Whiners and deniers - What does self-rated health measure?
Whiners and deniers - What does self-rated health measure?
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DOI：
10.1016/j.socscimed.2011.10.030
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发表时间：
2012-07-01
影响因子：
5.4
通讯作者：
Kepart, George
中科院分区：
文献类型：
--
作者：
Layes, Audrey;Asada, Yukiko;Kepart, George
自测健康是一种广泛使用的健康测量方法，通常从一个问题中获得，“你如何评价你的健康？“尽管这项措施很受欢迎，但关于自我评估健康状况到底是什么的争论仍在继续。本研究使用一种独特的测量方法，丰富了自评健康结构的文献。我们将自测健康概念化为由两个组成部分组成：潜在健康和报告行为。我们将偏好标准化的健康相关生活质量作为潜在健康的衡量标准，并将其与自评健康的系统偏差作为报告行为的衡量标准。使用2005年加拿大社区健康调查，我们评估比较自评健康和潜在健康之间的偏差，衡量的健康效用指数马克3，不同的人口，社会经济和文化因素系统。我们目前的报告行为，这些因素的悲观主义和乐观主义相对于平均加拿大人的评估。我们的分析显示，报告行为在统计和临床上因年龄和社会经济地位而显着不同：80岁以上的人和收入和教育程度较低的人对自己的健康表现出乐观态度。此外，我们的分析表明，生活方式更健康的人对自己的健康略感悲观。我们的研究结果意味着，它可能是误导性的，以自我评价的健康在面值作为衡量健康状况的应用程序的偏好应该标准化。为了使这一受欢迎的衡量标准继续在人口健康研究和政策制定中发挥重要作用，其使用者必须承认和理解自测健康的决定因素，包括报告行为。(C)2011爱思唯尔有限公司版权所有。
Self-rated health is a widely used measure of health typically obtained from a question, "How do you rate your health?" Despite the measure's popularity, debates continue as to what exactly self-rated health captures. This study augments the rich literature on the construct of self-rated health using a unique measurement approach. We conceptualize self-rated health as consisting of two components: latent health and reporting behaviour. We operationalize a preference-standardized health-related quality of life as a measure of latent health, and its systematic deviation from self-rated health as a measure of reporting behaviour. Using the 2005 Canadian Community Health Survey, we assess comparatively how the deviations between self-rated health and latent health, measured by the Health Utilities Index Mark 3, vary systematically by demographic, socioeconomic, and cultural factors. We present reporting behaviour by these factors in terms of pessimism and optimism relative to the assessment of the average Canadian. Our analysis shows reporting behaviour statistically and clinically significantly varies by age and socioeconomic status: those aged 80+ years and those with less income and education exhibit optimism about their health. In addition, our analysis indicates a tendency for persons with healthier lifestyles to be slightly pessimistic about their health. Our results imply that it may be misleading to take self-rated health at face value as a measure of health status for applications where preferences should be standardized. For this popular measure to continue to play an important role in population health research and policy development, its users must acknowledge and understand the determinants of self-rated health, including reporting behaviour. (C) 2011 Elsevier Ltd. All rights reserved.