Smoking and SF-36 health functioning

Smoking and SF-36 health functioning
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DOI:
10.1016/j.ypmed.2005.12.003
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发表时间:
2006-03-01
影响因子:
5.1
通讯作者:
Lahelma, E
Lahelma, E
中科院分区:
医学2区
文献类型:
--
作者:
Laaksonen, M;Rahkonen, O;Lahelma, E

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目标。用Short-Fonn Health Survey(SF-36)问卷调查吸烟与一般健康的关系。数据来源于2000年、2001年和2002年进行的三次横断面调查。邮寄调查的受访者是赫尔辛基市的中年员工(1799名男性和7171名女性,回复率为67%)。吸烟状况分为目前重度吸烟者和中度吸烟者、曾经吸烟者和从不吸烟者。采用SF-36量表的8个子量表和生理、心理部分总分进行健康状况测评。在生理分量表上,目前吸烟者报告的总体健康和男性身体功能比不吸烟者更差。在心理分量表上,目前吸烟者的健康状况一直比不吸烟者差。然而,通常只有重度吸烟者与不吸烟者不同。戒烟者与不吸烟者在SF-36各分量表及各分量表上均无显著差异。吸烟类别在SF-36的某些生理和所有心理分量表上存在差异。男性之间的差异略大一些。由于重度吸烟者更多地报告日常活动受限以及幸福感丧失,这些损害可能会为将不吸烟用于健康教育信息和干预措施提供有价值的激励。(C)2005 Elsevier Inc.保留所有权利。
Objective. To examine the association between smoking and general health as measured by the Short-Fonn Health Survey (SF-36) questionnaire.Methods. Data derived are from three cross-sectional surveys conducted in 2000, 2001 and 2002. Respondents to the postal surveys were middle-aged employees of the City of Helsinki (1799 men and 7171 women, response rate 67%). Smoking status was divided into current heavy and moderate smokers, ex-smokers and never smokers. Health status was measured by the eight SF-36 subscales and the physical and mental component summaries.Results. On the physical subscales, current smokers reported poorer health than non-smokers on general health and physical functioning in men. On the mental subscales, current smokers had consistently poorer health than non-smokers. However, often only heavy smokers differed from non-smokers. No differences were found between ex-smokers and never smokers on any subscale or the component summades of the SF-36.Conclusions. Differences between smoking categories were found on some physical and all mental subscales of the SF-36. The differences were slightly larger among men. As heavy smokers more often report limitations with daily activities as well as loss of well-being, these impairments potentially provide valuable incentives for non-smoking to be used in health education messages and interventions. (c) 2005 Elsevier Inc. All rights reserved.