The contribution of chronic conditions and disabilities to poor self-rated health in elderly men
The contribution of chronic conditions and disabilities to poor self-rated health in elderly men
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DOI：
10.1093/gerona/54.10.m501
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发表时间：
1999-10-01
影响因子：
5.1
通讯作者：
van den Bos, GAM
中科院分区：
文献类型：
--
作者：
Hoeymans, N;Feskens, EJM;van den Bos, GAM
背景。本研究的目的是从患者和人群的角度调查慢性病和残疾对自评健康状况不佳的影响： (a) 七种躯体慢性病（不考虑残疾）对自评健康有何影响？ (b) 自评健康状况不佳在多大程度上可归因于选定的慢性病和残疾？方法。数据来自 Zutphen 老年人研究 1990 年 (n = 509)、1993 年 (n = 381) 和 1995 年 (n = 340) 的调查。计算优势比 (OR) 和人群归因风险 (PAR)，以量化慢性病和残疾对不良自评健康状况的影响。结果。从患者的角度来看，中风与自评健康状况不佳密切相关（OR = 3.5，95% 置信区间：1.8-6.9）。从人口角度来看。 63% 的自评健康状况不佳可归因于选定的慢性病，其中呼吸道症状 (28%)、肌肉骨骼疾病 (24%) 和冠心病 (13%) 的贡献最大。总共 73% 可归因于慢性病和残疾。结论。在这一老年男性群体中，中风导致个体患者自评健康状况的最大损失，而导致人群自评健康状况不佳的最大原因是呼吸道症状和肌肉骨骼疾病。
Background. The aim of the study was to investigate the contribution of chronic conditions and disabilities to poor self-rated health from the perspectives of the patient and the population: (a) What is the impact of seven somatic chronic conditions on self-rated health, independent of disabilities? and (b) To what extent can poor self-rated health be attributed to the selected chronic conditions and disabilities?Methods. Data came from the 1990 (n = 509), 1993 (n = 381), and 1995 (n = 340) surveys of the Zutphen Elderly Study. Odds ratios (OR) and population attributable risks (PAR) were calculated to quantify the contribution of chronic conditions and disabilities to poor self-rated health.Results. Rom the patient perspective, stroke was most strongly associated with poor self-rated health (OR = 3.5, 95% confidence interval: 1.8-6.9). From the population perspective. 63% of poor self-rated health could be attributed to the selected chronic conditions, with respiratory symptoms (28%), musculoskeletal complaints (24%), and coronary heart disease (13%) making the largest contribution. A total of 73% could be attributed to chronic conditions and disabilities.Conclusions. In this population of elderly men, stroke resulted in the largest losses in self-rated health in individual patients, whereas the largest contributions to poor self-rated health in the population were made by respiratory symptoms and musculoskeletal complaints.