Self-rated health.: Comparisons between three different measures.: Results from a population study
Self-rated health.: Comparisons between three different measures.: Results from a population study
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DOI：
10.1093/ije/30.2.326
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发表时间：
2001-04-01
影响因子：
7.7
通讯作者：
Elofsson, S
中科院分区：
文献类型：
--
作者：
Eriksson, I;Undén, AL;Elofsson, S
背景健康自评是流行病学研究中最常评估的健康感知之一。本研究的目的是比较不同的措施，全球自测健康（SRH）方面的差异，年龄和性别组和关系的假设determinations.Method三个单一的问题措施的SRH包括在健康问卷调查管理8200随机选择的男性和女性。两项性健康和生殖健康措施是非比较性的，一项有七个（性健康和生殖健康-7），一项有五个应对选项（性健康和生殖健康-5），而第三项措施包括与同龄人的比较（性健康和生殖健康-年龄）。SRH-7仅在量表两端具体说明了应对选项，而其他两项措施则对每个选项作出具体说明。SRH评估之间的比较进行了研究，就响应频率，频率分布，年龄和性别差异和差异与假设的determinations.Results之间的差异SRH措施在大多数情况下边际协会。然而，一些困难可能值得考虑：在最老年龄组中，SRH-7措施的辍学率很高; SRH-7与独立变量的相关性最强的趋势; SRH-年龄显示随着年龄的增加，健康评分有所改善，但与非比较措施相比，频率分布的偏斜程度较低。在纵向研究中，比较措施更合适，没有具体答复选项的措施可能不太适合较老的研究组。然而，总的印象是，不同的措施代表了对主观健康的平行评估。
Background Self-rating of health is among the most frequently assessed health perceptions in epidemiological research. The aim of this study was to compare different measures of global self-rated health (SRH) with respect to differences in age and sex groups and relations to hypothesized determinants.Method Three single-question measures of SRH were included in a health questionnaire administered to 8200 randomly chosen men and women. Two SRH measures were non-comparative, one with seven (SRH-7) and one with five response options (SRH-5), while the third measure included a comparison with others of the same age (SRH-age). SRH-7 had specified response options only at the ends of the scale, while the other two measures gave specified statements for each option. Comparisons between the SRH assessments were studied with respect to response frequencies, frequency distributions, age and gender differences and differences in associations with hypothesized determinants.Results The differences between the SRH measures were in most cases marginal. Some diversities may, however, be worth considering: a high drop-out rate for the SRH-7 measure in the oldest age group; a trend that SRH-7 correlated most strongly with the independent variables; SRH-age showed improved health ratings with increasing age but a less skewed frequency distribution compared to the noncomparative measures.Conclusion The results imply that non-comparative measures are more appropriate in longitudinal studies and that measures without specified response options might be less suitable for an older study group. The overall impression is, however, that the different measures represents parallel assessments of subjective health.