Socioeconomic Status, Health Behaviors, Obesity and Self-Rated Health among Older Arabs in Israel
Socioeconomic inequalities in health are well documented. Recently, researchers have shown interest in exploring the mechanisms by which measures of SES operate through it to impact SRH, such as material, psychosocial and behavioral factors. To examine the relationships between SES indicators and self-rated health (SRH); and to determine whether health behaviors and obesity mediate the association between SES indicators and SRH. A secondary analysis of data previously collected through the third survey of socioeconomic and health status of the Arab population in Israel, in which the SRH of 878 Arab-Israelis age 50 or older were analyzed using logistic regression. The results showed that higher education level and current employment in old age are associated with better SRH. However, neither subjective economic status nor family income was associated with SRH. Greater physical activity was found to be related to good\very good SRH, while obesity was associated with less than good SRH. Finally, health behaviors (physical activity) and obesity were revealed as mediators between SES indicators (education and employment status) and SRH. The results highlight the importance of high education level and employment status in old age to reduce health inequalities. The findings also show that the relationship between SES and SRH can operate through behavioral mechanisms (i.e., physical activity) and their consequences (i.e., obesity), that can, however, be changed in old age.
KeywordsHealth behaviors Obesity Older Arabs Self-rated health Socioeconomic status
- Al-Krenawi, A. (2005). Socio-political aspects of mental health practice with Arabs in the Israeli context. Israel Journal of Psychiatry and Related Sciences, 42(2), 126–136.Google Scholar
- Alvarez-Galvez, J., Rodero-Cosano, M. L., Motrico, E., Salinas-Perez, J. A., Garcia-Alonso, C., & Salvador-Carulla, L. (2013). The impact of socio-economic status on self-rated health: study of 29 countries using European social surveys (2002–2008). International Journal of Environmental Research and Public Health, 10(3), 747–761. doi: 10.3390/ijerph10030747.CrossRefGoogle Scholar
- Baron-Epel, O., Kaplan, G., Haviv-Messika, A., Tarabeia, J., Green, M. S., & Kaluski, D. N. (2005). Self-reported health as a cultural health determinant in Arab and Jewish Israelis: MABAT— National Health and nutrition survey 1999–2001. Social Science & Medicine, 61, 1256–1266.CrossRefGoogle Scholar
- Daoud, N., Soskolne, V., & Manor, O. (2009b). Examining cultural, psychosocial, community and behavioural factors in relationship to socioeconomic inequalities in limiting longstanding illness among the Arab minority in Israel. Journal of Epidemiology and Community Health, 63(5), 351–358.CrossRefGoogle Scholar
- Darviri, C., Fouka, G., Gnardellis, C., Artemiadis, A. K., Tigani, X., & Alexopoulos, A. C. (2012). Determinants of self-rated health in a representative sample of a rural population: a cross-sectional study in Greece. International Journal of Environmental Research and Public Health, 9, 943–954.Google Scholar
- Dubikaytis, T., Harkanen, T., Regushevskaya, E., Hemminki, E., Haavio-Mannila, E., Laanpere, M., Kuznetsova, O., & Koskinen, S. (2014). Socioeconomic differences in self-rated health among women: a comparison of St. Petersburg to Estonia and Finland. International Journal for Equity in Health, 13. doi: 10.1186/1475-9276-13-39.
- Guimaraes, J. M. N., Werneck, G. L., Faerstein, E., Lopes, C. S., & Chor, D. (2014). Early socioeconomic position and self-rated health among civil servants in Brazil: a cross-sectional analysis from the Pró-Saúde cohort study. BMJ, 4, e005321. doi: 10.1136/bmjopen-2014-005321.CrossRefGoogle Scholar
- Israel Central Bureau of Statistics. (2011). “Israel statistical book “. Jerusalem: State of Israel. [In Hebrew]Google Scholar
- Khalaila, R., & Litwin, H. (2014). Changes in health behaviors and their associations with depressive symptoms among Israelis aged 50 + . Journal of Aging and Health, 26(3):401–421. doi: 10.1177/0898264313516997.
- Krieger, N., Williams, D. R., & Moss, N. E. (1997). Measuring social class in US public health research: concepts, methodologies, and guidelines. Annual Review of Public Health, 341–378.Google Scholar
- Lim, W.Y., Ma, S., Heng, D., Bhalla, V., & Chew, S.K. (2007). Gender, ethnicity, health behavior & self-rated health in Singapore. BMC Public Health, 7. doi: 10.1186/1471-2458/184.
- Parks, S.E., Housemann, R.A., & Brownson, R.C. (2003). Differential correlates of physical activity in urban and rural adults of various socioeconomic backgrounds in the United States. Journal of Epidemiology and Community Health, 57, 29–35.Google Scholar
- Phillips, L.J., Hammock, R.., & Blanton, J.M. (2005). Predictors of self-rated health status among Texas residents. Preventing Chronic Disease, 2(4). http://www.cdc.gov/pcd/issues/2005/oct/04_0147.htm
- Selivanova, A., & Cramm, J. M. (2014). The relationship between healthy behaviors and health outcomes among older adults in Russia. BMC Public Health, 14. doi: 10.1186/1471-2458-14-1183.
- Shavers, V. L. (2007). Measurement of socioeconomic status in health disparities research. Journal of the National Medical Association, 99, 1013–1023.Google Scholar
- Sheikh Muhammad, A., & Khatib, M. (2011).The Palestinians in Israel third socio-economic survey, 2010. Design and production: Dar al-Arkan Publishing Ltd (In Arabic). http://www.gal-soc.org/article/20/Socio-economic-survey
- Shields, M., & Shooshtari, S. (2001). Determinants of self –perceived health. Health Reports, 13, 35–52.Google Scholar
- Sun, W., Watanabe, M., Tanimoto, Y., Shibutani, T., Kono, R., Saito, M., … Kono, K. (2007). Factors associated with good self-rated health of non –disabled elderly living alone in Japan: a cross-sectional study. BMC Public Health, 7.doi: 10.1186/1471-2458-7-297