Skip to main content
Erschienen in: Quality of Life Research 5/2018

04.01.2018

Lifestyle-related attitudes: do they explain self-rated health and life-satisfaction?

verfasst von: A. Simon Pickard, Yash J. Jalundhwala, Helen Bewsher, Lisa K. Sharp, Surrey M. Walton, Glen T. Schumock, Rachel N. Caskey

Erschienen in: Quality of Life Research | Ausgabe 5/2018

Einloggen, um Zugang zu erhalten

Abstract

Background

Strategies to improve public health may benefit from targeting specific lifestyles associated with poor health behaviors and outcomes. The aim of this study was to characterize and examine the relationship between health and lifestyle-related attitudes (HLAs) and self-rated health and life-satisfaction.

Methods

Secondary analyses were conducted on data from a 2012 community wellness survey in Kirklees, UK. Using a validated HLA tool, respondents (n = 9130) were categorized into five segments: health conscious realists (33%), balanced compensators (14%), live-for-todays (18%), hedonistic immortals (10%), and unconfident fatalists (25%). Multivariate regression was used to examine whether HLAs could explain self-rated health using the EQ-5D visual analog scale (EQ-VAS) and life-satisfaction. Health conscious realists served as the reference group.

Results

Self-rated health differed by HLA, with adjusted mean EQ-VAS scores being significantly higher (better) among balanced compensators (1.15, 95% CI 0.27, 2.03) and lower scores among unconfident fatalists (− 9.02, 95% CI − 9.85, − 8.21) and live-for-todays (− 1.96, 95% CI − 2.80, − 1.14). Balanced compensators were less likely to report low life-satisfaction (OR 0.75, 95% CI 0.62, 0.90), while unconfident fatalists were most likely to have low life-satisfaction (OR 3.51, 95% CI 2.92, 4.23).

Significance

Segmentation by HLA explained differences in self-rated health and life-satisfaction, with unconfident fatalists being a distinct segment with significantly worse health perceptions and life-satisfaction. Health promotion efforts may benefit from considering the HLA segment that predominates a patient group, especially unconfident fatalists.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
Zurück zum Zitat Wilson, I. B., & Cleary, P. D. (1995). Linking clinical variables with health-related quality of life. A conceptual model of patient outcomes. JAMA, 273(1), 59–65.CrossRefPubMed Wilson, I. B., & Cleary, P. D. (1995). Linking clinical variables with health-related quality of life. A conceptual model of patient outcomes. JAMA, 273(1), 59–65.CrossRefPubMed
2.
Zurück zum Zitat Ferrans, C. E., Zerwic, J. J., Wilbur, J. E., & Larson, J. L. (2005). Conceptual model of health-related quality of life. The Journal of Nursing Research, 37(4), 336–342. Ferrans, C. E., Zerwic, J. J., Wilbur, J. E., & Larson, J. L. (2005). Conceptual model of health-related quality of life. The Journal of Nursing Research, 37(4), 336–342.
5.
Zurück zum Zitat Sprangers, M. A. (2015). How recent health-related life events affected my perspective on quality-of-life research. Quality of Life Research, 24(5), 1157–1162.CrossRefPubMed Sprangers, M. A. (2015). How recent health-related life events affected my perspective on quality-of-life research. Quality of Life Research, 24(5), 1157–1162.CrossRefPubMed
6.
Zurück zum Zitat Jalundhwala, Y. J., Pickard, A. S., Walton, S. M., Sharp, L. K., Schumock, G. T., & Caskey, R. N. (2015). Explaining health behaviors and outcomes based on lifestyle-related attitudes: a comparison of approaches (in preparation). Jalundhwala, Y. J., Pickard, A. S., Walton, S. M., Sharp, L. K., Schumock, G. T., & Caskey, R. N. (2015). Explaining health behaviors and outcomes based on lifestyle-related attitudes: a comparison of approaches (in preparation).
7.
Zurück zum Zitat World Health Organization. (2002). The World Health report 2002: Reducing risks, promoting healthy life. Geneva: World Health Organization. World Health Organization. (2002). The World Health report 2002: Reducing risks, promoting healthy life. Geneva: World Health Organization.
8.
Zurück zum Zitat Mokdad, A. H., Marks, J. S., Stroup, D. F., & Gerberding, J. L. (2004). Actual causes of death in the United States 2000. JAMA, 291(10), 1238–1245.CrossRefPubMed Mokdad, A. H., Marks, J. S., Stroup, D. F., & Gerberding, J. L. (2004). Actual causes of death in the United States 2000. JAMA, 291(10), 1238–1245.CrossRefPubMed
11.
Zurück zum Zitat Dutta-Bergman, M. J. (2004). A descriptive narrative of healthy eating: A social marketing approach using psychographics in conjunction with interpersonal, community, mass media and new media activities. Health Marketing Quarterly, 20(3), 81–101.CrossRef Dutta-Bergman, M. J. (2004). A descriptive narrative of healthy eating: A social marketing approach using psychographics in conjunction with interpersonal, community, mass media and new media activities. Health Marketing Quarterly, 20(3), 81–101.CrossRef
13.
Zurück zum Zitat Handler, R. M., Hynes, L. M., & Nease, R. F. Jr. (1997). Effect of locus of control and consideration of future consequences on time tradeoff utilities for current health. Quality of Life Research, 6(1), 54–60.CrossRefPubMed Handler, R. M., Hynes, L. M., & Nease, R. F. Jr. (1997). Effect of locus of control and consideration of future consequences on time tradeoff utilities for current health. Quality of Life Research, 6(1), 54–60.CrossRefPubMed
14.
Zurück zum Zitat Nicholson, N., Soane, E., Fenton-O’Creevy, M., & Willman, P. (2005). Personality and domain-specific risk taking. Journal of Risk Research, 8(2), 157–176.CrossRef Nicholson, N., Soane, E., Fenton-O’Creevy, M., & Willman, P. (2005). Personality and domain-specific risk taking. Journal of Risk Research, 8(2), 157–176.CrossRef
15.
Zurück zum Zitat Anic, G. (2007). The association between personality and risk taking. Tampa: University of South Florida. Anic, G. (2007). The association between personality and risk taking. Tampa: University of South Florida.
16.
Zurück zum Zitat Turiano, N. A., Chapman, B. P., Agrigoroaei, S., Infurna, F. J., & Lachman, M. (2014). Perceived control reduces mortality risk at low, not high, education levels. Health Psychology, 33, 883CrossRefPubMedPubMedCentral Turiano, N. A., Chapman, B. P., Agrigoroaei, S., Infurna, F. J., & Lachman, M. (2014). Perceived control reduces mortality risk at low, not high, education levels. Health Psychology, 33, 883CrossRefPubMedPubMedCentral
17.
Zurück zum Zitat Jerant, A., Chapman, B. P., & Franks, P. (2008). Personality and EQ-5D Scores among Individuals with chronic conditions. Quality of Life Research, 17(9), 1195–1204.CrossRefPubMedPubMedCentral Jerant, A., Chapman, B. P., & Franks, P. (2008). Personality and EQ-5D Scores among Individuals with chronic conditions. Quality of Life Research, 17(9), 1195–1204.CrossRefPubMedPubMedCentral
18.
Zurück zum Zitat Koh, J. S., Ko, H. J., Wang, S. M., Cho, K. J., Kim, J. C., Lee, S. J., et al. (2014). The association of personality trait on treatment outcomes in patients with chronic prostatitis/chronic pelvic pain syndrome: An exploratory study. Journal of Psychosomatic Research, 76(2), 127–133.CrossRefPubMed Koh, J. S., Ko, H. J., Wang, S. M., Cho, K. J., Kim, J. C., Lee, S. J., et al. (2014). The association of personality trait on treatment outcomes in patients with chronic prostatitis/chronic pelvic pain syndrome: An exploratory study. Journal of Psychosomatic Research, 76(2), 127–133.CrossRefPubMed
19.
Zurück zum Zitat Milte, C. M., Luszcz, M. A., Ratcliffe, J., Masters, S., & Crotty, M. (2014). Influence of health locus of control on recovery of function in recently hospitalized frail older adults. Geriatr Gerontol Int (Milte C.M., catherine.milte@deakin.edu.au; Crotty, M.) Flinders University Department of Rehabilitation and Aged Care Repatriation General Hospital Daw Park, South Australia. Milte, C. M., Luszcz, M. A., Ratcliffe, J., Masters, S., & Crotty, M. (2014). Influence of health locus of control on recovery of function in recently hospitalized frail older adults. Geriatr Gerontol Int (Milte C.M., catherine.milte@deakin.edu.au; Crotty, M.) Flinders University Department of Rehabilitation and Aged Care Repatriation General Hospital Daw Park, South Australia.
21.
Zurück zum Zitat Jerant, A., Chapman, B. P., Duberstein, P. R., & Franks, P. (2010). Effects of personality on self-rated health in a 1-year randomized controlled trial of chronic illness self-management. British Journal of Health Psychology, 15(2), 321–335.CrossRefPubMed Jerant, A., Chapman, B. P., Duberstein, P. R., & Franks, P. (2010). Effects of personality on self-rated health in a 1-year randomized controlled trial of chronic illness self-management. British Journal of Health Psychology, 15(2), 321–335.CrossRefPubMed
25.
Zurück zum Zitat Bareham, A., Topping, A., McCluskey, S., Stephenson, J., & Butcher, P. (2012). Healthy foundations life-stage segmentation model toolkit: An effective tool for public health interventions?. Bareham, A., Topping, A., McCluskey, S., Stephenson, J., & Butcher, P. (2012). Healthy foundations life-stage segmentation model toolkit: An effective tool for public health interventions?.
26.
Zurück zum Zitat La Placa, V., McVey, D., MacGregor, E., Smith, A., & Scott, M. (2014). The contribution of qualitative research to the healthy foundations life-stage segmentation. Critical Public Health, 24(3), 266–282.CrossRef La Placa, V., McVey, D., MacGregor, E., Smith, A., & Scott, M. (2014). The contribution of qualitative research to the healthy foundations life-stage segmentation. Critical Public Health, 24(3), 266–282.CrossRef
29.
Zurück zum Zitat Rabin, R., & de Charro, F. (2001). EQ-5D: A measure of health status from the EuroQol Group. Annals of Medicine, 33(5), 337–343.CrossRefPubMed Rabin, R., & de Charro, F. (2001). EQ-5D: A measure of health status from the EuroQol Group. Annals of Medicine, 33(5), 337–343.CrossRefPubMed
30.
Zurück zum Zitat Savoia, E., Fantini, M. P., Pandolfi, P. P., Dallolio, L., & Collina, N. (2006). Assessing the construct validity of the Italian version of the EQ-5D: preliminary results from a cross-sectional study in North Italy. Health and Quality of Life Outcome, 4, 47. https://doi.org/10.1186/1477-7525-4-47.CrossRef Savoia, E., Fantini, M. P., Pandolfi, P. P., Dallolio, L., & Collina, N. (2006). Assessing the construct validity of the Italian version of the EQ-5D: preliminary results from a cross-sectional study in North Italy. Health and Quality of Life Outcome, 4, 47. https://​doi.​org/​10.​1186/​1477-7525-4-47.CrossRef
32.
Zurück zum Zitat Badia, X., Schiaffino, A., Alonso, J., & Herdman, M. (1998). Using the EuroQoI 5-D in the Catalan general population: Feasibility and construct validity. Quality of Life Research, 7(4), 311–322.CrossRefPubMed Badia, X., Schiaffino, A., Alonso, J., & Herdman, M. (1998). Using the EuroQoI 5-D in the Catalan general population: Feasibility and construct validity. Quality of Life Research, 7(4), 311–322.CrossRefPubMed
35.
Zurück zum Zitat Kind, P., Dolan, P., Gudex, C., & Williams, A. (1998). Variations in population health status: Results from a United Kingdom national questionnaire survey. BMJ, 316(7133), 736–741.CrossRefPubMedPubMedCentral Kind, P., Dolan, P., Gudex, C., & Williams, A. (1998). Variations in population health status: Results from a United Kingdom national questionnaire survey. BMJ, 316(7133), 736–741.CrossRefPubMedPubMedCentral
36.
Zurück zum Zitat Burstrom, K., Johannesson, M., & Diderichsen, F. (2001). Swedish population health-related quality of life results using the EQ-5D. Quality of Life Research, 10(7), 621–635.CrossRefPubMed Burstrom, K., Johannesson, M., & Diderichsen, F. (2001). Swedish population health-related quality of life results using the EQ-5D. Quality of Life Research, 10(7), 621–635.CrossRefPubMed
39.
Zurück zum Zitat Johnson, J. A., & Coons, S. J. (1998). Comparison of the EQ-5D and SF-12 in an adult US sample. Quality of Life Research, 7(2), 155–166.CrossRefPubMed Johnson, J. A., & Coons, S. J. (1998). Comparison of the EQ-5D and SF-12 in an adult US sample. Quality of Life Research, 7(2), 155–166.CrossRefPubMed
45.
Zurück zum Zitat Szende, A., Janssen, B., Cabases, J., & Ramos Goñi, J. M. (2014). Self-reported population health: An international perspective based on EQ-5D. New York: Springer.CrossRef Szende, A., Janssen, B., Cabases, J., & Ramos Goñi, J. M. (2014). Self-reported population health: An international perspective based on EQ-5D. New York: Springer.CrossRef
48.
Zurück zum Zitat Wu, M., Brazier, J. E., Relton, C., Cooper, C., Smith, C., & Blackburn, J. (2014). Examining the incremental impact of long-standing health conditions on subjective well-being alongside the EQ-5D. Health and Quality of Life Outcomes, 12(1), 61.CrossRefPubMedPubMedCentral Wu, M., Brazier, J. E., Relton, C., Cooper, C., Smith, C., & Blackburn, J. (2014). Examining the incremental impact of long-standing health conditions on subjective well-being alongside the EQ-5D. Health and Quality of Life Outcomes, 12(1), 61.CrossRefPubMedPubMedCentral
50.
Zurück zum Zitat Pickard, A. S., Neary, M. P., & Cella, D. (2007). Estimation of minimally important differences in EQ-5D utility and VAS scores in cancer. Health and Quality of Life Outcomes, 5, 70.CrossRefPubMedPubMedCentral Pickard, A. S., Neary, M. P., & Cella, D. (2007). Estimation of minimally important differences in EQ-5D utility and VAS scores in cancer. Health and Quality of Life Outcomes, 5, 70.CrossRefPubMedPubMedCentral
51.
Zurück zum Zitat Walters, S. J., & Brazier, J. E. (2005). Comparison of the minimally important difference for two health state utility measures: EQ-5D and SF-6D. Quality of Life Research, 14(6), 1523–1532.CrossRefPubMed Walters, S. J., & Brazier, J. E. (2005). Comparison of the minimally important difference for two health state utility measures: EQ-5D and SF-6D. Quality of Life Research, 14(6), 1523–1532.CrossRefPubMed
53.
Zurück zum Zitat Seligman, M. E., & Csikszentmihalyi, M. (2000). Positive psychology. An introduction. The American Psychologist, 55(1), 5–14.CrossRefPubMed Seligman, M. E., & Csikszentmihalyi, M. (2000). Positive psychology. An introduction. The American Psychologist, 55(1), 5–14.CrossRefPubMed
54.
Zurück zum Zitat Lubetkin, E. I., Jia, H., Franks, P., & Gold, M. R. (2005). Relationship among sociodemographic factors, clinical conditions, and health-related quality of life: Examining the EQ-5D in the U.S. general population. Quality of Life Research, 14(10), 2187–2196.CrossRefPubMed Lubetkin, E. I., Jia, H., Franks, P., & Gold, M. R. (2005). Relationship among sociodemographic factors, clinical conditions, and health-related quality of life: Examining the EQ-5D in the U.S. general population. Quality of Life Research, 14(10), 2187–2196.CrossRefPubMed
55.
Zurück zum Zitat Shaw, J. W., Johnson, J. A., Chen, S., Levin, J. R., & Coons, S. J. (2007). Racial/ethnic differences in preferences for the EQ-5D health states: Results from the U.S. valuation study. Journal of Clinical Epidemiology, 60(5), 479–490.CrossRefPubMed Shaw, J. W., Johnson, J. A., Chen, S., Levin, J. R., & Coons, S. J. (2007). Racial/ethnic differences in preferences for the EQ-5D health states: Results from the U.S. valuation study. Journal of Clinical Epidemiology, 60(5), 479–490.CrossRefPubMed
56.
Zurück zum Zitat Dolan, P. (2000). Effect of age on health state valuations. Journal of Health Services Research & Policy, 5(1), 17–21.CrossRef Dolan, P. (2000). Effect of age on health state valuations. Journal of Health Services Research & Policy, 5(1), 17–21.CrossRef
57.
Zurück zum Zitat Wittenberg, E., Halpern, E., Divi, N., Prosser, L. A., Araki, S. S., & Weeks, J. C. (2006). The effect of age, race and gender on preference scores for hypothetical health states. Quality of Life Research, 15(4), 645–653.CrossRefPubMed Wittenberg, E., Halpern, E., Divi, N., Prosser, L. A., Araki, S. S., & Weeks, J. C. (2006). The effect of age, race and gender on preference scores for hypothetical health states. Quality of Life Research, 15(4), 645–653.CrossRefPubMed
58.
Zurück zum Zitat Hargreaves, D. S., James, D., Goddings, A. L., McVey, D., & Viner, R. M. (2014). Distinct patterns of health engagement among adolescents and young adults in England: Implications for health services. Perspectives in Public Health, 134, 81–84.CrossRefPubMed Hargreaves, D. S., James, D., Goddings, A. L., McVey, D., & Viner, R. M. (2014). Distinct patterns of health engagement among adolescents and young adults in England: Implications for health services. Perspectives in Public Health, 134, 81–84.CrossRefPubMed
Metadaten
Titel
Lifestyle-related attitudes: do they explain self-rated health and life-satisfaction?
verfasst von
A. Simon Pickard
Yash J. Jalundhwala
Helen Bewsher
Lisa K. Sharp
Surrey M. Walton
Glen T. Schumock
Rachel N. Caskey
Publikationsdatum
04.01.2018
Verlag
Springer International Publishing
Erschienen in
Quality of Life Research / Ausgabe 5/2018
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-017-1774-3

Weitere Artikel der Ausgabe 5/2018

Quality of Life Research 5/2018 Zur Ausgabe