Valued life activity disability played a significant role in self-rated health among adults with chronic health conditions
Valued life activity disability played a significant role in self-rated health among adults with chronic health conditions
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DOI：
10.1016/j.jclinepi.2008.06.002
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发表时间：
2009-02-01
影响因子：
7.2
通讯作者：
Blanc, Paul
中科院分区：
文献类型：
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作者：
Katz, Patricia;Morris, Anne;Blanc, Paul
目的：由于自评健康（SRH）与健康结果密切相关，因此确定个人在评估其健康时考虑的因素非常重要。我们研究了有价值的生命活动（VLAs）在SRH评估中的作用，这些活动被认为对个体很重要。研究设计和背景：数据来自三个不同慢性疾病个体的队列研究——类风湿关节炎（RA）、系统性红斑狼疮（SLE）和慢性阻塞性肺疾病（COPD）。每个队列的数据都是通过结构化的电话访谈收集的。逻辑回归分析确定了与一般/较差SRH评分相关的因素。所有的分析都包括社会人口学特征、一般和特定疾病的健康相关因素，以及身体功能的一般测量。结果：每个组的大部分人将他们的健康状况评为一般/差（RA 37%, SLE 47%, COPD 40%）。在每个组中，VLA残疾与一般/不良健康状况密切相关（RA: OR = 4.44 [1.86,10.621]; SLE: OR = 3.60 [2.10,6.16]; COPD: OR = 2.76[1.30,5.85]），即使在考虑协变量后也是如此。结论：VLA残疾似乎在个人健康观念中起着重要作用，超过其他健康状况、疾病症状和一般身体功能的衡量标准。(C) 2008爱思唯尔公司版权所有。
Objective: Because self-rated health (SRH) is strongly associated with health outcomes, it is important to identify factors that individuals take into account when they assess their health. We examined the role of valued life activities (VLAs), the wide range of activities deemed to be important to individuals, in SRH assessments.Study Design and Setting: Data were from three cohort studies of individuals with different chronic conditions-rheumatoid arthritis (RA), systemic lupus erythematosus (SLE), and chronic obstructive pulmonary disease (COPD). Each cohort's data were collected through structured telephone interviews. Logistic regression analyses identified factors associated with ratings of fair/poor SRH. All analyses included sociodemographic characteristics, general and disease-specific health-related factors, and general measures of physical functioning.Results: Substantial portions of each group rated their health as fair/poor (RA 37%, SLE 47%, COPD 40%). In each group, VLA disability was strongly associated with fair/poor health (RA: OR = 4.44 [1.86,10.621; SLE: OR = 3.60 [2.10,6.16]; COPD: OR = 2.76 [1.30,5.85]), even after accounting for covariates.Conclusion: VLA disability appears to play a substantial role in individual perceptions of health, over and above other measures of health status, disease symptoms, and general physical functioning. (C) 2008 Elsevier Inc. All rights reserved.