Cross-cultural analysis of relationships of health indicators across Europe : first results based on the EUROHIS project : report on a WHO study / Silke Schmidt, Mick Power and Monika Bullinger
AbstractEmpirical studies have suggested that two components of health - physical health and mental health - account for the great majority of the variance in health surveys. It has also been suggested that a variety of other indicators can be meaningfully aggregated in order to estimate scores for each of these two health components. Data from the EUROHIS project, the objective of which was to develop common survey instruments for European health surveys, provide an opportunity to further investigate these relationships. The EUROHIS project was led by the WHO Regional Office for Europe and co-sponsored by the BIOMED2 programme of the European Commission. The focus of the current analysis was to study the relationship between the different EUROHIS health indicators and to assess the impact of specific health determinants on physical and mental health outcomes at a cross-cultural level. EUROHIS field-test data for ten countries were used, with a total number of 4849 respondents. Selected variables were tested for their contribution to physical and mental health using multiple hierarchical regression analysis, which took into account the effect of sociodemographic and culture-specific aspects. Modelling was also used to investigate the pathways between the variables. Both the regression and the path analyses revealed conceptually meaningful and statistically powerful explanatory models for the EUROHIS data, in spite of the fact that different sampling frames were used in different countries. Overall, it was not possible to use a combined (single) model that predicted both mental and physical health. These constructs appeared to have different meanings and, furthermore, the interrelationship between mental and physical health appeared to differ in different countries. While the current data need to be carefully interpreted, not least because the EUROHIS field-testing countries used different data collection methods, they offer a rich database for further investigation into cultural aspects that may account for cross-national health differences
Schmidt, Silke, Power, Mick, Bullinger, Monika & World Health Organization. Regional Office for Europe. (2002). Cross-cultural analysis of relationships of health indicators across Europe : first results based on the EUROHIS project : report on a WHO study / Silke Schmidt, Mick Power and Monika Bullinger. Copenhagen : WHO Regional Office for Europe. http://www.who.int/iris/handle/10665/108562
Description11 p. + tables and figures.
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