Global self-ratings of health and mortality: Hazard in the North Carolina Piedmont
Global self-ratings of health and mortality: Hazard in the North Carolina Piedmont
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DOI：
10.1016/0895-4356(96)00138-2
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发表时间：
1996-09-01
影响因子：
7.2
通讯作者：
Gold, DT
中科院分区：
文献类型：
--
作者：
Hays, JC;Schoenfeld, D;Gold, DT
我们分析了北卡罗莱纳州皮埃蒙特老年人流行病学研究（EPESE）建立人群（n = 4162）前5年的监测数据，以估计全球健康自评对生存的影响。Cox比例风险模型中使用的协变量包括社会人口因素、慢性疾病、日常生活活动、卫生服务的使用、健康风险行为、认知功能、情感情绪和负面生活事件。仅在城市男性中，与健康自我评价差（与良好相比）相关的调整后死亡风险显著升高。生存率与总体健康评估之间关联的混杂因素因亚组而异。来自异质人群的汇总估计可能掩盖了介导粗风险的变量模式以及全球健康自我评级的剩余风险大小方面的显著亚组差异。
We analyzed the first 5 years of surveillance data from the Established Population for the Epidemiologic Studies of the Elderly (EPESE) in the Piedmont of North Carolina (n = 4162) to estimate the effect of a global self-rating of health on survival. Covariates used in Cox proportional hazard models included sociodemographic factors, chronic medical conditions, activities of daily living, use of health services, health risk behaviors, cognitive function, affective mood, and negative life events. Adjusted risk of mortality associated with poor (compared to excellent) self-ratings of health was significantly elevated among urban men only. Confounders of the association between survival and overall health assessment varied widely by subgroup. Pooled estimates from heterogeneous populations may mask significant subgroup differences both in the pattern of variables that mediate crude risk and also in the magnitude of residual risk of global self-ratings of health.