The Relationship Between Rural Status, Individual Characteristics, and Self-Rated Health in the Behavioral Risk Factor Surveillance System
The Relationship Between Rural Status, Individual Characteristics, and Self-Rated Health in the Behavioral Risk Factor Surveillance System
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DOI：
10.1111/j.1748-0361.2012.00414.x
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发表时间：
2012-09-01
影响因子：
4.9
通讯作者：
McClean, Michael D.
中科院分区：
文献类型：
--
作者：
Bethea, Traci N.;Lopez, Russell P.;McClean, Michael D.
目的：研究农村状况和社会因素对美国社区成年人自评健康的预测作用。方法：这项研究使用多项Logistic模型和累积Logistic模型来评估2006年美国行为危险因素监测系统中感兴趣的关联，这是一项对347,709名非住院成年人的横断面调查。结果：农村居民自评健康状况较城市居民差(OR=1.77，95%CI：1.54，1.90)。然而，肥胖、低收入和低教育程度等潜在危险因素被发现因农村状况而异，并解释了观察到的风险增加(OR=1.03，95%CI：0.94，1.12)。城市居民肥胖与自测健康的关系(OR=2.50，95%CI：2.38，2.64)强于农村居民(OR=2.18，95%CI：2.03，2.34)。结论：我们的研究结果表明，不同农村状态的自评健康的差异是由于参与者特征的不同分布，而不是由于这些特征的不同影响。
Purpose: To examine rural status and social factors as predictors of self-rated health in community-dwelling adults in the United States. Methods: This study uses multinomial logistic and cumulative logistic models to evaluate the associations of interest in the 2006 US Behavioral Risk Factor Surveillance System, a cross-sectional survey of 347,709 noninstitutionalized adults. Findings: Self-rated health was poorer among rural residents, compared to urban residents (OR = 1.77, 95% CI: 1.54, 1.90). However, underlying risk factors such as obesity, low income, and low educational attainment were found to vary by rural status and account for the observed increased risk (OR = 1.03, 95% CI: 0.94, 1.12). There was little evidence of effect modification by rural status, though the association between obesity and self-rated health was stronger among urban residents (OR = 2.50, 95% CI: 2.38, 2.64) than among rural residents (OR = 2.18, 95% CI: 2.03, 2.34). Conclusions: Our findings suggest that differences in self-rated health by rural status were attributable to differential distributions of participant characteristics and not due to differential effects of those characteristics.