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Measuring self-rated social health of Iranians: a population based survey in three cities

Kambiz Abachizadeh, Soheila Omidnia, Ahmad Hajebi, Ali Asadi, Maryam Rassouli, Bagherzadeh Leila
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Abstract

Abstract:

Background and objectives:

Social health as third dimension of health, along with physical and mental health, has drawn more attention in recent years among policy makers and health system managers. No other study, to our knowledge, has documented measuring individual-level social health in Iran. In response to this need, our study tends to assess Iranians self-rated social health through conducting a survey in 3 cities of Iran.

 

Methods:

We conducted a survey using cross sectional method in three cities of Iran included people more than 18 years old. We use a random sample size of 800 people. The scale provides a total score of social health and three sub-scores. Total score was calculated by summing all 33 items, so the range was between 33 to 165, considering that higher score indicating better social health. Psychometric parameters of scale were acceptable. To interpret scores, respondents were categorized into five ordered groups as quintiles for amount of social health. To compare social health scores in different demographic groups multiple linear regression was employed to interpret association between demographic variables and social health score.

 

Results:

From a pool of 800 persons, 794 (99%) agreed to participate and filled out the questionnaire completely.  The mean of self-rated social health score was 105.0 (95% confidence interval, 103.8 to 106.2). 50% of participants had medium level of social health. social health score was higher for those who live in Urmia as a small city in comparison with big cities- Tehran and Isfahan (P V< 0.001) and was lower for unemployed people (PV= 0.029). There was no association between social health score and other factors such as sex, age and educational level (PV>0.05)

 

Conclusion:

This study may be considered as the first step in evidence-based policy-making in the field of social health in Iran. Certainly, it is necessary to conduct more studies to measure social health and its determinants in a nation-wide approach.


Keywords

social health, Iran, measure, self- rated

References

Castel L, Williams K, Bosworth H, Eisen S, Hahn E, Irwin D. Content validity in the PROMIS social-health domain: A qualitative analysis of focus-group data. Qual Life Res. 2008; 17, 737–749.

Rafeiey H (2010), The Social Health of Iran: From a Consensus-based Definition to an Evidence-based Index, Iranian Journal of Psychiatry and Clinical Psychology.16(3): 299. (Persian document)

Abachizadeh K, Omidnia S, Memaryan N, Nasehi AA, Rasouli M, Nikfarjam A. Determining dimensions of Iranians’ individual social health: A qualitative approach. Iranian J Publ Health, 2013; 42(Supple.1):88-92.

Keyes CM, Shapiro A. Social well-being in the US: A descriptive epidemiology. In: Healthing are you? A national study of wellbeing of midlife. Eds, Brim G, Ryff C, Ryff D. Kessler D. 1st ed. University of Chicago Press, United States. 2004; 350-373.

World Health Organization (2011). About WHO, Definition of health. Available from https://apps.who.int/aboutwho/en/definition.html.

Murray, C. & Lopez, A. ( 1996) Global Burden of Disease: A Comprehensive Assessment of Mortality and Disability from Diseases, Injuries, and Risk Factors in 1990 and Projected to 2020. Geneva: WHO

Wallace RB, Kohatsu N (2006). Public health & preventive medicine (Maxcy- Rosenau- last). 15th ed. Mc Graw- Hill, New York. 39-48.

McDowell I. Measuring Health: A Guide to Rating Scales and Questionnaires, In: Social health, 2006; (pp. 150-153). 3rd ed. New York, Oxford University Press.

Amini Ranani M, Rafiye H, Khedmati Morasae E. Social Health Status in Iran: An Empirical Study. 2013; 42(2): 206-214.

Russel RD. Social health: an attempt to clarify this dimension of well-being. Int J Health Education, 1973; 16: 74-82

Ustun B, Jacob R. Re-defining health. Bulletin of the World Health Organization (WHO). 2005; 83: 802.

Belloc NB, Breslow LS. Measure-ment of physical health in a general population survey. Am J Epidemiol 1971; 93: 328-336.

Donald CA, Ware JE, Jr. The measurement of social support. Res Community Ment Health, 1984; 4: 325–370.

Sherbourne CD, Stewart AL. The MOS Social Support Survey. Soc Sci Med. 1991; 32: 705–714.

Broadhead WE, Gehlbach SH, deGruy FV, Kaplan BH. The Duke-UNC functional social support questionnaire measurement of social support in family medicine patients. Med Care. 1998; 26:709-723.

Katz MM, Lyerly SB. Methods for measuring adjustment and social behavior in the community. I. Rationale, description, discriminative validity and scale development. Psychol Rep. 1963; 13: 503–535.

Ro, Eunyoe. "Conceptualization of psychosocial functioning: understanding structure and relations with personality and psychopathology." dissertation, University of Iowa, 2010. Available on: http://ir.uiowa.edu/etd/730.

Henderson S, Duncan-Jones P, Byrne DG, et al. Measuring social relationships: the Interview Schedule for Social Interaction. Psychol Med. 1980; 10: 723–734.

Weissman MM, Bothwell S. Assessment of social adjustment by patient self-report. Arch Gen Psychiatry 1976; 33: 1111–1115.

Noorbala AA. Psychosocial Health and Strategies for improvement. Iranian Journal of Psychiatry and Clinical Psychology (Andeesheh Va Raftar) 2011;17(2): 151-156. (Persian document)

Abachizadeh K, Tayefi B, Nasehi AA, Memaryan N, Rasouli M, Omidnia S, Bagherzadeh L. Development of a scale for measuring social health of Iranians living in three big cities. Medical Journal of the Islamic Republic of Iran 2014, 28, No. 1, Feb 2014, pp. 6-14

Sufi M, Trend of Iran social health indicators. Social wellbeing 2004; 3(12): 73-92 (Persian document)

Noorbala AA, Bagheriyazdi SA, Yasami MT, Mohammad K. Mental health survey of the adult population in Iran. BJP 2004, 184:70-73.

Noorbala AA, Bagheri Yazdi SA, Asadi Lari M, Vaez Mahdavi MR. Mental Health Status of Individuals Fifteen Years and Older in Tehran-Iran (2009). Iranian Journal of Psychiatry and Clinical Psychology 2011. 16 (4). 479- 483

Kassani A, Gohari M, Mousavi M, Asadi Lari M, Rohani M, Shoja M. Determinants of Social Capital in Tehran Residents Using Path Analysis: Urban HEART Study. Iranian Journal of Epidemiology 2012;8(2): 1-12 (Persian document)

Keyvanara M, Tavakoli N, Samouei R, Tavakoli F. Relationship between Social Capital and Mental Health. Journal of Health Information Management 2013;9 (Suppl.7): 1058-1065 (Persian document)

Kassani A, Gohari MR, Mousavi M, Asadilari M. Factor analysis of social capital questionnaire used in Urban HEART study in Tehran . Journal of School of Public Health And Institute of Public Health Researches 2012;10(2): 1-10. (Persian document)

Tahmtanpoor M. health related quality of life of people aged more than 40 in Mazandarn, Iran. Payesh, Journal of The Iranian Institute For Health Sciences Research 2011;10(2): 145-149.

Vahdaninia M, Ebadi M, Azin A, Ainparast A, Omidvari S, Jahangiri K. how do people assess their health?. Payesh, Journal of The Iranian Institute For Health Sciences Research 2011;10(3): 355-363. (Persian document)

Tajvar M, Arab M, Montazeri A. Determinants of health-related quality of life in elderly in Tehran, Iran. BMC Public Health 2008; 8:323.

Aghamolaei T, Tavafian SS, Zare S. Health Related Quality of Life in Elderly People Living in Bandar Abbas, Iran: A Population-Based Study. Acta Medica Iranica 2010; 48(3): 185-191

Fallahzadeh H, Mirzaei H. Health-Related Quality of life and Associated Factors among Iranian University Students. Journal of Community Health Research 2012; 1(2): 122‐130. (Persian document)

Nejati V., Ashayeri H. Health Related Quality of Life in the Elderly in Kashan. Iranian Journal of Psychiatry and Clinical Psychology (Andeesheh Va Raftar) 2008;14(1): 56-61 (Persian document)

Nejat V, Shirinbayan P, Akbari Kamrani A, Foroughan M, Taheri P, Sheikhvatan M. Quality of life in elderly people in Kashan, Iran. Middle East Journal of Age and Ageing 2008; 5( 2).

Peyravi H, Hajebi A, Panaghi L. A survey on the relation between social support and mental health in students of Tehran university. Health System Research 2010; 6(2): 301-307. (Persian document)

Argyle M. The Psychology of Happiness. 2th edition. New York, Taylor and Francis group, 2000.

Miller R, Devine P, Schubotz D. Secondary Analysis of the 1997 and 2001 northern Ireland health and social wellbeing surveys. Institute of Governance, Public Policy and Social Research Queen’s University Belfast, 2003.




DOI: https://doi.org/10.22037/nbm.v2i3.6107