SELF-RATED HEALTH - A PREDICTOR OF MORTALITY AMONG THE ELDERLY
SELF-RATED HEALTH - A PREDICTOR OF MORTALITY AMONG THE ELDERLY
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DOI：
10.2105/ajph.72.8.800
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发表时间：
1982-01-01
影响因子：
12.7
通讯作者：
SHAPIRO, E
中科院分区：
文献类型：
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作者：
MOSSEY, JM;SHAPIRO, E
来自马尼托巴[加拿大]衰老纵向研究（MLSA）的数据用于检验以下假设：自测健康状况（SRH）是独立于客观健康状况（OHS）的死亡率预测因子。受试者是1971年（3128）年龄在65岁以上的马尼托巴非制度化居民的随机样本。在1971年进行的一项调查中获得了SRH的单项测量; OHS的基线测量来自医生和自我报告的条件和卫生服务利用数据。已知1971-1977年期间死亡的发生率和日期。对资料的分析表明，在控制职业健康、年龄、性别、生活满意度、经济收入和城乡居住等因素后，SRH差者的早期死亡风险（1971-1973年）和晚期死亡风险（1974-1977年）分别是SRH好者的2.92倍和2.77倍。与不良的SRH相关的死亡风险增加大于与不良的OHS，不良的生活满意度，低收入和男性相关的死亡风险。这些发现为长期持有但未得到充分证实的信念提供了实证支持，即一个人看待自己健康的方式与随后的健康结果密切相关。
Data from the Manitoba [Canada] Longitudinal Study on Aging (MLSA) were used to test the hypothesis that self-rated health (SRH) is a predictor of mortality independent of objective health status (OHS). Subjects were a random sample of non-institutionalized residents of Manitoba aged 65 + in 1971 (3128). A single item measure of SRH was obtained during a survey conducted in 1971; a baseline measure of OHS was derived from physician and self-reported conditions and health service utilization data. Occurrence and date of death during the years 1971-1977 were known. Analyses of the data revealed that, controlling for OHS, age, sex, life satisfaction, income and urban/rural residence, the risk of early mortality (1971-1973) and late mortality (1974-1977) for persons whose SRH was poor ws 2.92 and 2.77 times that of those whose SRH was excellent. This increased risk of death associated with poor SRH was greater than that associated with poor OHS, poor life satisfaction, low income and being male. These findings provide empirical support for the long held, but inadequately substantiated, belief that the way a person views his health is importantly related to subsequent health outcomes.