Self-rated oral health as an independent predictor of self-rated general health, self-esteem and life satisfaction
Self-rated oral health as an independent predictor of self-rated general health, self-esteem and life satisfaction
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DOI：
10.1016/j.socscimed.2003.12.021
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发表时间：
2004-09-01
影响因子：
5.4
通讯作者：
Leventhal, EA
中科院分区：
文献类型：
--
作者：
Benyamini, Y;Leventhal, H;Leventhal, EA
自评健康(SRH)是人们总体健康的有用的综合衡量标准，被发现可以预测未来的健康结果。自我评估口腔健康(SROH)是一种同样有用的口腔健康综合衡量标准。两者都与生活质量有关，特别是在老年。这项研究的目的是：(1)评估SROH对老年人现在和未来的SRH的独立贡献，控制社会人口学和健康措施，以及(2)通过测试他们与自尊和生活满意度的独立关联，评估SROH是否增加了SRH没有捕捉到的独特信息。参与者是退休社区的850名居民(平均年龄73岁)，在基线和5年后在他们的家中接受采访。访谈包括一般和口腔健康的单项自我评估、病史自我报告、近期慢性病、用药情况、功能残疾、自尊和生活满意度。多元回归分析表明，在控制年龄和其他健康状况指标的情况下，SROH对当前和未来的SRH有独立的影响。SRH和SROH都独立地解释了自尊和生活满意度同时存在的显著差异。SROH在人们对其整体健康的认知中具有独特的作用，但SRH并未完全涵盖这一点。因此，一般卫生保健提供者在评估老年人的健康状况时应考虑这一点。(C)2003爱思唯尔有限公司。保留所有权利。
Self-rated health (SRH) is a useful summary measure of people's general health and was found to predict future health outcomes. Self-rated oral health (SROH) is a similarly useful summary measure of people's oral health. Both are related to quality of life, especially at old age. The objectives of the study were: (1) to assess the independent contribution of SROH to concurrent and future SRH of elderly people, controlling for sociodemographics and health measures, and, (2) to assess whether SROH adds unique information not captured by SRH by testing their independent associations with self-esteem and life satisfaction. Participants were 850 residents of a retirement community (mean age 73) interviewed in their homes at baseline and 5 years later. The interview included single-item self-ratings of general and oral health, self-reports of medical history, recent chronic diseases, medication usage, functional disability, self-esteem and life satisfaction. Multiple regression analyses showed that SROH had an independent effect on concurrent and future SRH, controlling for age and other measures of health status. Both SRH and SROH independently explained a significant amount of variance in concurrent ratings of self-esteem and life satisfaction. SROH has a unique role in people's perceptions of their overall health yet is not fully captured by SRH. Therefore, it should be considered by general health care providers in their assessments of the health status of older adults. (C) 2003 Elsevier Ltd. All rights reserved.