Gender and health: A study of older unlike-sex twins
Gender and health: A study of older unlike-sex twins
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DOI：
10.1093/geronb/57.3.s168
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发表时间：
2002-05-01
影响因子：
6.2
通讯作者：
Berg, S
中科院分区：
文献类型：
--
作者：
Gold, CH;Malmberg, B;Berg, S
目标.这项研究的主要目标是评估各种健康状况指标的性别差异。症状和自我评价的健康在老年人之间通过比较兄弟姐妹篇的样本中的不喜欢的性别双胞胎。所有出生于1906年至1925年之间的异性双胞胎都是通过瑞典双胞胎登记处确定的，并发送了评估健康和其他因素的调查。这个基于人口的样本包括605对双胞胎。采用配对样本t检验分析健康相关指标的性别差异，包括基于医生评分的三级健康问题指标。妇女的总体健康状况，没有危及生命的健康状况，有些危及生命的心血管疾病，以及身体和心理症状。男性有更多危及生命的健康状况和心血管疾病。在危及生命的健康状况、总的心血管疾病或自评健康方面没有发现性别差异。重要的性别差异和健康的相似性，发现使用不喜欢的性别双胞胎设计，减少由于背景特征的变异性。这种设计也最大限度地减少了因性别差异而造成的生存问题。关于老年人的性别和健康问题的研究需要采取更详细的办法来处理这一复杂问题。
Objectives. The primary goal of this study was to assess gender differences in various measures of health conditions. symptoms, and self-rated health among older persons by comparing brothers and sisters in a sample of unlike-sex twins.Methods. All living pairs of unlike-sex twins born between 1906 and 1925 were identified through the Swedish Twin Registry and sent surveys assessing health and other factors. This population-based sample consisted of 605 twin pairs. Paired sample t tests were used to analyze gender differences in health-related measures, including a three-level measure of health problems based on physicians' ratings.Results. Women had move total health conditions, not life-threatening health conditions, somewhat life-threatening cardiovascular conditions, and physical and psychological symptoms. Men had more very life-threatening health conditions and cardiovascular conditions. No gender differences were found in somewhat life-threatening health conditions, total cardiovascular conditions, or self-rated health.Discussion. Important gender differences and similarities in health were found using an unlike-sex twin design that reduced variability due to background characteristics. This design also minimized problems caused by gender differences in survival. Research on gender and health in older persons requires more detailed approaches to address the complexity of this topic.