Prevalence of subjective health complaints (SHC) in Norway

Prevalence of subjective health complaints (SHC) in Norway
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DOI:
10.1080/140349401753481547
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发表时间:
2002-01-01
影响因子:
3.4
通讯作者:
Ursin, H
Ursin, H
中科院分区:
医学3区
文献类型:
--
作者:
Ihlebæk, C;Eriksen, HR;Ursin, H

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目的:由于主观的健康问题是短期和长期病假的主要原因之一,因此了解这些疾病在一般人群中的流行情况非常重要。研究方法:在这项横断面研究中,1996年春季,挪威正常人群中的1,240人(年龄15-84岁)回答了主观健康问题(SHC)清单。结果:报告主观健康投诉的患病率很高:80%报告肌肉骨骼投诉。65%的患者报告了“假性神经系统”投诉(疲劳、抑郁、头晕),60%的患者报告了胃肠道投诉。34%的过敏反应。和54%的流感样症状实质性投诉的发生率较低:13%报告了肌肉骨骼投诉。5%的患者报告了“假神经泌尿系统”投诉,4%的患者报告了胃肠道投诉,2%的患者报告了过敏投诉,18%的患者报告了流感样投诉。与男性相比,女性有更高的患病率,肌肉骨骼,“假神经”和过敏的投诉,并报告了更多的实质性投诉的所有分量表。50岁以上的人不太可能报告头痛。疲劳湿疹与30岁以下人群相比,然而,他们有更高的风险手臂疼痛,肩膀疼痛,心悸,和一些胃肠道和过敏性疾病。肌肉骨骼、胃肠道的强度。而过敏症在最年长的年龄组中明显更高。结论:主观健康主诉在正常人群中非常普遍:主诉的发生率和程度存在性别和年龄差异。主观健康投诉的强度形成一个连续统一体,没有明显的分界点来表明什么是“正常”投诉,什么是疾病。
Aims: As subjective health complaints are one of the major reasons for short- and long-term sickness absence it is important to know the prevalence of these conditions in the general population. Methods: In this cross-sectional study, 1,240 individuals (aged 15-84 years) from the normal population in Norway answered the Subjective Health Complaint (SHC) inventory in spring 1996. Results: The prevalence of reporting subjective health complaints was high: 80% reported musculoskeletal complaints. 65% reported "pseudoneurological" complaints (tiredness, depression, dizziness), 60% gastrointestinal complaints. 34% allergic complaints. and 54% flu-like complaints. The prevalence of substantial complaints was low: 13% reported musculoskeletal complaints. 5% reported "pseudoneurological" complaints, 4% gastrointestinal complaints, 2% allergic complaints, and 18% flu-like complaints. Women had higher prevalence of musculoskeletal, "pseudoneurological", and allergic complaints compared with men, and reported more substantial complaints on all subscales. Individuals older than 50 years were less likely to report headache. tiredness, eczema. and flu-like complaints compared with individuals younger than 30 years. However, they had higher risk of arm pain, shoulder pain, palpitations, and several gastrointestinal and allergic complaints. The intensity of musculoskeletal, gastrointestinal. and allergic complaints was significantly higher in the oldest age group. Conclusions: Subjective health complaints are very common in the normal population: there are gender and age differences in both prevalence and degree of complaints. The intensity of subjective health complaints forms a continuum, and there are no obvious cut-off point to indicate what are "normal" complaints and what is illness.