Self-Rated Health and Mortality: Moderation by Purpose in Life.
Self-Rated Health and Mortality: Moderation by Purpose in Life.
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DOI：
10.3390/ijerph20126171
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发表时间：
2023-06-19
影响因子：
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通讯作者：
Teas, Elizabeth
中科院分区：
文献类型：
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作者：
Friedman, Elliot M;Teas, Elizabeth
自我评估的健康状况不佳始终预示着寿命缩短，即使考虑到客观的疾病状况和风险因素。生活目标也是各种健康结果的可靠预测因素，包括更长的寿命。鉴于之前的工作，我们表明，生活目的调节慢性疾病和健康相关的生物因素之间的关联，本研究的目的是检查生活目的在调节主观健康和死亡率之间的关系中的作用。我们还研究了这些协会的种族/民族的潜在差异。数据来自两项大型国家纵向研究-健康与退休研究（HRS）和美国中年研究（MIDUS），随访期为12至14年，用于估计死亡率。Logistic回归分析结果显示，生活目的和自评健康都与寿命呈显著正相关，生活目的显著调节自评健康与死亡率之间的关系。分层分析显示，除黑人MIDUS参与者外，所有种族/族裔群体的结果相似。这些结果表明，生活中更大的目标可能会提供一个缓冲，以防止与主观健康状况不佳相关的死亡率更高的可能性。
Poor self-rated health consistently predicts reduced longevity, even when objective disease conditions and risk factors are considered. Purpose in life is also a reliable predictor of diverse health outcomes, including greater longevity. Given prior work in which we showed that purpose in life moderated the association between chronic conditions and health-related biological factors, the aim of the current study was to examine the role of purpose in life in moderating the relationship between subjective health and mortality. We also examined potential differences in these associations by race/ethnicity. Data were from two large national longitudinal studies—the Health and Retirement Study (HRS) and the Midlife in the United States (MIDUS) study—with a 12- to 14-year follow-up period for mortality estimates. Results of logistic regression analyses showed that purpose in life and self-rated health were both significantly positively associated with longevity, and that purpose in life significantly moderated the relationship between self-rated health and mortality. Stratified analyses showed similar results across all racial/ethnic groups, with the exception of Black MIDUS participants. These results suggest that greater purpose in life may provide a buffer against the greater probability of mortality associated with poor subjective health.