Self-rated health, chronic diseases, and symptoms among middle-aged and elderly men and women
Self-rated health, chronic diseases, and symptoms among middle-aged and elderly men and women
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DOI：
10.1016/s0895-4356(01)00491-7
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发表时间：
2002-04-01
影响因子：
7.2
通讯作者：
Janson, S
中科院分区：
文献类型：
--
作者：
Molarius, A;Janson, S
目的是研究男性和女性以及不同年龄组的慢性疾病、症状和自评健康状况差之间的关系，并评估慢性疾病和症状对一般人群自评健康状况差的负担的贡献。在瑞典Varmland县的6，061名年龄在35-79岁之间的男性和女性的人群样本中调查了自我评估的健康状况和自我报告的疾病和症状。计算比值比（OR）和人群归因风险（PAR），以量化慢性疾病和症状对自评健康状况不佳的贡献。抑郁症、神经系统疾病、类风湿性关节炎和疲劳/虚弱是导致个人健康状况不佳的最大原因。在老年人（65-79岁）中，神经系统疾病和癌症对男性自评健康的贡献最大，肾脏疾病、类风湿性关节炎和癌症对女性的贡献最大。抑郁和疲劳/虚弱也很重要，特别是在妇女中。从人口的角度来看，疲劳/虚弱是自我评估健康状况不佳的最大原因，因为它在人口中的流行率很高。抑郁症和肌肉骨骼疼痛也比其他慢性疾病和症状在人口一级更重要。尽管许多慢性疾病（如神经系统疾病，类风湿性关节炎和癌症）与个人自我评估的健康状况不良密切相关，但常见症状（如疲劳/虚弱和肌肉骨骼疼痛）以及抑郁症对人群自我评估健康状况不良的总负担贡献更大。因此，应针对这些疾病采取更多的预防措施，特别是当它们不是其他疾病的后果时。(C)2002年爱思唯尔科技有限公司All rights reserved.
The objective was to study the association between chronic diseases, symptoms, and poor self-rated health among men and women and in different age group,, and to assess the contribution of chronic diseases and symptoms to the burden of poor self-rated health in the general population. Self-rated health and self-reported diseases and symptoms were investigated in a population sample of 6,061 men and women aged 35-79 years in Varmland County in Sweden. Odds ratios (OR) and population attributable risks (PAR) were calculated to quantify the contribution of chronic diseases and symptoms to poor self-rated health. Depression, neurological disease, rheumatoid arthritis, and tiredness/weakness had the largest contributions to poor self-rated health in individuals. Among the elderly (65-79 years), neurological disease and cancer had the largest contribution to self-rated health in men, and renal disease, rheumatoid arthritis, and cancer in women, Among the middle-aged (35-64 year.,), depression and tiredness/weakness were also important, especially in women. From a population perspective, tiredness/weakness explained the largest part of poor self-rated health due to its high prevalence in the population. Depression and musculoskeletal pains were also more important than other chronic diseases and symptoms at the population level. Even though many chronic diseases (such as neurological disease, rheumatoid arthritis, and cancer) are strongly associated with poor self-rated health in the individual, common symptoms (such as tiredness/weakness and musculoskeletal pains) as well as depression contribute more to the total burden of poor self-rated health in the population. More preventive measures should therefore be directed against these conditions, especially when they are not consequences of other diseases. (C) 2002 Elsevier Science Inc. All rights reserved.