Self-assessments of health - What do people know that predicts their mortality?
Self-assessments of health - What do people know that predicts their mortality?
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DOI：
10.1177/0164027599213007
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发表时间：
1999-05-01
影响因子：
2.6
通讯作者：
Leventhal, H
中科院分区：
文献类型：
--
作者：
Benyamini, Y;Leventhal, EA;Leventhal, H
830名老年退休社区居民（平均年龄= 73岁）的基线数据中，反映当前经验的因素（例如，使用的药物数量、功能差、负面影响和正面影响）与健康自我评估（SAH）的关联性比与既往事件（病史、既往吸烟）相关的因素更强。参与者似乎对影响他们SAH的因素有内隐知识：与SAH相关因素的β权重的排名顺序与做出SAH判断时对每个因素的关注的参与者评级的排名顺序相关。SAH和每个因素与5年死亡率的关系表明，主观上突出的因素，如功能和缺乏能量预测5年死亡率，降低了SAH与死亡率的关系，并占大多数的医疗因素与死亡率的关系。然而，情感变量与死亡率无关，尽管它们对SAH有影响。
Factors reflecting current experience-for example, number of medications used, poor function, negative affects, and positive affect-had stronger associations with self-assessments of health (SAH) than factors related to prior events (medical history, prior smoking) in baseline data from 830 elderly retirement-community residents (mean age = 73). Participants appear to have implicit knowledge of the factors affecting their SAH: The rank order of the beta weights relating factors to SAH was correlated with the rank order of participant ratings of the attention given to each factor when making SAH judgments. Relationships of SAH and each of the factors to five year mortality showed that subjectively salient factors such as function and lack of energy predicted five-year mortality, reduced the relationship of SAH to mortality, and accounted for most of the relationship of medical factors to mortality. Affective variables, however, had no relationship to mortality despite their impact on SAH.