesis]. Faculty of Medical Sci-enes University of Kragujevac, Serbia; 2017.
10. Ayanian JZ, Markel H (2016). Donabedian’s Lasting Framework for Health Care Quality. N Engl J Med, 375: 205-7.
11. Latham K, Peek CW (2013). Self-Rated Health and Morbidity Onset among Late Midlife U.S. Adults. J Gerontol B Psychol Sci Soc Sci, 68: 107-16.
12. Keramidou I, Triantafyllopoulos L (2018). The impact of the financial crisis and aus-terity policies on the service quality of public hospitals in Greece. Health Policy, 122: 352-8.
13. Darker CD, Donnelly-Swift E, Whiston L, et al (2016). Determinants of self-rated health in an Irish deprived suburban population – a cross sectional face-to-face household survey. BMC Public Health, 16: 767
14. Dong W, Wan J, Xu Y, Chen C, Bai G, Fang L et al (2017). Determinants of self-rated health among shanghai elders: a cross-sectional study. BMC Public Health, 17: 807.
15. Silva PA (2014). Individual and social deter-minants of self-rated health and well-being in the elderly population of Portu-gal. Cad Saude Publica, 30: 2387-2400.
16. Belém PL, Melo RL, Pedraza DF, Menezes TN (2016). Self-assessment of health sta-tus and associated factors in elderly per-sons registered with the Family Health Strategy of Campina Grande, Paraíba. Rev Bras Geriatr Gerontol, 19: 265-76.
17. Petarli GB, Salaroli LB, Bissoli NS, Zando-nade E (2015). Self-assessment of health status and associated factors: a study in bank workers. Cad Saude Publica, 31: 787-99.
18. Addai I, Adjei J (2014). Predictors of Self-Appraised Health Status in Sub-Saharan Africa: The Case of Ghana. Applied Re-search in Quality of Life, 9: 233–53.
19. Schnittker J , Bacak V (2014). The Increasing Predictive Validity of Self-Rated Health. PLoS One, 9:e84933.
20. Bujnowska-Fedak MM, Mastalerz-Migas A (2015). Usage of medical internet and e-health services by the elderly. Adv Exp Med Biol, 834: 75-80.
21. Greaves F, Ramirez-Cano D, Millett C, et al (2013). Harnessing the cloud of patient experience: using social media to detect poor quality healthcare. BMJ Qual Saf, 22: 251-5.
22. Rozenblum R, Bates DW (2013). Patient-centred healthcare, social media and the internet: the perfect storm? BMJ Qual Saf, 22: 183-6.
23. Neufingerl N, Cobain MR, Newson RS (2014). Web-Based Self-Assessment Health Tools: Who Are the Users and What the Impact of Missing Input In-formation Is. J Med Internet Res, 16: e215.
24. Patel RS, Lagord C, Waterall J, et al (2016). Online self-assessment of cardiovascular risk using the Joint British Societies (JBS3)-derived heart age tool: a descrip-tive study. BMJ Open, 6:e011511.
25. Zonneveld N, Vat LE, Vlek H, Minkman MM (2017). The development of inte-grated diabetes care in the Netherlands: a multiplayer self-assessment analysis. BMC Health Serv Res, 17: 219.
26. Guibu IA, Moraes JC, Guerra AA Junior, et al (2017). Main characteristics of patients of primary health care services in Brazil. Rev Saude Publica, 51(Suppl 2):17s.
27. Osika Friberg I, Krantz G, Määttä S, Jär-brink K (2016). Sex differences in health care consumption in Sweden: A register-based cross-sectional study. Scand J Public Health, 44: 264-73.
28. Stanojevic Jerkovic O, Sauliune S, et al (2017). Determinants of self-rated health in elderly populations in urban areas in Slovenia, Lithuania and UK: findings of the EURO-URHIS 2 survey. Eur J Public Health, 27(suppl_2):74-79.
29. Bhojani U, Thriveni B, Devadasan R, et al (2012). Out-of-pocket healthcare pay-ments on chronic conditions impoverish urban poor in Bangalore, India. BMC Public Health, 12: 990.
30. Neter E, Stein N, Rennert G, Hagoel L (2016). Self-rated health is prospectively associated with uptake of screening for the early detection of colorectal cancer, not vice versa. Eur J Cancer Prev, 25: 282-7.
31. Abera GG, Alemayehu YK Henry J (2017). Public-on-private dual practice among physicians in public hospitals of Tigray National Regional State, North Ethiopia: perspectives of physicians, patients and managers. BMC Health Serv Res, 17: 713.
32. Siciliani L, Moran V, Borowitz M (2014). Measuring and comparing health care waiting times in OECD countries. Health Policy, 118: 292-303.
| Files | ||
| Issue | Vol 50 No 4 (2021) | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/ijph.v50i4.6000 | |
| Keywords | ||
| Self-assessment of health Health service Health reforms Serbia | ||
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How to Cite
1.
Mihailovic N, Simic-Vukomanovic I, Luketina-Sunjka M, Zivanovic S, Milicic B, Milicic V. Self-Assessment of Health among the Citizens of Serbia in the Transition Period. Iran J Public Health. 2021;50(4):756-763.
