Self-rated health as a predictor of disability pension and death -: A prospective study of middle-aged men
Self-rated health as a predictor of disability pension and death -: A prospective study of middle-aged men
复制标题
DOI：
10.1177/14034948010290020201
复制
发表时间：
2001-06-01
影响因子：
3.4
通讯作者：
Råstam, L
中科院分区：
文献类型：
--
作者：
Månsson, NO;Råstam, L
目的：自评健康（SRH）作为发病率和死亡率的预测指标越来越受到人们的关注，但其与功能受损的关系却不太受重视。本研究的目的是评估性健康和生殖健康与领取残疾养恤金和过早死亡的风险之间的关系。方法：五个出生梨组的中年男性被邀请参加一个筛查项目，并被跟踪了大约 11 年。在随访期间发放的 718 名残疾男性（12%）中，46% 的人认为自己的健康状况完美。其余 5,082 名男性的相应数字为 77%。结果：SRH 不理想的男性残疾养老金的粗相对风险 (RR) 为 3.7 (3.2-4.2)。调整发病前/药物治疗后，RR 下降至 3.3 (2.8-3.8)。与 SRN 不完美相关的死亡粗略 RR 为 1.6 (1.3-2.0)，调整后没有变化。结论：结果表明，SRH 是残疾的强有力且独立的预测因子，在较小程度上也是死亡率的预测因子。
Objective: Self-rated health (SRH) is increasingly attracting attention as a predictor of morbidity and mortality while its relation to impaired function has been given less momentum. The aim of this study was to assess the relation between SRH and the risk of bring awarded a disability pension and premature death. Methods: Five birth-pear cohorts of middle-aged men were invited to a screening programme and were followed for approximately 11 years. Of the 718 (12%) men with a disability pension granted during follow-up, 46% had perceived their health as perfect on inclusion. The corresponding figure for the remaining 5,082 men was 77%. Results: The crude relative risk (RR) of disability pension for men with SRH less than perfect was 3.7 (3.2-4.2). After adjustment for premorbidity/medication, the RR declined to 3.3 (2.8-3.8). The crude RR of death associated with SRN less than perfect was 1.6 (1.3-2.0), unchanged after adjustment. Conclusion: The results showed that SRH is a strong and independent predictor of disability and, to a lesser degree, of mortality.