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Poor Self-Rated Health and Associated Factors among Older Persons in Malaysia: A Population-Based Study

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dc.contributor.authorNorhafizah Sahril
dc.contributor.authorYee Mang Chan
dc.contributor.authorYing Ying Chan
dc.contributor.authorNoor Ani Ahmad
dc.contributor.authorMohd Shaiful Azlan Kassim
dc.contributor.authorNik Adilah Shahein
dc.contributor.authorMuhammad Solihin Rezali
dc.contributor.authorMohamad Aznuddin Abd Razak
dc.contributor.authorFatin Athirah Tahir
dc.contributor.authorNor’ain Ab Wahab
dc.contributor.authorNorliza Shamsuddin
dc.contributor.authorMuhammad Azri Adam Adnan
dc.contributor.authorMuhamad Khairul Nazrin Khalil
dc.contributor.authorSiaw Hun Liew
dc.date.accessioned2024-07-10T02:45:41Z
dc.date.available2024-07-10T02:45:41Z
dc.date.issued2023
dc.description.abstract<jats:p>Objective: This study aims to determine the prevalence of poor self-rated health (SRH) in Malaysia and its association with sociodemographic characteristics, lifestyle behavior, chronic diseases, depression, and functional limitations in activities of daily living (ADLs) among older persons. Design: Cross-sectional. Setting, participants, and outcome measures: We used data from the National Health and Morbidity Survey 2018, a nationwide community-based study. This study was conducted using a two-stage stratified cluster sampling design. Older persons were defined as persons aged 60 years and above. SRH was assessed using the question “How do you rate your general health?” and the answers were “very good”, “good”, “moderate”, “not good”, and “very bad”. SRH was then grouped into two categories; “Good” (very good and good) and “Poor” (moderate, not good, and very bad). Descriptive and logistic regression analyses were conducted using SPSS version 25.0. Results: The prevalence of poor SRH among older persons was 32.6%. Poor SRH was significantly related to physical inactivity, depression, and limitations in activities of daily living (ADLs). Multiple logistic regression revealed that poor SRH was positively associated with those who had depression (aOR 2.92, 95% CI:2.01,4.24), limitations in ADLs (aOR 1.82, 95% CI: 1.31, 2.54), low individual income (aOR 1.66, 95% CI:1.22, 2.26), physical inactivity (aOR 1.40, 95% CI:1.08, 1.82), and hypertension (aOR 1.23, 95% CI:1.02, 1.49). Conclusions: Older persons with depression, limitations in ADLs, low income, physical inactivity, and hypertension were significantly associated with poor SRH. These findings provide information to aid health personnel and policymakers in the development and implementation of health promotion and disease prevention programs, as well as adequate evidence in planning different levels of care for the older population.</jats:p>
dc.identifier.doihttps://doi.org/10.3390/ijerph20054342
dc.identifier.urihttps://repository.nih.gov.my/handle/123456789/445
dc.language.isoen
dc.relation.ispartofInternational Journal of Environmental Research and Public Health
dc.relation.issn1660-4601
dc.titlePoor Self-Rated Health and Associated Factors among Older Persons in Malaysia: A Population-Based Study
dc.typetext::journal
dspace.entity.typePublication
oaire.citation.issue5
oaire.citation.volume20
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