Physician-evaluated and self-reported morbidity for predicting disability
Physician-evaluated and self-reported morbidity for predicting disability
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DOI：
10.2105/ajph.90.1.103
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发表时间：
2000-01-01
影响因子：
12.7
通讯作者：
Su, YP
中科院分区：
文献类型：
--
作者：
Ferraro, KF;Su, YP
目标.本研究比较了医生评估的患病率和自我报告的患病率对成人残疾的预测效度。来自一项大型全国性调查的受试者（n = 6913）接受了医生的详细体检，并被问及基线时是否存在36种健康状况。10年和15年后测量的残疾与发病率测量和协变量用Tobit模型回归。虽然医生评估的发病率和自我报告的发病率与更大的残疾，自我报告的慢性非严重疾病表现出更大的预测效度。肥胖者和社会经济地位较低者的残疾率也较高。研究结果表明，预测效用的自我报告的发病率措施的功能障碍。
Objectives. This study compared the predictive validity of physician-evaluated morbidity and self-reported morbidity on disability among adults.Methods. Subjects from a large national survey (n = 6913) received a detailed medical examination by a physician and were asked about the presence of 36 health conditions at baseline. Disability measured 10 and 15 years later was regressed on the morbidity measures and covariates with tobit models.Results. Although physician-evaluated morbidity and self-reported morbidity were associated with greater disability, self-reports of chronic nonserious illnesses manifested greater predictive validity. Disability was also higher for obese subjects and those of lower socioeconomic status.Conclusions. The findings demonstrate the predictive utility of self-reported morbidity measures on functional disability.