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Which long-term illnesses do patients find most limiting? A census-based cross-sectional study of 340,000 people

Author

Listed:
  • David M. Wright

    (Queen’s University Belfast)

  • Michael Rosato

    (Ulster University)

  • Dermot O’Reilly

    (Queen’s University Belfast)

Abstract

Objectives To investigate associations between a widely used measure of self-assessed health (limiting long-term illness, LLTI) and 11 long-term health conditions. Methods Information on LLTI and health conditions was obtained from 2011 Census returns for a 28% representative sample of the Northern Ireland population (n = 342,868). Logistic regression was used to predict LLTI by sex and age group for each condition found in isolation, adjusting for marital status, social class, household car access, housing tenure, and educational attainment. The relationship between limitation and multimorbidity was also assessed. Results Prevalence of LLTI varied considerably among conditions when found in isolation; those with mobility problems were over 50 times more likely to report limitation than those with hearing loss. Women were less likely to report limitation than men [OR = 0.93 (0.90, 0.96)], but the pattern of associations with health conditions was similar for both sexes. Prevalence of LLTI increased with age and number of health conditions. Conclusions LLTI was most closely associated with mobility problems. Limitation increased slightly with age, but patterns of LLTI across conditions were not sex dependent.

Suggested Citation

  • David M. Wright & Michael Rosato & Dermot O’Reilly, 2017. "Which long-term illnesses do patients find most limiting? A census-based cross-sectional study of 340,000 people," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(8), pages 939-947, November.
    • Handle: RePEc:spr:ijphth:v:62:y:2017:i:8:d:10.1007_s00038-016-0929-2
    DOI: 10.1007/s00038-016-0929-2
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    References listed on IDEAS

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    1. Boyle, Paul & Norman, Paul & Rees, Philip, 2004. "Changing places. Do changes in the relative deprivation of areas influence limiting long-term illness and mortality among non-migrant people living in non-deprived households?," Social Science & Medicine, Elsevier, vol. 58(12), pages 2459-2471, June.
    2. O'Reilly, Dermot & Rosato, Michael, 2010. "Dissonances in self-reported health and mortality across denominational groups in Northern Ireland," Social Science & Medicine, Elsevier, vol. 71(5), pages 1011-1017, September.
    3. Malmström, Marianne & Johansson, SvenErik & Sundquist, Jan, 2001. "A hierarchical analysis of long-term illness and mortality in socially deprived areas," Social Science & Medicine, Elsevier, vol. 53(3), pages 265-275, August.
    4. Martyn Senior, 1998. "Area Variations in Self-perceived Limiting Long Term Illness in Britain, 1991: Is the Welsh Experience Exceptional?," Regional Studies, Taylor & Francis Journals, vol. 32(3), pages 265-280.
    5. Mackenbach, J.P. & Looman, C.W.N. & Van Der Meer, J.B.W., 1996. "Differences in the misreporting of chronic conditions, by level of education: The effect on inequalities in prevalence rates," American Journal of Public Health, American Public Health Association, vol. 86(5), pages 706-711.
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