Well-Being and Employee Health-How Employees' Well-Being Scores Interact with Demographic Factors to Influence Risk of Hospitalization or an Emergency Room Visit
Well-Being and Employee Health-How Employees' Well-Being Scores Interact with Demographic Factors to Influence Risk of Hospitalization or an Emergency Room Visit
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DOI：
10.1089/pop.2012.0120
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发表时间：
2014-02-01
影响因子：
2.5
通讯作者：
Rula, Elizabeth Y.
中科院分区：
文献类型：
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作者：
Gandy, William M.;Coberley, Carter;Rula, Elizabeth Y.
本研究的目的是确定个人健康与随后一年发生医院事件的风险之间的关系。作者假设了一种反比关系，即低幸福感预示着较高的就医可能性。该研究特别试图了解幸福感部分和人口统计变量在定义就业人群中医院事件（住院或急诊室就诊）风险时如何相互作用。我们对 8835 名员工的数据进行了一项回顾性研究设计，这些员工完成了基于 Gallup-Healthways 幸福指数的幸福评估问卷。 Cox 比例风险模型用于检查评估完成后 12 个月内个人幸福感评分 (IWBS) 细分和成员人口统计数据对医院事件风险比 (HR) 的影响。研究发现，IWBS 细分、性别、教育程度和关系状况对医院事件 HR 的影响有显着的主效应，但年龄则没有。然而，进一步分析揭示了年龄和 IWBS 分段之间（P=0.005）以及年龄和性别之间（P
The goal of this study was to determine the relationship between individual well-being and risk of a hospital event in the subsequent year. The authors hypothesized an inverse relationship in which low well-being predicts higher likelihood of hospital use. The study specifically sought to understand how well-being segments and demographic variables interact in defining risk of a hospital event (inpatient admission or emergency room visit) in an employed population. A retrospective study design was conducted with data from 8835 employees who completed a Well-Being Assessment questionnaire based on the Gallup-Healthways Well-Being Index. Cox proportional hazards models were used to examine the impact of Individual Well-Being Score (IWBS) segments and member demographics on hazard ratios (HRs) for a hospital event during the 12 months following assessment completion. Significant main effects were found for the influence of IWBS segments, sex, education, and relationship status on HRs of a hospital event, but not for age. However, further analysis revealed significant interactions between age and IWBS segments (P=0.005) and between age and sex (P