ArticleBMC public health2021
Determinants of self-rated health among an older Tibetan population in a Chinese plateau area: analysis based on the conceptual framework for determinants of health.
Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Socioecological determinants of chronic disease multimorbidity in high-altitude Tibetan populations: a cross-sectional study.Journal of health, population, and nutrition · 2026Article
- Determinants of self-rated health in socioeconomically disadvantaged women: a cross-sectional study in Iran.BMC public health · 2025Article
- The association between cognitive impairment and oral health or oral hygiene behaviors among multiethnic older adults in Western China: a cross-sectional multicenter study.BMC public health · 2025Article
- Self-Rated Health and its Impact on Survival of Older Adults.Advanced biomedical research · 2024Article
- Associations of socioeconomic status and obesity with hypertension in tibetan adults in a Chinese plateau area.BMC public health · 2023Article
- Self-rated physical and mental health among older adults 80 years and older: cross-sectional results from a National community sample in Thailand.BMC public health · 2023Article
- Association between Psychological Resilience and Self-Rated Health in Patients with Knee Osteoarthritis.Healthcare (Basel, Switzerland) · 2023Article
- Self-rated health and perceived environmental quality in Brunei Darussalam: a cross-sectional study.BMJ open · 2022Article
- Association between chronic disease multimorbidity and leisure-time physical activity: Evidence from the China Multiethnic Cohort study.Frontiers in medicine · 2022Article
- A Space-Time Analysis of Rural Older People's Outdoor Mobility and Its Impact on Self-Rated Health: Evidence from a Taiwanese Rural Village.International journal of environmental research and public health · 2021Article
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14 authors.
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Abstract
backgroundSelf-rated health (SRH) has been frequently used in population health surveys. However, most of these studies only focus on specific factors that might directly affect SRH, so only partial or confounding information about the determinants of SRH is potentially obtained. Conducted in an older Tibetan population in a Chinese plateau area, the aim of our study is to assess interrelationships between various factors affecting SRH based on the conceptual framework for determinants of health.
methodsBetween May 2018 and September 2019, 2707 Tibetans aged 50 years or older were recruited as part of the China Multi-Ethnic Cohort Study (CMEC) from the Chengguan District of Lhasa city in Tibet. The information included SRH and variables based on the conceptual framework for determinants of health (i.e., socioeconomic status, health behaviors, physical health, mental health, and chronic diseases). Structural equation modeling (SEM) was used to estimate the direct and indirect effects of multiple factors in the conceptual framework.
resultsAmong all participants, 5.54% rated their health excellent, 51.16% very good, 33.58% good, 9.12% fairly poor and 0.59% poor. Physical health (β = - 0.23, P < 0.001), health behaviors (β = - 0.44, P < 0.001), socioeconomic status (β = - 0.29, P < 0.001), chronic diseases (β = - 0.32, P < 0.001) and gender (β = 0.19, P < 0.001) were directly associated with SRH. Socioeconomic status, physical health and gender affected SRH both directly and indirectly. In addition, there are potential complete mediator effects in which age and mental health affect SRH through mediators, such as physical health, health behaviors and chronic diseases.
conclusionsThe findings suggested that interventions targeting behavioral changes, health and chronic disease management should be attached to improve SRH among older populations in plateau areas without ignoring gender and socioeconomic disparities.
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