Does the perception that stress affects health matter? The association with health and mortality.
Does the perception that stress affects health matter? The association with health and mortality.
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DOI：
10.1037/a0026743
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发表时间：
2012-09
影响因子：
4.2
通讯作者：
Witt, Whitney P.
中科院分区：
文献类型：
--
作者：
Keller, Abiola;Litzelman, Kristin;Wisk, Lauren E.;Maddox, Torsheika;Cheng, Erika Rose;Creswell, Paul D.;Witt, Whitney P.
这项研究试图在一个具有全国代表性的美国成年人样本中，研究压力大小、压力影响健康的感知以及健康和死亡结果之间的关系。1998年全国健康访谈调查的数据与2006年的预期全国死亡指数死亡率数据相关联。使用独立的Logistic回归模型来检验与当前健康状况和心理困扰相关的因素。使用COX比例风险模型来确定压力影响健康对全因死亡率的影响。每个模型都专门研究了压力大小和压力影响健康的感知之间的相互作用，控制了社会人口、健康行为和获得医疗保健因素的机会。在近1.86亿(n=28,753)美国成年人中，33.7%的人认为压力对他们的健康有很大影响或在某种程度上。报告的压力水平较高，以及认为压力影响健康的看法都独立地与更糟糕的健康和心理健康结果的可能性增加相关。压力大小和压力影响健康的看法相互作用，那些报告压力很大且压力对健康影响很大的人过早死亡的风险增加了43%(HR=1.43，95%CI[1.20，1.71])。高度的压力和认为压力会影响健康的看法都与不良的健康和心理健康有关。那些感觉到压力会影响他们的健康并报告有大量压力的人，过早死亡的风险会增加。
This study sought to examine the relationship among the amount of stress, the perception that stress affects health, and health and mortality outcomes in a nationally-representative sample of U.S. adults. Data from the 1998 National Health Interview Survey were linked to prospective National Death Index mortality data through 2006. Separate logistic regression models were used to examine the factors associated with current health status and psychological distress. Cox proportional hazard models were used to determine the impact of perceiving that stress affects health on all-cause mortality. Each model specifically examined the interaction between the amount of stress and the perception that stress affects health, controlling for sociodemographic, health behavior, and access to healthcare factors. 33.7% of nearly 186 million (n=28,753) U.S. adults perceived that stress affected their health a lot or to some extent. Both higher levels of reported stress and the perception that stress affects health were independently associated with an increased likelihood of worse health and mental health outcomes. The amount of stress and the perception that stress affects health interacted such that those who reported a lot of stress and that stress impacted their health a lot had a 43% increased risk of premature death (HR = 1.43, 95% CI [1.20, 1.71]). High amounts of stress and the perception that stress impacts health are each associated with poor health and mental health. Individuals who perceived that stress affects their health and reported a large amount of stress had an increased risk of premature death.
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影响因子：
4.7
作者：
Geers, Andrew L.;Kosbab, Kristin;Wellman, Justin A.
通讯作者：
Wellman, Justin A.
影响因子：
8.9
作者：
Maruta, T;Colligan, RC;Offord, KP
通讯作者：
Offord, KP
DOI：
10.1073/pnas.081072698
发表时间：
2001-04-10
影响因子：
11.1
作者：
Seeman, TE;McEwen, BS;Singer, BH
通讯作者：
Singer, BH
影响因子：
6.3
作者：
Burazeri, G.;Goda, A.;Kark, J. D.
通讯作者：
Kark, J. D.
影响因子：
--
作者：
Kessler, RC;Barker, PR;Zaslavsky, AM
通讯作者：
Zaslavsky, AM