A general pattern of health erosion in the United States? An examination of self-reported health status from 1997 - 2018.

A general pattern of health erosion in the United States? An examination of self-reported health status from 1997 - 2018.
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DOI:
10.1016/j.ssmph.2022.101095
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发表时间:
2022-06
影响因子:
4.7
通讯作者:
Santos-Lozada, Alexis R.
Santos-Lozada, Alexis R.
中科院分区:
医学2区
文献类型:
--
作者:
Santos-Lozada, Alexis R.

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最近的研究发现,美国成年人自我评估疼痛和非稳态负荷的健康侵蚀的一般模式。尚待确定自我报告的健康状况(以下简称SRH)是否也遵循这一模式。本研究的目的是检查是否在美国成年人的SRH中发现了健康侵蚀的一般模式。1997-2018年国家健康访谈调查的数据用于研究美国成年人按年龄,时期和队列的性别,教育程度和SRH的种族/民族模式。分析样本包括在访谈时年龄在18岁或以上的受访者,年龄、性别、教育、种族/民族和健康状况问题中有有效信息(n = 669,501)。按年龄、时期和队列对报告健康状况差/一般的人群百分比进行估计,以研究按性别、教育程度和种族/民族划分的健康状况趋势。所有估计数都经过加权,以考虑到复杂的调查设计。在按性别、教育程度或种族/族裔对报告性健康和生殖健康差/一般的人口百分比进行的年龄、时期或群组分析中,没有观察到明显的健康损害或改善模式。分析表明,自我报告的健康状况并不遵循美国自我评估疼痛和非稳态负荷中发现的健康侵蚀的一般模式。1997年至2018年期间,报告健康状况不佳/一般的人口比例保持相对稳定。需要进一步的研究来确定自我报告的健康是否是跟踪美国人口健康的适当指标。
Recent research has found a general pattern of health erosion in self-assessed pain and allostatic load among adults in the United States (US). It remains to be determined if self-reported health status, hereafter SRH, also follows this pattern. The aim of this study was to examine whether a general pattern of health erosion is found in SRH among adults in the United States (US). Data from the National Health Interview Survey 1997–2018 were used to study sex, educational attainment, and racial/ethnic patterns in SRH by age, period and cohort among adults in the US. The analytic sample consisted of respondents aged 18 years or older at the moment of interview with valid information in the age, sex, education, race/ethnicity and health status question (n = 669,501). Estimates for the percent population reporting poor/fair health were produced by age, period and cohort to study trends in health status by sex, educational attainment and race/ethnicity. All estimates were weighted to account for complex survey design. No discernible pattern of health erosion, or improvement, is observed in the age, period or cohort analyses of the percent of the population reporting poor/fair SRH by sex, educational attainment or race/ethnicity. The analysis indicates that self-reported health does not follows the general pattern of health erosion found in self-assessed pain and allostatic load in the US. The percent of the population reporting poor/fair health status has remained relatively stable between 1997 and 2018. Further research is required to determine whether self-reported health is an appropriate metric to track population health in the US.
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