![]() On the other hand, to date, only a limited number of studies have focused on the discriminative ability of SF-36 regarding social and disease status in developing countries. These hypotheses have been revealed in number of studies from developed countries. Similarly people with a disease are more likely to have lower SF36 scores than people without a disease. For instance, people in better social positions are expected to report better health status than the lower social groups. Specific relationships between social determinants such as economical, employment and educational status and health status may be observed by SF36. It has been shown that SF-36 is sensitive to social factors such as social class and disease status in population surveys and primary care settings. In this project the researchers highlighted the importance of cultural appropriateness, yet most of the countries included in the Project were developed ones. One of the well-documented cross-cultural adapting studies was performed for SF-36 by the International Quality of Life Assessment Project (IQOLA). It has been shown as reliable and able to detect differences between groups defined by age, sex, socio-economic status, geographical region and clinical conditions. SF-36 has been both translated into different languages and adapted to different cultures to obtain comparable data on health status internationally. SF-36 has been reported as useful in clinical practice, research, health policy evaluations, and population surveys. patients with rheumatologic disorders versus cardiac patients. SF-36 also allows comparisons between different disease groups, i.e. This generic measure can be used in diseased groups as well as general populations. It has been referred to as a generic measure since it assesses health concepts that are pertinent to everyone's functional status and well-being. The Short Form-36 Health Survey (SF-36) has been constructed to represent eight health concepts. SF-36 may also be a promising measure for research on health inequalities in Turkey and other developing countries. Our findings, cautiously generalisable to urban population, suggest that the SF-36 can be a valuable tool for studies on health outcomes in Turkish population. The SF-36 was found to be capable of discriminating disease status. Social risk factors (employment status, lower education and economic strain) were associated with worse health profiles. Women reported poorer health compared to men in general. On the other hand, mental health scales were less strongly associated with age and gender. Physical health scales were associated with both age and gender. Internal consistencies of the scales were high, with the exception of mental health and vitality. The study group consisted of 1,279 people selected from a study population of 46,290 people aged 18 and over. The sample was systematically selected from two urban Health Districts in Izmir, Turkey. Face to face interviews were carried out with a sample of households. The aim of this study was to obtain population norms of the short form 36 (SF-36) health survey and the association of SF-36 domains with demographic and socioeconomic variables in an urban population in Turkey. However there have been only a limited number of studies focused on the discriminative ability of SF-36 regarding social and disease status in developing countries. ![]() ![]()
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