Bourne, Paul A.
Author Affiliation, Ana.
Social determinants of health in Jamaica: Are there differences between the sexes, and area of residences?
Date of Publication
Objective: This study examined socioeconomic determinants of self-reported health status of Jamaicans and whether self-reported illness is a good measure of health status. In addition, the study went further to identify the predictors of the sexes and different area of residences as those cohorts have different economic characteristics. Method: The current study used a sample of 6,783 respondents. The sample was drawn from a large nationally representative cross-sectional survey of 6,783 Jamaicans. The survey was drawn using stratified random sampling. The non-response rate for the survey was 26.2%. Results: Age, self-reported illness and consumption were determinants across the sexes, and area of residences. Education and social class were correlate of women and not men and social assistance a predictor of health status for men and not women. Although dwellers in urban areas have less determinants, it had the greatest explanatory power (45.7%) compared to rural areas (44.5%) and urban residence (30.5%). Length of time in household and education were social determinants synonymous with only urban areas; social class and gender were social predictors of only rural areas while age, self-reported ill and consumption were correlates of all area of residences. Conclusion: A critical finding that emerged from this study is the fact that self-reported health status is a good predictor of health status and so can be used if self-rated health status is not available. Generally, the social determinants of health status of Jamaicans are mostly the same across the sexes, and the difference area of residences.....