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Gender Differences in Determinants of Self-Rated Health Among African American in Omaha Nebraska

A Church-Based Study

Bibliographic Data

ID11215032
AuthorsDrissa M Toure (0000-0002-5060-8546, University of Nebraska Medical Center, corresponding author), Balkissa S Ouattara (0000-0002-9670-0882, University of Nebraska Medical Center), Jessica Wiens (University of Nebraska Medical Center), Lea Pounds (0000-0002-0082-9535, University of Nebraska Medical Center), Tiffany A Moore (0000-0002-3760-687X, University of Nebraska Medical Center), Dejun Su (0000-0002-7723-3262, University of Nebraska Medical Center)
Year2020
Volume46
Issue4
Pages475-483
Publication date2020-07-03
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueJournal of Social Service Research (JOURNAL)
Journal identifiersISSN: 0148-8376 • E-ISSN: 1540-7314
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/01488376.2019.1596197
OpenAlexW2947668715
LanguageEN
References cited40

This study assessed the gender differences in determinants of fair/poor self-rated health among African American churchgoers in Omaha, Nebraska. Using data collected from 353 African American (245 women and 108 men) by the Center for Reducing Health Disparities at the University of Nebraska Medical Center in 2017, univariate and multivariate logistic regressions were performed to examine the gender differences in the relationships between fair/poor self-rated health and potential health determinants. Overall, 14.3% of women and 17.6% of men reported fair/poor self-rated health. There was a significant association between depression and poor/fair self-rated health among women (p = 0.044) and men (p = 0.001). For women, the fully controlled model confirmed the crude association between perceived poor/fair self-rated health and heart disease (OR = 3.10) and education (OR = 2.19). For men, the final model identified significant determinants of perceived fair/poor self-rated health such as depression (OR = 12.51) and diabetes (OR = 3.89). When assessing gender differences in determinants of self-rated health, similarities are higher than differences between the two groups. In both groups, the presence of depression was the strongest determinant of poor health. Future research should assess the immunological aspects of the association between psychological factors and perceived chronic diseases

Depression (economics · Health equity · Logistic regression · Public health · Race and health · Self-rated health · Demography · Health and Wellbeing Research · Health disparities and outcomes · Health, psychology, and well-being · Medicine · Psychology · Gerontology

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