Self-rated health and healthy days: Examining the "disability paradox"
Self-rated health and healthy days: Examining the "disability paradox"
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DOI：
10.1016/j.dhjo.2008.01.002
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发表时间：
2008-04-01
影响因子：
4.5
通讯作者：
Krahn, Gloria L.
中科院分区：
文献类型：
--
作者：
Drum, Charles E.;Horner-Johnson, Willi;Krahn, Gloria L.
背景：很有必要更好地了解如何在残疾人和非残疾人中实现健康自我评价。本研究的目的是利用流行病学数据来证实残疾人和非残疾人在自评健康和与健康相关的生活质量方面的差异，并证明残疾状况影响人们对自评健康的看法。方法：对行为危险因素监测系统（BRFSS）的横截面数据进行二次分析。与健康相关的生活质量（HRQOL）核心问题被问及，包括自评健康和健康日指数。参与者包括303,822名成年人（18岁或以上），他们来自所有州、哥伦比亚特区和所有参与2004年BRFSS调查的美国领土。结果：自我报告活动限制或使用适应性设备的成年人自我评估的健康状况较差，最近身体健康或心理健康状况不佳的天数更长，健康天数更少。在相同的性健康和生殖健康类别中，残疾人报告的最近身体健康状况不佳的天数明显多于非残疾人，精神健康状况不佳的天数更多，健康天数更少。结论：残障人士的健康或自评过程的建构与非残障人士不同。进一步了解健康和HRQOL自评的基本过程可能有助于阐明残疾和非残疾成人健康自评的意义。将健康与残疾从概念上分离开来，是跟踪国家卫生目标实现情况的必要条件。(C) 2008爱思唯尔公司版权所有。
Background: There is an important need to better understand how self-evaluations of health are reached among people with and without disabilities. The purpose of the present study was to use epidemiological data to confirm differences in self-rated health and health-related quality of life among people with and without disabilities, and to demonstrate that disability status influences how one thinks about self-rated health.Methods: Secondary analysis of cross-sectional data from the Behavioural Risk Factor Surveillance System (BRFSS). Health-related quality of life (HRQOL) core questions were asked, including self rated health, and the Healthy Days Index. Participants consisted of 303,822 adults (18 or older) from all states, the District of Columbia, and all U. S. territories who responded to the BRFSS in 2004.Results: Adults who self-reported an activity limitation or use of adaptive equipment reported poorer self-rated health, more recent days when physical health or mental health was not good, and fewer healthy days. Within the same SRH category, people with disabilities reported significantly more recent days when physical health was not good, more days when mental health was not good, and fewer healthy days than people without disabilities.Conclusions: The findings suggest that people with disabilities may construct health or the self-rating process differently than persons without disabilities. Further understanding of the underlying process of health and HRQOL self-assessment may help elucidate the meaning of self-rated health among adults with and without disabilities. This conceptual disentangling of health from disability is necessary to track the achievement of national health objectives. (C) 2008 Elsevier Inc. All rights reserved.