Factors associated with perceived health of very old inhabitants of Japan
Factors associated with perceived health of very old inhabitants of Japan
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DOI：
10.1159/000093658
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发表时间：
2006-01-01
期刊：
影响因子：
3.5
通讯作者：
Iesaki, Satoru
中科院分区：
文献类型：
--
作者：
Kawada, Tomoyuki;Suzuki, Shosuke;Iesaki, Satoru
背景资料：研究了日本最年长居民的感知健康或自我评定的主观健康，以确定其对生活的相关影响。目的：对老年人的健康状况进行评估，以阐明他们的健康投诉和感知健康状况的综合评分量表之间的相关性。方法：健康问卷调查，包括东大健康指数（THI），适用于529名居民的日本中部，年龄在85岁或以上。THI是由130个问题组成的症状检查表。计算了12个量表评分和2个判别函数值。有效率为99.8%（528/529）。其他项目包括性别、年龄、慢性病患病率和治疗情况、婚姻状况、学业和友谊。一个问题“你的健康状况如何？用五个顺序回答选项来评估自感健康。结果如下：自认为健康状况差（差或极差）者的谎言和攻击性THI量表得分均值显著低于自认为健康状况好（极好或良好）者。除冲动和紧张外，男性自感健康差的其他THI量表得分均值均显著高于自感健康好的。自感健康得分与THI量表得分之间的斯皮尔曼等级相关系数均具有统计学意义。此外，多元逻辑回归分析，以确定显着的因素预测自觉健康。THI量表中躯体症状、抑郁状态、日常生活不规律的评分差异有统计学意义。每个因素的比值比和括号内的95%置信区间分别为1.15（1.07-1.23）、1.14（1.02-1.30）和1.15（1.02-1.30）。结论：不规律的生活方式、身体和精神方面的抱怨与自感健康状况不佳显著相关。健康感知反映了日本最年长居民的健康状况。版权所有（c）2006 S. Karger AG，巴塞尔。
Background: Perceived health or self-rated subjective health of the oldest inhabitants of Japan was studied to identify its associated impact on their lives. Objective: The health status of the aged was evaluated to elucidate the correlation between their health complaints and perceived health status as expressed on a comprehensive rating scale. Methods: A health questionnaire including the Todai Health Index (THI) was applied to 529 inhabitants of Central Japan, aged 85 years or older. THI is a symptom checklist composed of 130 questions. Twelve scale scores and two discriminant function values were calculated. Response rate was 99.8% (528/529). Other items included sex, age, prevalence of chronic disease and its treatment, marital status, academic career, and friendship. A question 'How is your health?' with five ordinal response options was used to assess perceived health. Results: The mean values of THI scale scores of lie and aggression of poor (poor or extremely poor) perceived health were significantly lower than those of good (extremely good or good) perceived health. The mean values of other THI scale scores of poor perceived health except impulsiveness and nervousness in male subjects were significantly higher than those of good perceived health. Spearman's rank correlation coefficients between perceived health score and THI scale scores were all statistically significant. Furthermore, multiple logistic regression analysis was conducted to identify significant factors predicting perceived health. THI scale scores of physical symptoms, depressive state, and irregular daily life were significant. Odds ratios and 95% confidence intervals in parentheses on each factor were 1.15 (1.07-1.23), 1.14 (1.02-1.30), and 1.15 (1.02-1.30), respectively. Conclusions: Poor perceived health was significantly associated with irregular lifestyle, physical and mental complaints. Perceived health reflects the health status of the oldest inhabitants of Japan. Copyright (c) 2006 S. Karger AG, Basel.