Health education improves both arthritis-related illness and self-rated health: An intervention study among older people in rural Bangladesh
2010 (English)In: Public Health, ISSN 0033-3506, E-ISSN 1476-5616, Vol. 124, no 12, 705-712 p.Article in journal (Refereed) Published
Objectives: To examine changes in self-reported arthritis-related illness and self-rated health as a result of a health education intervention, and the association between self-reported arthritis-related illness and self-rated health. Study design: A quasi-experimental study was conducted in eight randomly selected villages in rural Bangladesh (intervention = 4; control = 4). Methods: The intervention consisted of home-based physical activities, health advice and aspects of healthcare management over 15 months followed by a 3-month latent period. Data were collected before the intervention and after the latent period. Analyses included 839 participants (>= 60 years of age) who participated in both surveys. Participants in the intervention area were further categorized into two groups who self-reported compliance or non-compliance with recommended health advice. Self-rated health was assessed using a single global question. Self-reported arthritis-related illness was indicated by the presence of arthritis, back and joint pain, biting sensation, swelling and inflammation in the joints. Results: Hierarchical logistic regression analyses revealed that positive effects on episodes of arthritis-related illness [ odds ratio (OR) 1.9, 95% confidence interval (CI) 1.3-2.8] and self-rated health (OR 1.4, 95% CI 1.0-1.9) were more likely among the compliant group compared with the control group. Furthermore, positive self-rated health was more likely among participants reporting a positive change in their arthritis-related illness (OR 2.2, 95% CI 1.5-3.2). The results also showed that literate and non-poor participants were more likely to report positive health, and participants with advancing age were less likely to report positive health. Conclusion: Community-based health education is effective in reducing the burden of arthritis-related illness and in enhancing general health in old age.
Place, publisher, year, edition, pages
2010. Vol. 124, no 12, 705-712 p.
Self-rated health, Arthritis, Older people, Health education, Bangladesh
Public Health, Global Health, Social Medicine and Epidemiology
Research subject hälso- och sjukvårdsforskning
IdentifiersURN: urn:nbn:se:su:diva-51237DOI: 10.1016/j.puhe.2010.07.005ISI: 000284685300007OAI: oai:DiVA.org:su-51237DiVA: diva2:387745
authorCount :42011-01-142011-01-102011-01-14Bibliographically approved