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Research ArticleOriginal Research

The Family Contribution to Health Status: A Population-Level Estimate

Robert L. Ferrer, Ray Palmer and Sandra Burge
The Annals of Family Medicine March 2005, 3 (2) 102-108; DOI: https://doi.org/10.1370/afm.266
Robert L. Ferrer
MD, MPH
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Ray Palmer
PhD
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Sandra Burge
PhD
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Article Figures & Data

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    Table 1.

    Family Composition by Type of Household (N = 35,055)

    Family CompositionSingle-Family HouseholdsMultiple-Family Households
    PCS-12 = physicial component summary scale of the SF-12; MCS-12 = mental component summary scale of the SF-12.
    * In thousands of dollars rounded to the nearest thousand.
    Married, no kids, No.11,9052,520
        Mean age, y (SD), range55.1 (15.5), 18–9154.7 (12.1), 18–91
        Mean highest educational level, y (SD), range13.5 (2.6), 6–1912.8 (2.7) 6–19
        Female, % (SD), range5050
        Mean family income, $* (SD), range50.0 (35.0), 0 to >15147.0 (36), 0 to >151
        Insurance, %
            None5.39.9
            Public32.924.8
            Private61.965.2
        Mean PCS-12 score (SD), range48.2 (10.6), 10–6747.0 (11.0), 11–67
        Mean MCS-12 score (SD), range53.9 (8.5), 12–7253.0 (9.2), 12–71
    Married with kids, No.15,2051,978
        Mean age, y (SD), range36.8 (9.2), 18–8439.3 (11.9), 18–76
        Mean highest educational level, y (SD), range13.8 (2.5), 6–1912.9 ( 2.6), 6–19
        Female, %5050
        Mean family income, $* (SD), range59.0 (35.0), 0 to >15153.0 (38), 0 to >151
        Insurance, %
            None9.316.8
            Public3.35.5
            Private87.577.7
        Mean PCS-12 score (SD), range51.9 (7.9), 11–6950.4 (9.2), 11–68
        Mean MCS-12 score (SD), range52.5 (8.3), 9–7152.0 (9.6), 11–70
    Single with kids, No.2,2051,242
        Mean age, y (SD), range33.3 (9.9), 18–7632.4 (9.6), 18–72
        Mean highest educational level, y (SD), range13.1 (2.2), 6–1912.7 (2.1), 6–19
        Female, %80.077
        Mean family income, $* (SD), range28.0 (26.0), 0 to >15123.0 (24), 0 to >151
        Insurance, %
            None17.525.4
            Public21.020.2
            Private61.554.4
        Mean PCS-12 score (SD), range50.2 (9.7), 11–6850.3 (8.9), 14–66
        Mean MCS-12 score (SD), range49.0 (11.1), 9–7049.8 (10.7), 12–68
    • View popup
    Table 2.

    Multilevel Variance Components for SF-12 Physical Health Summary Score

    IndividualFamily
    Family CompositionLevel-1 VarSE%Level- 2 VarSE%
    Var = variance; SE = Standard Error; SF-12 = Short Form-12.
    *Not significant.
    Single-family households
        Married, no kids88.484.4377.725.433.7222.3
        Married with kids55.143.1186.88.442.0013.2
        Single with kids77.5911.1376.923.319.3823.1
    Multiple-family households
        Married, no kids103.0511.5083.919.858.6516.1
        Married with kids70.669.2083.913.536.3316.1
        Single with kids75.9314.6495.53.649.164.5*
    • View popup
    Table 3.

    Multilevel Variance Components for SF-12 Mental Health Summary Score

    IndividualFamily
    Family CompositionLevel-1 VarSE%Level-2 VarSE%
    Var = variance; SE = Standard Error; SF-12 = Short Form-12.
    * Not significant.
    Single-family households
        Married, no kids58.203.5080.813.842.6719.2
        Married with kids58.803.1382.712.372.2417.3
        Single with kids115.2320.8184.022.1316.9916.0*
    Multiple-family households
        Married, no kids61.947.1873.921.837.4126.1
        Married with kids80.9710.9185.913.266.0914.1
        Single with kids95.2224.9291.619.2022.7416.7*
    • View popup
    Table 4.

    Multilevel Regression Parameters (Regression Weight and SE) for SF-12 Physical Component Summary Scores Among Single-Family Households

    Family CompositionInterceptAge YearsIncome*Insurance Status†Level-2 Variance, %−2*logL‡
    SF-12 = Short Form-12.
    * Income quintile, 1 = lowest, 5 = highest.
    † Insured.
    ‡ −2*LogL is a goodness-of-fit statistic. Smaller numbers indicate a better model fit.
    § Not significant.
    Married, no kids
        Model 148.05 (0.23)———22.389,725
        Model 258.11 (0.63)−0.18 (0.02)——16.288,942
        Model 350.93 (1.10)−0.15 (0.02)1.65 (0.15)—12.588,510
        Model 448.75 (1.30)−0.13 (0.02)1.47 (0.20)1.25 (0.42)12.688,452
    Married with kids
        Model 151.82 (0.16)———13.2105,957
        Model 254.62 (0.62)−0.08 (0.02)——13.5105,851
        Model 351.06 (0.74)−0.10 (0.02)1.28 (0.16)—10.1105,398
        Model 450.65 (0.80)−0.11 (0.02)1.19 (0.16)0.44 (0.14)9.9105,376
    Single with kids
        Model 149.62 (0.54)———23.3116,289
        Model 253.91 (1.72)−0.13 (0.06——22.0516,257
        Model 350.80 (1.73)−0.17 (0.06)2.14 (0.42)—8.8§16,141
        Model 450.51 (1.88)−0.017 (0.06)2.03 (0.46)0.39 (1.62)§8.6§16,137
    • View popup
    Table 5.

    Multilevel Regression Parameters (Regression Weight and SE) for SF-12 Mental Component Summary Scores Among Single-Family Households

    Family CompositionInterceptAge YearsIncome*Insurance Status†Level-2Variance, %−2*logL‡
    SF-12 = Short Form-12.
    * Income quintile, 1 = lowest, 5 = highest.
    † Insured.
    ‡ −2*LogL is a goodness-of-fit statistic. Smaller numbers indicate a better model fit.
    § Not significant.
    Married, no kids
        Model 153.99 (0.18)———19.884,438
        Model 251.57 (0.65)0.04 (0.01)——18.884,355
        Model 348.35 (0.92)0.06 (0.02)0.75 (0.15)—17.884,227
        Model 447.56 (1.24)0.06 (0.02)0.68 (0.15)0.44 (0.36)§17.784,219
    Married with kids
        Model 152.47 (0.17)———17.3107,338
        Model 251.70 (0.66)0.02 (0.02)§——17.4107,321
        Model 349.78 (0.81)0.01 (0.02)§0.68 (0.16)—16.5107,216
        Model 449.25 (0.94)0.01 (0.02)§0.56 (0.18)0.57 (0.34)§15.4107,189
    Single with kids
        Model 148.42 (0.70)———16.0§16,889
        Model 249.06 (2.50)−0.02 (0.06)§——16.116,889
        Model 347.15 (2.70)−0.04 (0.06)§1.23 (0.54)—14.516,854
        Model 446.42 (2.48)−0.04 (0.06)§0.99 (0.64)0.85 (1.12)13.516,844

Additional Files

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  • The Article in Brief

    Can family and community have a substantial influence on a person�s health? Yes, according to this study by Ferrer and colleagues. Based on the results of a telephone survey of 35,000 adults in 60 US cities, the study found that between 4.5% and 26.1% of individual health was influenced by the family. Aspects of the family environment can have positive or negative effects on health. These include quality of housing, neighborhood conditions, transportation, access to medical care, health beliefs and behaviors, physical environments, common stresses, and interpersonal relations.

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The Annals of Family Medicine: 3 (2)
The Annals of Family Medicine: 3 (2)
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The Family Contribution to Health Status: A Population-Level Estimate
Robert L. Ferrer, Ray Palmer, Sandra Burge
The Annals of Family Medicine Mar 2005, 3 (2) 102-108; DOI: 10.1370/afm.266

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The Family Contribution to Health Status: A Population-Level Estimate
Robert L. Ferrer, Ray Palmer, Sandra Burge
The Annals of Family Medicine Mar 2005, 3 (2) 102-108; DOI: 10.1370/afm.266
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