SELF-RATINGS OF HEALTH - DO THEY ALSO PREDICT CHANGE IN FUNCTIONAL ABILITY
SELF-RATINGS OF HEALTH - DO THEY ALSO PREDICT CHANGE IN FUNCTIONAL ABILITY
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DOI：
10.1093/geronb/50b.6.s344
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发表时间：
1995-11-01
影响因子：
6.2
通讯作者：
KASL, SV
中科院分区：
文献类型：
--
作者：
IDLER, EL;KASL, SV
越来越多的研究表明，个人对调查作出的健康自我评价是死亡率的有力预测因素;它们似乎为通过自我报告的健康史或医疗检查收集的健康状况指标提供了重要的额外独立信息。这些研究提出的一个关键问题是：什么是参与协会的调解过程？具体来说，不好的自我评价是否会增加残疾和发病的风险，这些结果是否会干预死亡率的联系？在这份报告中，我们解决的第一个问题，自我评级预测未来的功能障碍水平，我们选择的发病率的整体影响指数。数据来自纽黑文老年人流行病学研究既定人群（EPESE）网站（N = 2，812）。结果表明，在1982年的自我评价的健康，净基线功能能力，健康和社会人口状况，与功能能力的变化在一至六年的时间。这些发现扩展了我们对优秀、良好、一般和较差健康评级含义的理解，它们不仅对生存有影响，而且对日常生活中功能能力的丧失或维持也有影响。
Self-ratings of health by individuals responding to surveys have shown themselves to be potent predictors of mortality in a growing number of studies; they appear to contribute significant additional independent information to health status indicators gathered through self-reported health histories or medical examinations. A key question raised by these studies is: What are the mediating processes involved in the association? Specifically, do poor self ratings increase the risk of disability and morbidity, and are these outcomes intervening steps in the link to mortality? In this report we address the first question, of self-ratings predicting future levels of functional disability, our choice of an index of overall impact of morbidity. Data coma from the New Haven Established Populations for Epidemiologic Studies of the Elderly (EPESE) site (N = 2,812). Results show that self-ratings of health in 1982, net of baseline functional ability, health and sociodemographic status, are associated with changes in functional ability over periods of one through six years. These findings extend our understanding of the meaning of excellent, good, fair, and poor ratings of health, and that they have implications not just for survival but for the loss or maintenance of functional ability in daily life.