Social factors iand self-rated health in Almaty, Kazakhstan: results from a cross-sectional community-based survey

Akmaral Abikulova, К А Тулебаев, Aigulsum Izekenova, Ainur B. Kumar, М.А. Рамазанова, A Ryskulova, B Zhanturyiev, Z Sagyndykova, Aizhan Raushanova, Gulshara Е. Aimbetova

2 more authors

Elmira Abdraimova, A M Grjibovski

2013

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DOI 10.1093/eurpub/ckt124.075
Data confidence 70 medium
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Abstract

Background Self-rated health (SRH) has been widely studied to assess health inequalities in both developed and developing countries. However, no studies have been performed in Central Asia. The aim of the study was to assess gender-, ethnic-, and social inequalities in SRH in Almaty, Kazakhstan. Methods Altogether, 1500 randomly selected adults aged 45 years or older were invited to participate in a cross-sectional study and 1199 agreed (response rate 80%). SRH was classified as poor, satisfactory, good and excellent. Multinomial logistic regression was applied to study associations between SRH and socio-demographic characteristics. Crude and adjusted odds ratios (OR) for poor vs. good and for satisfactory vs. good health were calculated with 95% confidence intervals (CI). Results Altogether, poor, satisfactory, good and excellent health was reported by 11.8%, 53.7%, 31.0% and 3.2% of the responders, respectively. Clear gradients in SRH were observed by age, education and income in both crude and adjusted analyses. Women were more likely to report poor (OR = 1.9, 95% CI: 1.2-3.1) or satisfactory (OR = 1.6, 95% CI: 1.2-2.1) than good health. Ethnic Russians and unmarried participants had greater odds for poor vs. good health (OR = 2.3, 95% CI: 1.5-3.7 and OR = 4.0, 95% CI: 2.7-6.1, respectively) and for satisfactory vs. good health (OR = 1.4, 95% CI: 1.1-1.9 and OR = 1.9, 95% CI: 1.4-2.5, respectively) in crude analysis, but the estimates were reduced to non-significant levels after adjustment. Unemployed and pensioners were less likely to report good health than white-collar workers while no difference in SRH was observed between white- and blue-collar workers. Conclusions Considerable levels of inequalities in SRH by age, gender, education and particularly income, but not by ethnicity or marital status were found in Almaty, Kazakhstan. Further research is warranted to identify the factors behind the observed associations in Kazakhstan. Key message Considerable levels of inequalities in SRH by age, gender, education and particularly income, but not by ethnicity or marital status were found in Almaty, Kazakhstan.