MHLU - Health Status Resource

Health-related Quality of Life

Health-related Quality of Life

Key Findings: 
  • Nearly 90% of the population of Middlesex-London reported that their health was excellent or good in 2009/2010 (Fig. 4.17).
  • 11.3% of Middlesex-London residents reported that they often experienced activity limitations due to medical conditions or long-term health problems.  This proportion was significantly lower than in the Peer Group, but not different from Ontario as a whole (data not shown).
  • 73.7% of the population under the age of 65 reported that they never experienced activity limitations due to medical conditions or long-term health problems compared to 46.1% in those aged 65 and older (Fig. 4.18).
  • Nearly 12% of females and 7% of males in Middlesex-London reported needing help with activities of daily living due to health reasons (Fig. 4.19).
  • In those aged 65 years and older in Middlesex-London, 24.3% indicated they needed help with activities of daily living compared to only 6.8% in those less than 65 years.  These rates were similar to Ontario and the Peer Group (data not shown).
Interpretive Notes

Self-rated health is a self-assessment of an individual’s current health status that is based on the question, "In general, would you say your health is: (excellent, very good, good, fair, or poor)?  By health, we mean not only the absence of disease or injury but also physical, mental and social wellbeing.”

Self-rated health encompasses both experiences and understanding of the causes and impacts of disease. It has been shown to be predictive of the development of chronic conditions and mortality.  

Instrumental activities of daily living (IADL) and the impact of long-term health conditions on the population are generally interpreted as indicators of disability. These questions were asked in the Canadian Community Health Survey of the whole non-institutionalized population over the age of 12.

Ontario Public Health Standard: 

Population Health Assessment and Surveillance Protocol - Section 1, Subsections b-i, ii

Chronic Disease Prevention Standard - Requirement #1

Prevention of Injury and Substance Misuse Standard - Requirement #1

Jargon Explained

Perceived Health

This concept indicates the respondent's health status based on his or her own judgement.  

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Impact of Health Problems

This is a crude measure of the impact of long-term physical conditions, mental conditions and health problems on the principal domains of life: home, work, school, and other activities.

Need for help with instrumental activities of daily living 

This classifies respondents according to their need for help (because of health reasons) with instrumental activities of daily living such as preparing meals, shopping for groceries or other necessities, doing everyday housework, doing heavy household chores (washing walls, yard work), and personal care (washing, dressing or eating), moving about inside the house or paying bills.