Geographies of health perception in Quebec: a multilevel perspective

R Pampalon*, S V Subramanian, Kelvyn Jones, Duncan, Craig

*Corresponding author for this work

Research output: Contribution to journalArticle (Academic Journal)

35 Citations (Scopus)

Abstract

Self perceived health is a widely used measure and, in Quebec, it has been shown to vary significantly between geographical areas. In the present study, these geographical variations are examined in a multilevel analysis in order to disentangle compositional (individual characteristics) and contextual (place) effects. The analysis recognizes four levels of variation: individual, household, local and regional. Similar analyses carried out in Britain, have considered only two levels: individual and local. Data come from the 1992-1993 Quebec Health and Social Survey, a general household survey using a stratified two-stage sampling design. Health perception (the response variable) is considered with a set of individual predictor characteristics reflecting gender, lifestyle, socio-economic conditions, marital status and social support. Results show the existence of significant local area variations in health perception after having allowed for individual characteristics and variations at the household level. At the regional level, however, no systematic and significant variations remain although some individual regions are found to have a significant impact on health perception. (C) 1999 Elsevier Science Ltd. All rights reserved.

Original languageEnglish
Pages (from-to)1483-1490
Number of pages8
JournalSocial Science and Medicine
Volume48
Issue number10
Publication statusPublished - May 1999

Keywords

  • health perception
  • multilevel analysis
  • geography
  • Quebec
  • LONG-TERM ILLNESS
  • SELF-RATED HEALTH
  • REGIONAL VARIATIONS
  • CARE NEED
  • FOLLOW-UP
  • MORTALITY
  • AREA
  • BEHAVIOR
  • ENGLAND
  • PLACES

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