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Title Characteristics of self-rated health in people with Type 2 Diabetes
Publication Date
Degree MS
Discipline/Department Department of Psychiatry
Degree Level masters
University/Publisher McGill University

Background: Self-rated health (SRH) is one of the most widely used measures of general health status in population health research and has received strong support as an independent predictor of mortality and morbidity. Knowledge is limited as to what exactly SRH measures and gaining a better understanding of its characteristics in people with chronic conditions is necessary. Objectives: In a Canadian community sample of people with type 2 diabetes, the aims were to understand the characteristics of SRH, to determine whether SRH was a predictor for the three year incidence of major depression and to study whether placing the question before or after health measures, as organized in a survey, would affect answers to the SRH question.Results: Disability and depression were both associated with SRH in men and women with type 2 diabetes. Fair or poor SRH at baseline was a significant predictor for the three year incidence of major depression and the majority of individuals did not change their ratings when the question was placed either at the beginning or following health-related assessments. Conclusion: Targeting both mental and physical functioning when treating diabetes could be more advantageous. Inserting a brief question, such as SRH, in clinical assessments could aid health-care practitioners in identifying high risk groups. Findings support research comparisons across studies examining SRH in people with diabetes through different surveys. Qualitative and quantitative studies are needed to gain insight into the processes through which characteristics of SRH are evaluated, to provide evidence for the use of SRH as a screening tool and as a predictor of various outcomes in people with other chronic conditions.

Contexte : L'auto-évaluation de la santé demande d'évaluer son propre état de santé en général et consiste en l'une des mesures les plus utilisées dans la recherche sur la santé de la population. Cette mesure a reçu de forts soutiens en tant que facteur indépendant prédicteur de mortalité et de morbidité. Nos connaissances demeurent limitées quant à notre compréhension de ce qui est exactement mesuré lorsqu'un individu évalue sa propre santé. Il est nécessaire de comprendre les caractéristiques de cette mesure chez les personnes atteintes de maladies chroniques. Objectifs : Dans un échantillon de la population Canadienne de personnes atteintes de diabète de type 2, les objectifs étaient de comprendre les caractéristiques de l'auto-évaluation de la santé, de déterminer si cette mesure pouvait prévoir l'incidence de la dépression majeure au cours de trois ans et d'évaluer le changement des réponses dépendamment de l'emplacement de la question dans un sondage.Résultats : L'auto-évaluation de la santé était associée à l'incapacité physique et à la dépression chez les hommes et les femmes atteints de diabète de type 2. Une mauvaise évaluation de la santé de base prévoyait significativement l'incidence de la dépression majeure au cours de trois ans. La majorité des individus n'ont pas changé leurs évaluations…

Subjects/Keywords Health Sciences - Mental Health
Contributors Norbert Schmitz (Internal/Supervisor)
Language en
Rights All items in [email protected] are protected by copyright with all rights reserved unless otherwise indicated.
Country of Publication ca
Format application/pdf
Record ID oai:digitool.library.mcgill.ca:110645
Other Identifiers TC-QMM-110645
Repository mcgill
Date Retrieved
Date Indexed 2019-01-09
Grantor McGill University

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