Evidence map›Paper›PMID 27460934›Full record

ArticleBMC public health2016

Factors associated with self-reported health: implications for screening level community-based health and environmental studies.

Jane E Gallagher, Adrien A Wilkie, Alissa Cordner, Edward E Hudgens, Andrew J Ghio, Rebecca J Birch, Timothy J Wade

Abstract read
In one paragraph

Article in BMC public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Diminished returns to Black health: A Canadian problem?Canadian journal of public health = Revue canadienne de sante publique · 2026
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  8. Factors associated with self-rated health in Black Canadians: A cross-sectional study.Canadian journal of public health = Revue canadienne de sante publique · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Jane E GallagherEnvironmental Public Health Division, National Health and Environmental Effects Research Laboratory, U.S. Environmental Protection Agency, Mail Drop: 58C, Research Triangle Park, NC, 27711, USA.
Adrien A WilkieOak Ridge Institute for Science and Education, Environmental Public Health Division, National Health and Environmental Effects Research Laboratory, U.S. Environmental Protection Agency, Mail Drop: 58C, Research Triangle Park, NC, 27711, USA.
Alissa CordnerSociology Department, Whitman College, 345 Boyer Ave, Walla Walla, WA, 99362, USA.
Edward E HudgensEnvironmental Public Health Division, National Health and Environmental Effects Research Laboratory, U.S. Environmental Protection Agency, Mail Drop: 58C, Research Triangle Park, NC, 27711, USA.
Andrew J GhioEnvironmental Public Health Division, National Health and Environmental Effects Research Laboratory, U.S. Environmental Protection Agency, Mail Drop: 58C, Research Triangle Park, NC, 27711, USA.
Rebecca J BirchWestat, 1600 Research Blvd, Rockville, MD, 20850, USA.
Timothy J WadeEnvironmental Public Health Division, National Health and Environmental Effects Research Laboratory, U.S. Environmental Protection Agency, Mail Drop: 58C, Research Triangle Park, NC, 27711, USA. Wade.Tim@epa.gov.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdvocates for environmental justice, local, state, and national public health officials, exposure scientists, need broad-based health indices to identify vulnerable communities. Longitudinal studies show that perception of current health status predicts subsequent mortality, suggesting that self-reported health (SRH) may be useful in screening-level community assessments. This paper evaluates whether SRH is an appropriate surrogate indicator of health status by evaluating relationships between SRH and sociodemographic, lifestyle, and health care factors as well as serological indicators of nutrition, health risk, and environmental exposures.

methodsData were combined from the 2003-2006 National Health and Nutrition Examination Surveys for 1372 nonsmoking 20-50 year olds. Ordinal and binary logistic regression was used to estimate odds ratios and 95 % confidence intervals of reporting poorer health based on measures of nutrition, health condition, environmental contaminants, and sociodemographic, health care, and lifestyle factors.

resultsPoorer SRH was associated with several serological measures of nutrition, health condition, and biomarkers of toluene, cadmium, lead, and mercury exposure. Race/ethnicity, income, education, access to health care, food security, exercise, poor mental and physical health, prescription drug use, and multiple health outcome measures (e.g., diabetes, thyroid problems, asthma) were also associated with poorer SRH.

conclusionBased on the many significant associations between SRH and serological assays of health risk, sociodemographic measures, health care access and utilization, and lifestyle factors, SRH appears to be a useful health indicator with potential relevance for screening level community-based health and environmental studies.

Indexed as

Diagnostic Self EvaluationHealth StatusHealth Status IndicatorsSelf ReportAdultBiomarkersEnvironmentEthnicityFemaleHealth Services AccessibilityHumansIncomeLife StyleLogistic ModelsMaleMiddle AgedBiomarkersClinical measuresMetal mixtures analysesNHANESScreening level health assessmentSelf-reported health

Identifiers

PMID27460934
PMCPMC4962351

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.