title: The image of health status and quality of life in a Caribbean society.
abstract: BACKGROUND
  Health is defined as the presence or absence of illness. This conceptualization of health status is dominant in health treatment and in fashioning the health care system. However, very little research has been done on how Jamaicans view health status and quality of life (QoL).
  
  
  OBJECTIVE
  This article seeks to understand how Jamaicans conceptualize health status and QoL because definitional content has implications for their health.
  
  
  METHODS
  The current study utilized two national cross-sectional probability surveys from the Centre for Leadership and Governance (CLG) which looked at QoL among other variables and the Jamaican Survey of Living Conditions (JSLC) which measured living standards including health status. The sample in both surveys was 8,120 participants.
  
  
  RESULTS
  The majority of the respondents in the CLG (54%) and the JSLC (82.2%) surveys reported good health status. There was a strong statistical relationship between area of residence and health status (P < 0.0001) unlike the relationship between area of residence and quality of life (P < 0.137). The respondents dichotomized health status and QoL and a significant relationship was found between both variables (P < 0.0001). The respondents' dichotomization of health status and QoL is explained by the significant relationship between health status and self reported illness (P < 0.0001) where respondents view health status as the absence or presence of illness, excluding QoL.
  
  
  CONCLUSIONS
  Health status means the presence or absence of illness and excludes QoL which is not in keeping with previous findings. This distinction is culturally determined.
authors.affiliation: Department of Community Health and Psychiatry, Faculty of Medical Sciences, Mona, Jamaica.
authors.forename: Paul A
authors.initials: PA
authors.lastname: Bourne
authors.forename: Donovan A
authors.initials: DA
authors.lastname: McGrowder
authors.forename: Christopher A D
authors.initials: CA
authors.lastname: Charles
authors.forename: Cynthia G
authors.initials: CG
authors.lastname: Francis