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Physical limitations and self-rated overall health in family medicine patients

Mayo Clinic, Rochester, Minnesota, USA, james{at}mayo.edu

Stephen P. Merry

Mayo Clinic, Rochester, Minnesota, USA

Barbara Rohland

Mayo Clinic, Rochester, Minnesota, USA

Norman Rasmussen

Mayo Clinic, Rochester, Minnesota, USA

Laurie Wilshusen

Mayo Clinic, Rochester, Minnesota, USA

Objective: To assess how physical limitations relate to self-rated health among family medicine patients after adjustment for severity of illness.

Design: A telephone survey of family medicine patients, linked with medical record information.

Setting: A large family medicine department in Rochester, Minnesota, USA.

Subjects: Self-ratings of health were linked to medical records for 804 adult patients.

Results: Adjusting for severity and other confounders using multiple logistic regression analysis revealed that having physical limitations was inversely and independently related to good self-rated health (adjusted odds ratio = 0.20, P<0.001). Odds ratios also were lower for high severity of illness (adjusted odds = 0.43). Morbidly obese patients and patients older than 65 years of age also had reduced odds of good self-rated health.

Conclusions: In our sample of family medicine patients, part of the disparity in health status experienced by people with physical limitations is attributable to greater severity of illness, age and obesity.

This version was published on January 1, 2008

Clinical Rehabilitation, Vol. 22, No. 1, 38-44 (2008)
DOI: 10.1177/0269215507079095


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