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Examining the relation between the subjective and objective social status with health reported needs and health-seeking behaviour in Dande, Angola

2021-05Journal article Open access
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dc.contributor.authorRosário, Edite Vila Nova
dc.contributor.authorSevero, Milton
dc.contributor.authorFrancisco, Diogo
dc.contributor.authorBrito, Miguel
dc.contributor.authorCosta, Diogo
dc.date.accessioned2021-06-12T16:33:05Z
dc.date.available2021-06-12T16:33:05Z
dc.date.issued2021-05
dc.description.abstractBackground: Assessing subjective social status (SSS) may be easily accommodated in the context of a Health and Demographic Surveillance System (HDSS). To our knowledge, no prior studies have examined the association of SSS and health in Angola. Subjective socioeconomic measures may provide a rapid assessment of a relevant social status construct, important for studying health inequalities. In this study, we addressed social determinants of health by examining the relationship between the subjective and objective social status, reported health and healthcare-seeking behavior. Methods: This research results from a cross-sectional study performed during 2015 in the Dande HDSS, in Angola. We tested the application of the MacArthur scale as a measure of SSS in a developing setting, in a sample of 12,246 households. First, we investigated its relation to objective socioeconomic indicators, and then we explored how subjective and objective social status associates with health-reported needs and health-seeking behavior of the surveyed population. Chi-square, ANOVA tests, and Receiver Operating Characteristics (ROC) Curves analysis were computed for testing relationships between subjective status ladder quartiles, sociodemographic, and household characteristics. Logistic regression was used to examine the influence of subjective perception of status in self-reported health and health-seeking behavior. Results: Our findings suggest that the SSS follows a gradient distribution obtained with more objective socioeconomic indicators. Additionally, we found that subjective perception of status influences health needs reporting and health-seeking behavior, and its significant effect remained after controlling for the objective socioeconomic markers. Individuals standing in the second quartile of the social ladder have more odds of reporting illness and those in the highest quartiles of the ladder were twice more likely (OR = 2.23, 95% CI = 1.52–3.26) to seek help from formal health services than those at the bottom of the ladder. Conclusions: The MacArthur Scale is a valuable tool to measure SSS in the Dande HDSS, relevant for studying socioeconomic disparities and health inequalities. It is also an easier alternative to traditional measures such as income, usually difficult to measure in developing settings. The social perception of status should be considered as a complement with objective indicators when exploring social determinants of health.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationRosário, Mi EV, Severo M, Francisco D, Brito M, Costa D. Examining the relation between the subjective and objective social status with health reported needs and health-seeking behaviour in Dande, Angola. BMC Public Health. 2021;21:979.pt_PT
dc.identifier.doi10.1186/s12889-021-11003-4pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.21/13432
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSpringer Naturept_PT
dc.relation.publisherversionhttps://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-021-11003-4pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectSocial statuspt_PT
dc.subjectHealth statuspt_PT
dc.subjectSubjective social statuspt_PT
dc.subjectMacArthur scale of subjective social statuspt_PT
dc.subjectSocioeconomic positionpt_PT
dc.subjectSelf-reported healthpt_PT
dc.subjectHealth-seeking behaviourpt_PT
dc.subjectAngolapt_PT
dc.subjectProvíncia do Dandept_PT
dc.titleExamining the relation between the subjective and objective social status with health reported needs and health-seeking behaviour in Dande, Angolapt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.startPage979pt_PT
oaire.citation.titleBMC Public Healthpt_PT
oaire.citation.volume21pt_PT
person.familyNameBrito
person.givenNameMiguel
person.identifier.ciencia-id231F-F341-7E93
person.identifier.orcid0000-0001-6394-658X
person.identifier.ridA-7970-2016
person.identifier.scopus-author-id35224551000
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication4252d8e0-800c-4d67-8b13-0b711d860669
relation.isAuthorOfPublication.latestForDiscovery4252d8e0-800c-4d67-8b13-0b711d860669

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