ArticleBMC public health2015
Which environmental factors are associated with lived health when controlling for biological health? - a multilevel analysis.
Article in BMC public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Demographic and environmental factors associated with disability in India, Laos, and Tajikistan: a population-based cross-sectional study.BMC public health · 2022Article
- Identifying key environmental barriers experienced by persons with mild, moderate, or severe disability in Bankim Health District, Cameroon: a policy-targeted secondary analysis of data obtained with the World Bank and WHO model disability survey.Archives of public health = Archives belges de sante publique · 2021Article
- Determinants of Health Trajectories in England and the United States: An Approach to Identify Different Patterns of Healthy Aging.The journals of gerontology. Series A, Biological sciences and medical sciences · 2018Article
- What makes the difference in people's lives when they have a mental disorder?International journal of public health · 2018Article
- Which Environmental Factors Have the Highest Impact on the Performance of People Experiencing Difficulties in Capacity?International journal of environmental research and public health · 2016Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLived health and biological health are two different perspectives of health introduced by the International Classification of Functioning, Disability and Health (ICF). Since in the concept of lived health the impact of the environment on biological health is inherently included, it seems intuitive that when identifying the environmental determinants of health, lived health is the appropriate outcome. The Multilevel Item Response Theory (MLIRT) model has proven to be a successful method when dealing with the relation between a latent variable and observed variables. The objective of this study was to identify environmental factors associated with lived health when controlling for biological health by using the MLIRT framework.
methodsWe performed a psychometric study using cross-sectional data from the Spanish Survey on Disability, Independence and Dependency Situation. Data were collected from 17,303 adults living in 15,263 dwellings. The MLIRT model was used for each of the two steps of the analysis to: (1) calculate people's biological health abilities and (2) estimate the association between lived health and environmental factors when controlling for biological health. The hierarchical structure of individuals in dwellings was considered in both models.
resultsSocial support, being able to maintain one's job, the extent to which one's health needs are addressed and being discriminated against due to one's health problems were the environmental factors identified as associated with lived health. Biological health also had a strong positive association with lived health.
conclusionsThis study identified environmental factors associated with people's lived health differences within and between dwellings according to the MLIRT-model approach. This study paves the way for the future implementation of the MLIRT model when analysing ICF-based data.
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