Self-Rated Health and Attitudes About U.S. Health Care Policy

LeCount, Ryan Jerome; Abrahamson, Kathleen

doi:10.1080/02732173.2017.1334607

Cited by 5 publications

(7 citation statements)

References 31 publications

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“…Third, other factors may affect respondents' policy support. For example, respondents' health status (27) and health literacy (9, 45) may be influential. Last, as acknowledged in a previous study (28), comparing and contrasting public support of policy interventions for a range of different chronic disease risk factors such as alcohol use or healthy diets would provide more meaningful implications for policy makers and public health promoters in terms of prioritizing and concurrently implementing policy actions across a range of public health issues (28).…”

Section: Discussionmentioning

confidence: 99%

“…In comparison to a conservative orientation, having a liberal orientation is more strongly associated with beliefs that society is responsible for one's fate and to support incremental social changes, whereas conservatives are more likely to believe that each individual is responsible for one's misfortune (26). This, in turn, negatively affects conservatives' attitudes toward government spending on health care and government-led policy actions (27). For instance, in a survey of Canadian federal and provincial/territorial legislators conducted in 2001, 36% of Liberal legislators agreed that government had a major role to play in encouraging people to be physically active.…”

Section: Introductionmentioning

confidence: 99%

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Political Orientation and Public Attributions for the Causes and Solutions of Physical Inactivity in Canada: Implications for Policy Support

Yun

Vanderloo²,

Berry

et al. 2019

Front. Public Health

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Objectives: To examine how public attributions for the causes and solutions of physical inactivity and individuals' self-identified political orientation are associated with support for different policy actions in addressing physical inactivity. Methods: A secondary data analysis was conducted with a sample of 2,044 Canadian adults. Two sets of 2 X 3 analyses of variance and post-hoc analyses were conducted to assess (1) the mean differences by the causes of the issue of physical inactivity (individual, or both internal and external/external) and political orientation (liberal, centrist, and conservative), and (2) responsibility for solutions (private matter, or both private and public health matter, and /public health matter) and political orientation on support for least, moderate, and most intrusive policy actions. Results: No interaction effects existed between causal attribution and political orientation on policy support, but a main effect of causal attributions for physical inactivity and political orientation was significant. Those who held internal attributions for the cause of physical inactivity showed less support for policies compared to those who held external causal attributions or both internal and external causal attributions. Conservative individuals reported the least support for all policy actions in comparison to liberal or centrist orientations. There were interaction effects between responsibility for solutions and political orientation on policy support. Conservative individuals who perceived the responsibility for solving physical inactivity as a private matter had less support for all three policy actions. Conclusions: Public acceptance of policy actions addressing physical inactivity varies by the attributions the public have regarding causes and responsibility for solving the problem, and by political orientation. Advocacy and messaging for policy implementation in the physical activity arena needs to be communicated in ways that encourage reflective and informed deliberation that is representative of the Canadian population.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Political Orientation and Public Attributions for the Causes and Solutions of Physical Inactivity in Canada: Implications for Policy Support

Yun

Vanderloo²,

Berry

et al. 2019

Front. Public Health

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“…In the US, nearly three quarters of surveyed adults responded that the government was spending too little or negative on improving and protecting the nation’s health, during different political regimes in 2004—2018. This negative attitude varied between four self-rated health groups (e.g., excellent, good, fair, and poor) (1), which might explain their healthcare expectations and priorities (2). Health spending attitude often involves socioeconomic status and demographic characteristics (2–4).…”

Section: Introductionmentioning

confidence: 99%

“…This negative attitude varied between four self-rated health groups (e.g., excellent, good, fair, and poor) (1), which might explain their healthcare expectations and priorities (2). Health spending attitude often involves socioeconomic status and demographic characteristics (2–4). It is, therefore, reasonable to assume that attitude towards government health spending is contingent on individual health perceptions and associated determinants (5).…”

Section: Introductionmentioning

confidence: 99%

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Self-Rated and Social Determinants of Health Spending Attitudes in the United States

Ahamad

Tanin²

2020

Preprint

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Self-rated and social determinants of health are associated with peoples health attitudes towards government spending on improving national health in the US. We used data from eight biennial nationally representative General Social Surveys from 2004 to 2018 (n = 21116) to assess the determinants of health spending attitudes among US adults through a multivariate logistic regression technique. We found that more than three quarters of adults responded that government health spending was too little for improving and protecting American health. We also found that adults those with fair self-rated health were more likely to respond too little or negative about health spending after adjusting for socioeconomic and sociodemographic factors and political regimes. This result suggests exploring individual-specific reasons associated with this negative attitude to restructure health spending priorities in the US.

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