Interpretations of self-rated health in stroke survivors from a semi-rural community in South East Asia

Yap, Kwong Hsia, Warren, Narelle, Reidpath, Daniel D. and Allotey, Pascale, (2019). Interpretations of self-rated health in stroke survivors from a semi-rural community in South East Asia. International Journal of Qualitative Studies on Health and Well-being, 14(1), 1-13

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  • Sub-type Journal article
    Author Yap, Kwong Hsia
    Warren, Narelle
    Reidpath, Daniel D.
    Allotey, Pascale
    Title Interpretations of self-rated health in stroke survivors from a semi-rural community in South East Asia
    Appearing in International Journal of Qualitative Studies on Health and Well-being
    Volume 14
    Issue No. 1
    Publication Date 2019-05-23
    Place of Publication online
    Publisher Informa UK Limited
    Start page 1
    End page 13
    Language eng
    Abstract Stroke survivors report poorer self-rated health (SRH) compared to the general population but there is limited understanding on what contributes to SRH. This ethnographic study examined the individual and contextual factors that shape stroke survivors’ SRH in a rural middle income country situated in South East Asia. Methods: Ethnographic methods which encompasses various data collection methods from different data sources were used in this study to describe the sociocultural context of 16 stroke survivors living in a rural village. Within this context, the experiences of these participants were then interpreted in terms of what contributed to their perception of health and recovery, juxtaposed with objectively measure physical and cognitive states. Results: SRH reflected the post stroke adjustment of stroke survivors. Better SRH was influenced by good poststroke adjustment that was achieved by a combination of physical functioning, cognitive functioning, emotional well-being and family support. Poorer SRH appear to reflect poor post-stroke adjustment regardless of the objective physical and cognitive states of the stroke survivors. It was also observed that cognitive deficits, though its presence was acknowledged by participants, were usually not taken into accountwhen rating SRH. However,while physical functioningwas perceived by participants to directly impact SRH, the presence of cognitive deficits indirectly complicated the recovery of physical functions treasured by participants. Conclusion: Stroke survivors reporting poorer SRH warrant further attention and intervention from health practitioners supporting the longer-term needs of stroke survivors in similar settings.
    Keyword Stroke
    cognitive impairment
    self-rated health
    Ethnography
    older adults
    Copyright Holder The Authors
    Copyright Year 2019
    Copyright type Creative commons
    DOI 10.1080/17482631.2019.1613875
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    Created: Mon, 05 Aug 2019, 14:24:13 JST by Nur Madihah Mat Latip on behalf of UNU IIGH