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Body Mass Index and Rural Status on Self-Reported Health in Older Adults: 2004-2013 Medicare Expenditure Panel Survey.
- Source :
-
The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association [J Rural Health] 2018 Feb; Vol. 34 Suppl 1, pp. s56-s64. Date of Electronic Publication: 2017 Mar 15. - Publication Year :
- 2018
-
Abstract
- Purpose: To ascertain whether rural status impacts self-reported health and whether the effect of rural status on self-reported health differs by obesity status.<br />Methods: We identified 22,307 subjects aged ≥60 from the Medical Expenditure Panel Survey 2004-2013. Body mass index (BMI) was categorized as underweight, normal, overweight, or obese. Physical and mental component scores of the Short Form-12 assessed self-reported health status. Rural/urban status was defined using metropolitan statistical area. Weighted regression models ascertained the relative contribution of predictors (including rural and BMI) on each subscale.<br />Findings: Mean age was 70.7 years. Rural settings had higher proportions classified as obese (30.7 vs 27.6%; P < .001), and rural residents had lower physical health status (41.7 ± 0.3) than urban (43.4 ± 0.1; P < .001). Obese or underweight persons had lower physical health status (39.5 ± 0.20 and 37.0 ± 0.82, respectively) than normal (44.7 ± 0.18) or overweight (44.6 ± 0.16) persons (P < .001). BMI category stratification was associated with differences in physical health between rural/urban by BMI. Individuals classified as underweight or obese had lower physical health compared to normal, while the differences were less pronounced for mental health. No differences in mental health existed between rural/urban status. A BMI <superscript>*</superscript> rural interaction was significant for physical but not mental health.<br />Conclusions: Rural residents report lower self-reported physical health status compared to urban residents, particularly older adults who are obese or underweight. No interaction was observed between BMI and rural status.<br /> (© 2017 National Rural Health Association.)
- Subjects :
- Aged
Aged, 80 and over
Analysis of Variance
Cross-Sectional Studies
Female
Humans
Male
Medicare organization & administration
Medicare statistics & numerical data
Quality of Life psychology
Socioeconomic Factors
Surveys and Questionnaires
United States
Body Mass Index
Health Status
Rural Population statistics & numerical data
Self Report
Subjects
Details
- Language :
- English
- ISSN :
- 1748-0361
- Volume :
- 34 Suppl 1
- Database :
- MEDLINE
- Journal :
- The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association
- Publication Type :
- Academic Journal
- Accession number :
- 28295614
- Full Text :
- https://doi.org/10.1111/jrh.12237