Self-Perceived Health in Early Adulthood - Offord Centre for Child 自觉健康成年早期-起儿童中心.pptVIP

Self-Perceived Health in Early Adulthood: An examination of distal, childhood effects John Cairney, PhD Centre for Addiction and Mental Health Department of Psychiatry and Public Health Sciences University of Toronto Terrance J. Wade, PhD Department of Community Health Sciences Brock University Laurie Corna, BA Department of Public Health Sciences University of Toronto Review: Previous Work Self-perceived (assessed/rated) health (SPH) is a powerful determinant of health service use, functional health status and mortality (Benyamini Idler 1999; Idler 2003) The independent association with mortality in particular, raises the question of what determines SPH Physical Health Status (chronic health problems, physical functioning) Mental Health Status Life style factors (smoking, alcohol use) (Cairney 2000; Wade, Pevalin and Vingilis 2000) Social and Economic Disadvantage (Warren 1994; Cairney 2000; Wade, Pevalin and Vingilis 2000) Review: Current Project Position in the social structure (income, education) appears to be an important predictor of SPH in both young adults (Vingilis, Wade Seeley 2002; Wade, Pevalin Vingilis 2000) and in later life (Cairney 2000; Cairney and Arnold 1996) However, very little work has examined the pathways connecting position in the social structure to SPH (but see Cairney 2000; Wade, Pevalin and Vingilis 2000) Methodology Secondary Analysis of 2-Waves of a Longitudinal Sample of Children Aged 4 to 11 Years (Wave 1) 17-Year interval between Waves: Wave 1 Wave 2 Wave 3 (Baseline) 1983 ------- 2000 N=1694 N=1694 Data Source Ontario Child Health Study (OCHS 1983; 2000) Outcome Measures: Self-rated Health (5-point scale) General Health (SF-36) Mental Health (SF-36) Data Source Distal Factors: Family Structure in 1983 (single vs. two-parent) Family Household Income in 1983 ($) Proximal Factors: Education (years of educ; 8-24) Household Income ($) Weight (BMI) Chronic Health Problems (count: 0-8) Self-Estee