Self-reported health and adult mortality risk: An analysis of cause-specific mortality
Self-reported health and adult mortality risk: An analysis of cause-specific mortality
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DOI：
10.1016/j.socscimed.2003.01.001
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发表时间：
2004-09-01
影响因子：
5.4
通讯作者：
Nam, CB
中科院分区：
文献类型：
--
作者：
Benjamins, MR;Hummer, RA;Nam, CB
自我报告的健康和死亡率之间的关系有很好的记录，但不太清楚。这项研究使用了与国家死亡指数中的死亡率数据相关的国家健康访谈调查，以研究自我报告的健康状况与一组全面的潜在死亡原因和多种死亡原因类别之间的关联。我们还研究了性别是否会调节自我报告的健康状况和特定原因死亡风险之间的关系。结果表明，自测健康与死亡率之间的关系因死亡原因和原因数量而异。因糖尿病、传染病和呼吸道疾病以及更多原因导致的死亡与主观健康的关系最为密切。自我报告的健康状况也与心脏病、中风和癌症导致的死亡有一定的关联。相比之下，自我评估的健康状况与事故、凶杀和自杀造成的死亡只有微弱的关联或没有关联。还发现，由于若干原因，自我报告的健康状况与死亡风险之间的关系在男子中更为密切，尽管并非所有原因都是如此。这些发现应该有助于研究人员和政策制定者更好地了解这一重要的全球健康指标的具体预测能力。(C)2004爱思唯尔有限公司保留所有权利。
The relationship between self-reported health and mortality is well documented, but less well understood. This study uses the National Health Interview Survey linked to mortality data from the National Death Index to examine the association between self-reported health and a comprehensive set of underlying cause of death and multiple cause of death categories. We also examined whether gender moderates the relationship between self-reported health and cause-specific mortality risk. Results show that the relationship between self-rated health and mortality differs by cause of death and by number of causes. Deaths due to diabetes, infectious and respiratory diseases, and a higher number of causes are most strongly associated with subjective health. Self-reported health also exhibits a moderately strong association with deaths due to heart disease, stroke, and cancer. In contrast, self-rated health is only weakly or not associated with deaths due to accident, homicide, and suicide. The relationship between self-reported health and mortality risk is also found to be stronger among men for several causes, although not for all. These findings should help researchers and policy-makers to better understand the specific predictive power of this important global measure of health. (C) 2004 Elsevier Ltd. All rights reserved.