US General Population Estimate for "Excellent" to "Poor" Self-Rated Health Item

US General Population Estimate for "Excellent" to "Poor" Self-Rated Health Item
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DOI:
10.1007/s11606-015-3290-x
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发表时间:
2015-10-01
影响因子:
5.7
通讯作者:
Cella, David
Cella, David
中科院分区:
医学2区
文献类型:
--
作者:
Hays, Ron D.;Spritzer, Karen L.;Cella, David

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最常用的自我报告健康问题要求人们从优秀到差来评估他们的总体健康状况。这是患者报告结局测量信息系统(PROMIS)全球健康项目之一。其他四个项目用于PROMIS全球身体健康量表评分。因为美国大部分大型国家健康调查都使用单一项目,构建可与美国一般人群标准相比较的分数是有用的。为了从对用于公共卫生监测、研究和临床评估的单个从优到差的自评健康问题的回答中估计PROMIS全球身体健康量表分数。对21,133个个体的横截面调查,PROMIS项目通过基于网络的调查对国家小组中的19,601人和来自PROMIS研究站点的1,532名受试者进行管理。样本中个体的平均年龄为53岁,52%为女性,80%为非西班牙裔白色人,19%具有高中学历或更低的教育水平。PROMIS全球身体健康量表。单项与PROMIS全球身体健康量表评分的积差相关为0. 81。根据对单个项目的回答估计的量表得分范围为29(自评健康状况差,比一般人群平均值差2.1 SD)至62(自我评价良好的健康状况,1.2 T评分指标的SD优于一般人群平均值(平均50)该项目可用于估计PROMIS全球身体健康量表的分数,以用于监测人口健康和实现公共健康。目标.该项目也可用于个人评估,但其可靠性(0.52)低于PROMIS全球健康量表(0.81)。
The most commonly used self-reported health question asks people to rate their general health from excellent to poor. This is one of the Patient-Reported Outcomes Measurement Information System (PROMIS) global health items. Four other items are used for scoring on the PROMIS global physical health scale. Because the single item is used on the majority of large national health surveys in the U.S., it is useful to construct scores that can be compared to U.S. general population norms.To estimate the PROMIS global physical health scale score from the responses to the single excellent to poor self-rated health question for use in public health surveillance, research, and clinical assessment.A cross-sectional survey of 21,133 individuals, weighted to be representative of the U.S. general population.The PROMIS items were administered via a Web-based survey to 19,601 persons in a national panel and 1,532 subjects from PROMIS research sites. The average age of individuals in the sample was 53 years, 52 % were female, 80 % were non-Hispanic white, and 19 % had a high school degree or lower level of education.PROMIS global physical health scale.The product-moment correlation of the single item with the PROMIS global physical health scale score was 0.81. The estimated scale score based on responses to the single item ranged from 29 (poor self-rated health, 2.1 SDs worse than the general population mean) to 62 (excellent self-rated health, 1.2 SDs better than the general population mean) on a T-score metric (mean of 50).This item can be used to estimate scores for the PROMIS global physical health scale for use in monitoring population health and achieving public health objectives. The item may also be used for individual assessment, but its reliability (0.52) is lower than that of the PROMIS global health scale (0.81).