Self-reported health status and mortality in a multiethnic US cohort.

Self-reported health status and mortality in a multiethnic US cohort.
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DOI:
10.1093/oxfordjournals.aje.a009725
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发表时间:
1999
影响因子:
5
通讯作者:
Daniel L. McGee;Y. Liao;G. Cao;R. Cooper
Daniel L. McGee;Y. Liao;G. Cao;R. Cooper
中科院分区:
医学2区
文献类型:
--
作者:
Daniel L. McGee;Y. Liao;G. Cao;R. Cooper

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作者研究了以下种族/民族群体自我报告的健康状况与死亡率之间的关系:美洲原住民,亚洲/太平洋岛民,黑人,白人和西班牙裔。他们汇总了1986-1994年国家健康访谈调查的数据,以获得70多万队列参与者的信息。虽然这一队列中包括的美洲原住民不到5,000人,但数据提供了这一群体以前无法获得的信息。其中还包括近17,000名亚洲/太平洋岛民,90,000多名黑人和50,000多名西班牙裔。作者发现,自我报告的健康状况与社会经济地位和随后的死亡率之间存在很强的关联。自我报告健康状况一般或较差与所有种族/族裔群体的死亡风险至少增加两倍相关。即使在调整社会经济地位和措施的comorbance,一个显着的关系,发现之间的自我报告的健康状况和随后的死亡率。作者发现,自我报告的健康状况是性别和所有种族/民族群体随后死亡率的强有力的预后指标。这些结果强调了在人口研究中使用简单过滤问题的实用性。
The authors examined the relation between self-reported health status and mortality among the following racial/ethnic groups: Native Americans, Asian/Pacific Islanders, blacks, whites, and Hispanics. They pooled 1986-1994 data from the National Health Interview Survey to obtain information on more than 700,000 cohort participants. Although fewer than 5,000 Native Americans are included in this cohort, the data provide information previously unavailable for this group. Also included are almost 17,000 Asian/Pacific Islanders, over 90,000 blacks, and over 50,000 Hispanics. The authors found strong associations between self-reported health status and both socioeconomic status and subsequent mortality. A self-report of fair or poor health was associated with at least a twofold increased risk of mortality for all racial/ethnic groups. Even after adjustment for socioeconomic status and measures of comorbidity, a significant relation was found between self-reported health status and subsequent mortality. The authors found that self-reported health status is a strong prognostic indicator for subsequent mortality for both genders and all racial/ethnic groups examined. These results emphasize the utility of using simple filter questions in population research.