Gender differences in health-related quality of life for veterans with serious mental illness.

Gender differences in health-related quality of life for veterans with serious mental illness.
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患有严重精神疾病的退伍军人与健康相关的生活质量存在性别差异。

DOI:
10.1176/ps.2008.59.6.663
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发表时间:
2008
期刊:
Psychiatric services (Washington, D.C.)
影响因子:
--
通讯作者:
Blow,FredericC
Blow,FredericC
中科院分区:
--
文献类型:
--
作者:
Teh,CarrieFarmer;Kilbourne,AmyM;McCarthy,JohnF;Welsh,Deborah;Blow,FredericC

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目的:本研究评估了患有严重精神疾病的退伍军人的健康相关生活质量(HRQOL)的性别差异。方法:分析了大型退伍军人健康调查的数据,该调查于1999年邮寄给全国随机抽样的退伍军人。线性和逻辑多元回归分析包括18,017名完成调查的精神分裂症,情感障碍或双相情感障碍的退伍军人。使用36项医学结局研究简表(MOS SF-36)的各种分量表(精神成分总结、身体成分总结和日常生活活动)和评估健康状况自我感知的问题测量HRQOL。结果:样本中女性占7.3%,白色占75.7%,失业者占83.8%。平均±SD年龄为54.3±12.2岁。在分析调整了社会人口学特征,健康状况和其他变量后,与男性退伍军人相比,患有严重精神疾病的女性退伍军人在SF-36身体成分总结上的得分较低(表明症状更严重),更有可能报告他们在日常生活活动中受到限制“很多”,并且有更多的疼痛。然而,女性受访者更有可能有一个积极的前景对他们的health.Conclusions:在退伍军人谁收到了严重的精神疾病的诊断,从退伍军人事务部的供应商,妇女报告大大较差的HRQOL比男性在几个领域,但妇女报告更好的自我感觉健康。随着女退伍军人人数的不断增加,必须关注患有严重精神疾病的女退伍军人的特殊需要。(精神病学服务59:663-669,2008)
Objective: This study assessed gender differences in health-related quality of life (HRQOL) in a national sample of veterans with serious mental illness. Methods: Data were analyzed from the Large Health Survey of Veterans, which was mailed to a national random sample of veterans in 1999. The linear and logistic multiple regression analyses included 18,017 veterans with schizophrenia, schizoaffective disorder, or bipolar disorder who completed the survey. HRQOL was measured by using the various subscales of the 36-Item Short Form of the Medical Outcomes Study (MOS SF-36)(mental component summary, physical component summary, and activities of daily living) and by questions assessing self-perceptions of health status. Results: The sample was 7.3% female, 75.7% white, and 83.8% unemployed. Mean±SD age was 54.3±12.2 years. After the analysis adjusted for sociodemographic characteristics, health status, and other variables, compared with male veterans, female veterans with serious mental illness had lower scores on the SF-36 physical component summary (indicating worse symptoms), were more likely to report that they were limited “a lot” in activities of daily living, and had more pain. However, female respondents were more likely to have a positive outlook on their health.Conclusions: Among veterans who received a diagnosis of serious men-tal illness from providers of the Department of Veterans Affairs, women reported substantially poorer HRQOL than men across several domains but women reported better self-perceived health. Attention to the particular needs of female veterans with serious mental illness is imperative as the numbers of female veterans continue to increase.(Psychiatric Services 59: 663–669, 2008)
双相情感障碍患者的病程、合并症、性别和自杀倾向。
DOI: --
发表时间: 2006
影响因子: 5.3
作者:
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发表时间: 2003-08-30
影响因子: 11.3
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DOI: 10.1176/ps.2006.57.7.1016
发表时间: 2006
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比较使用退伍军人管理局医疗保健的男性和女性退伍军人的健康状况:退伍军人管理局妇女健康项目的结果。
DOI: --
发表时间: 1999
期刊: Women & health
影响因子: 1.6
作者:
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