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Review paper

The relationship between education and self-reported mental and physical health

By
Amira Kurspahić-Mujčić Orcid logo ,
Amira Kurspahić-Mujčić
Contact Amira Kurspahić-Mujčić

Department of Social Medicine, School of Medicine, University of Sarajevo , Sarajevo , Bosnia and Herzegovina

Amra Mujčić
Amra Mujčić

Secondary Medical School, Sarajevo , Sarajevo , Bosnia and Herzegovina

Abstract

Aim
To investigate the relationship between educational level and self-reported physical and mental health in the population of Sarajevo Canton.
Methods
This cross-sectional study was carried out in family medicine outpatient departments of the Primary Health Care Centre of Sarajevo Canton, Bosnia and Herzegovina. The study included 300 respondents who were divided into lower-and higher-education groups (≤12 years and >12 years of education, respectively). The SF-36 questionnaire for self-assessment of mental and physical health and a questionnaire for the evaluation of socio-demographic characteristics were used.
Results
The mean values for the mental component summary (MCS) were significantly lower in the lower education (56.86±23.02) than in the higher education group (65.08±20.91) (p=0.001). The mean values for the physical component summary (PCS) were significantly lower in the lower education (61.77 ±21.60) than in the higher education group (74.26 ±17.89) (p=0.000). On average, females had significantly lower scores than males on both the PCS (p=0.00) and the MCS (p=0.00). There was significant relationship of low education with self-reported poor mental (B=6.547, SE=2.481; p=0.009) and physical health (B=10.870, SE=2.248; p=0.024). Increased age was associated with poorer PCS and better MCS.
Conclusion
Educational level is a strong determinant of perceived health. The importance of education should be emphasized to children as vitally important for their future health.

References

1.
Gallagher J, Wilkie A, Cordner A, Hudgens E, Ghio A, Birch R, et al. Factors associated with self-reported health: implications for screening level community-based health and environmental studies. BMC Public Health. 2016;640.
2.
Knottnerus J, Van Weel C, Muris J. Evaluation of diagnostic procedures. BMJ. 2002;477–80.
3.
Hardy M, Acciai F, Reyes A. How health conditions translate into self-ratings: a comparative study of older adults across Europe. J Health Soc Behav. 2014;320–41.
4.
Wade D, Halligan P. Do biomedical models of illness make for good healthcare systems? BMJ. 2004;1398–401.
5.
Nagai S. Predictors of help-seeking behavior: Distinction between help-seeking intentions and helpseeking behavior. Japanese Psychological Research. 2015;313–22.
6.
Lins L, Carvalho F. SF-36 total score as a single measure of health-related quality of life: scoping review. SAGE Open Med. 2016;2050312116671725.
7.
Kaleta D, Polańska K, Dziankowska-Zaborszczyk E, Hanke W, Drygas W. Factors influencing selfperception of health status. Cent Eur J Public Health. 2009;122–7.
8.
Baker D, Leon J, Greenaway S, Collins E, Movit J, M. The education effect on population health: a reassessment. Popul Dev Rev. 2011;307–32.
9.
Herd P, Goesling B, House J. Socioeconomic position and health: the differential effects of education versus income on the onset versus progression of health problems. J Health Soc Behav. 2007;223–38.
10.
Albert C, Davia M. Education is a key determinant of health in Europe: a comparative analysis of 11 countries. Health Promot Internat. 2011;163–70.
11.
Lleras-Muney A. The relationship between education and adult mortality in the US. Rev Econ Stud. 2005;189–221.
12.
Sasson I. Trends in life expectancy and lifespan variation by educational attainment: United States. Demography. 1990;269–93.
13.
Dewalque D, Nakiyingi-Miiro J, Busingye J, Whitworth J. Changing association between schooling levels and HIV-1 infection over 11 years in a rural population cohort in south-west Uganda. Trop Med Int Health. 2005;993–1001.
14.
Alexopoulos E, Geitona M. Self-rated health: inequalities and potential determinants. Int J Environ Res Public Health. 2009;2456–69.
15.
Van Der H, Wang J, Droomers M, Spreeuwenberg P, Rademakers J, Uiters E. The relationship between health, education and health literacy: results from the Dutch adult literacy and life skills survey. J Health Commun. 2013;172–84.
16.
Dem Knesebeck V, Verde O, Dragano P, N. Education and health in 22 European countries. Soc Sci Med. 2006;1344–51.
17.
Ware J, Kosinski M, Keller S. SF-36 Physical and mental health summary scales: a user manual and interpretation guide. 1994;
18.
Mcdowell I. Measuring Health. A guide to Rating Scales and Questionnaires. 2006;
19.
Kunst A, Bos V, Lahelma E, Bartley M, Lissau I, Regidor E, et al. Geurts JJ. Trends in socioeconomic inequalities in selfassessed health in 10 European countries. Int J Epidemiol. 2005;295–305.
20.
Mackenbach J, Stirbu I, Roskam A, Schaap M, Menvielle G, Leinsalu M, et al. Socioeconomic inequalities in health in 22 European countries. N Engl J Med. 2008;2468–81.
21.
Prus S. Comparing social determinants of self-rated health across the United States and Canada. Soc Sci Med. 2011;50–9.
22.
Shankar J, Ip E, Khalema E, Couture J, Tan S, Zulla R, et al. Education as a social determinant of health: issues facing indigenous and visible minority students in postsecondary education in western Canada. Int J Environ Res Public Health. 2013;3908–29.
23.
Browning C, Cagney K, Wen M. Explaining variation in health status across space and time: implications for racial and ethnic disparities in self-rated health. Soc Sci Med. 2003;1221–35.
24.
Hildebrand V, Kerm V, P. Income inequality and self-rated health status: evidence from the european community household panel. Demography. 2009;805–25.
25.
Parna K, Ringmets I. Comparison of socioeconomic differences in self-perceived health in Estonia and Finland. Scand J Public Health. 2010;129–34.
26.
Kurspahić-Mujčić A, Čalkić M, Sivić S. Impact of self-rated health among elderly on visits to family physicians. Med Glas (Zenica). 2016;161–6.
27.
Machon M, Vergara I, Dorronsoro M, Vrotsou K, Larranaga I. Self-perceived health in functionally independent older people: associated factors. BMC Geriatr. 2016;66.
28.
Lorem G, Schirmer H, Wang C, Emaus N. Ageing and mental health: changes in self-reported health due to physical illness and mental health status with consecutive cross-sectional analyses. BMJ Open. 2017;13629.
29.
Wang N, Iwasaki M, Otani T, Hayashi R, Miyazaki H, Xiao L, et al. Perceived health as related to income, socioeconomic status, lifestyle, and social support factors in a middle-aged Japanese. J Epidemiol. 2005;155–62.
30.
Frandsen L, Villumsen L, Hjorth C, Nielsen B, Ullits L, Torp-Pedersen C, et al. The relationship between self-reported mental health and redeemed prescriptions of antidepressants: a register-based cohort study. BMC Psychiatry. 2016;189.
31.
Henderson A, Jorm A, Korten A, Jacomb P, Christensen H, Rodgers B. Symptoms of depression and anxiety during adult life: evidence for a decline in prevalence with age. Psychol Med. 1998;1321–8.
32.
Hemingway H, Nicholson A, Stafford M, Roberts R, Marmot M. The impact of socioeconomic status on health functioning as assessed by the SF-36 questionnaire: the Whitehall II study. Am J Public Health. 1997;1484–90.
33.
Westerhof G, Keyes C. Mental illness and mental health: the two continua model across the lifespan. J Adult Dev. 2010;110–9.
34.
Andrade F, Guevara P, Lebrao M, De Oliveira Duarte Y, Santos J. Gender differences in life expectancy and disability-free life expectancy among older adults in Sao Paulo. Brazil J Womens Health Issues. 2011;64–70.
35.
Gilmore A, Mckee M, Rose R. Determinants of and inequalities in self-perceived health in Ukraine. Soc Sci Med. 2002;2177–88.
36.
Hopman W, Harrison M, Coo H, Friedberg E, Buchanan M, Van Den Kerkhof E. Associations between chronic disease, age and physical and mental health status. Chronic Dis Can. 2009;108–16.
37.
Leinonen R, Heikkinen E, Jylha M. Self-rated health and self-assessed change in health in elderly men and women-a five-year longitudinal study. Soc Sci Med. 1998;591–7.
38.
Crimmins E, Kim J. Solé-Auró A. Gender differences in health: Results from SHARE, ELSA and HRS. Eur J Public Health. 2011;81–91.

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