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  • Title: Physical limitations and self-rated overall health in family medicine patients.
    Author: Rohrer JE, Merry SP, Rohland B, Rasmussen N, Wilshusen L.
    Journal: Clin Rehabil; 2008 Jan; 22(1):38-44. PubMed ID: 18048483.
    Abstract:
    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.
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