The Centers for Disease Control and Prevention's Healthy Days Measures - population tracking of perceived physical and mental health over time.
The Centers for Disease Control and Prevention's Healthy Days Measures - population tracking of perceived physical and mental health over time.
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DOI：
10.1186/1477-7525-1-37
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发表时间：
2003-09-02
影响因子：
3.6
通讯作者：
Kobau R
中科院分区：
文献类型：
--
作者：
Moriarty DG;Zack MM;Kobau R
为了促进美国居民的健康和生活质量，美国卫生与公众服务部疾病控制与预防中心（CDC）与54个州和地区卫生机构一起支持人口健康相关生活质量监测（HRQOL）。HRQOL被定义为“随着时间的推移感知的身心健康”。确定了常用的健康状况和活动限制指标，并制定和验证了一套“健康日”HRQOL指标。这些措施的核心集（CDC HRQOL-4）询问自我评估的一般健康状况以及最近一个人身体不健康，精神不健康或日常活动受限的天数。一个概括的衡量标准结合了身体和精神不健康的日子。从1993年到2001年，超过120万成年人在每个基于州的行为风险因素监测系统（BRFSS）电话访谈中回答了CDC HRQOL-4。超过五分之一的BRFSS受访者还回答了一系列相关问题，包括评估当前活动限制的存在，主要原因和持续时间以及与活动相关的个人和日常护理需求的五个项目;以及询问最近几天疼痛，抑郁，焦虑，失眠和活力的五个项目。健康日监测数据对于发现未满足的健康需求，确定人口和社会经济亚群之间的差异，描述残疾和慢性病的症状负担以及跟踪人口模式和趋势特别有用。完整的14个健康日测量（CDC HRQOL-14）在几个人群，语言和环境中显示出良好的测量特性。疾病预防控制中心HRQOL-4的简要标准现在经常用于调查，监测系统，预防研究和人口健康报告卡。
To promote the health and quality of life of United States residents, the U.S. Department of Health and Human Services' Centers for Disease Control and Prevention (CDC) – with 54 state and territorial health agencies – has supported population surveillance of health-related quality of life (HRQOL). HRQOL was defined as "perceived physical and mental health over time." Commonly-used measures of health status and activity limitation were identified and a set of "Healthy Days" HRQOL measures was developed and validated. A core set of these measures (the CDC HRQOL-4) asks about self-rated general health and the number of recent days when a person was physically unhealthy, mentally unhealthy, or limited in usual activities. A summary measure combines physically and mentally unhealthy days. From 1993 to 2001, more than 1.2 million adults responded to the CDC HRQOL-4 in each state-based Behavioral Risk Factor Surveillance System (BRFSS) telephone interview. More than one fifth of all BRFSS respondents also responded to a set of related questions – including five items that assess the presence, main cause and duration of a current activity limitation, and the need for activity-related personal and routine care; as well as five items that ask about recent days of pain, depression, anxiety, sleeplessness, and vitality. The Healthy Days surveillance data are particularly useful for finding unmet health needs, identifying disparities among demographic and socioeconomic subpopulations, characterizing the symptom burden of disabilities and chronic diseases, and tracking population patterns and trends. The full set of 14 Healthy Days Measures (the CDC HRQOL-14) has shown good measurement properties in several populations, languages, and settings. The brief standard CDC HRQOL-4 is now often used in surveys, surveillance systems, prevention research, and population health report cards.