title: Factors associated with self-rated health status in Southwestern Iran: a population-based study.
abstract: OBJECTIVE
  This study aimed to reveal the relationship between self-rated health (SRH) and objective health status in the general population in the Southwest of Iran.
  
  
  METHODS
  A cross-sectional study.
  
  
  METHODS
  Data were collected by face-to-face interview with 3554 residents, aged ≥18 years, who were selected by multistage sampling procedure. Collected data included sociodemographic, SRH status, and medical conditions; chronic diseases and mental symptoms. SRH was indicated by a single question in five scales of very good, good, fair, poor and very poor. An ordinal logistic regression analysis was used. Independent variables were organized into four blocks: block 1, age, gender, marital status, education level, employment status, size of household and monthly household income; block 2, chronic or long-term illness (coronary heart disease, hypertension and diabetes mellitus); block 3, psychological disorders (anxiety, impatience and sleep disorders); and block 4 (visual, skin, hearing and oral disorders).
  
  
  RESULTS
  SRH status in most subjects reported to be positive, indicating 47.3% as very good, 30.8% good, 16.2% fair, 3.3% bad and 2.4% very bad. In studied subjects, poorer SRH was significantly related to older age (odds ratio [OR], 1.01), low-education level (OR, 1.09), single status (OR, 1.25), monthly household income (OR, 1.21), more chronic or long-term illness (OR, 1.61), greater psychological health disorders (OR, 1.69), more dermatologic disorders (OR, 1.30), and hearing problems (OR, 1.47).
  
  
  CONCLUSIONS
  Results of this study revealed that subjects with worse SRH were older with low-education level, lower household monthly income, more chronic illness, greater psychological health disorders, and more visual, skin, hearing and oral disorders. So, SRH, as indicated globally, can be used as a population screening tool to identify subjects who are most in need of public health services.
authors: Health Policy Research Center, Shiraz University of Medical Science, Shiraz, Iran. Electronic address: najmeh.maharlouei@gmail.com.
authors: N
authors: N
authors: Maharlouei
authors: School of Medicine, Isfahan University of Medical Science, Isfahan, Iran; Department of Epidemiology, School of Health and Nutrition, Shiraz University of Medical Sciences, Shiraz, Iran. Electronic address: m_akbari@med.mui.ac.ir.
authors: M
authors: M
authors: Akbari
authors: Health Policy Research Center, Shiraz University of Medical Science, Shiraz, Iran. Electronic address: khabaz@sums.ac.ir.
authors: M
authors: M
authors: Khabbaz Shirazy
authors: Student Research Committee, Shiraz University of Medical Science, Shiraz, Iran. Electronic address: yazdanpanahd@yahoo.com.
authors: D
authors: D
authors: Yazdanpanah
authors: Health Policy Research Center, Shiraz University of Medical Science, Shiraz, Iran. Electronic address: lankaran@sums.ac.ir.
authors: K B
authors: KB
authors: Lankarani
mesh_terms: D000328:Adult; D017677:Age Distribution; D002908:Chronic Disease / Q000453:epidemiology*; D003430:Cross-Sectional Studies; D059026:Diagnostic Self Evaluation; D005260:Female; D006801:Humans; D007492:Iran / Q000453:epidemiology; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology*; D008875:Middle Aged; D012959:Socioeconomic Factors
keywords: Chronic disease; Health status; Psychological disorders; Self-rated health