ArticleBMC geriatrics2021
The intersectional impact of sex and social factors on subjective health: analysis of the Canadian longitudinal study on aging (CLSA).
Article in BMC geriatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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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.
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Who cites it
8 citing papers in PubMed.
- When adolescents look at their bodies: Individual and social explanations for the dissatisfaction with what they see-A cross-sectional study.Canadian journal of public health = Revue canadienne de sante publique · 2026Article
- Reciprocal associations between social isolation and self-rated health among older adults in China: findings from the China longitudinal aging social survey (2018-2020).Archives of public health = Archives belges de sante publique · 2025Article
- Factors contributing to subjective well-being and supporting successful aging among rural Japanese community-dwelling older adults: A cross-sectional and longitudinal study.Geriatrics & gerontology international · 2024Article
- Exploring the Influence of Social Class and Sex on Self-Reported Health: Insights from a Representative Population-Based Study.Life (Basel, Switzerland) · 2024Article
- Gender differences in self-rated health among older adults in the Chinese workforce.Frontiers in public health · 2024Article
- Article
- Justice is not blind: We are.Lancet regional health. Americas · 2022Article
- Self-reported health and the well-being paradox among community-dwelling older adults: a cross-sectional study using baseline data from the Canadian Longitudinal Study on Aging (CLSA).BMC geriatrics · 2022Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
backgroundSelf-rated health (SRH) is a widely validated measure of the general health of older adults. Our aim was to understand what factors shape individual perceptions of health and, in particular, whether those perceptions vary for men and women and across social locations.
methodsWe used data from the Canadian Longitudinal Study on Aging (CLSA) of community-dwelling adults aged 45 to 85. SRH was measured via a standard single question. Multiple Poisson regression identified individual, behavioural, and social factors related to SRH. Intersections between sex, education, wealth, and rural/urban status, and individual and joint cluster effects on SRH were quantified using multilevel models.
resultsAfter adjustment for relevant confounders, women were 43% less likely to report poor SRH. The strongest cluster effect was for groupings by wealth (21%). When wealth clusters were subdivided by sex or education the overall effect on SRH reduced to 15%. The largest variation in SRH (13.6%) was observed for intersections of sex, wealth, and rural/urban status. In contrast, interactions between sex and social factors were not significant, demonstrating that the complex interplay of sex and social location was only revealed when intersectional methods were employed.
conclusionsSex and social factors affected older adults' perceptions of health in complex ways that only became apparent when multilevel analyses were carried out. Utilizing intersectionality analysis is a novel and nuanced approach for disentangling explanations for subjective health outcomes.
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