Kaman R L, Licciardone J C, Hoffmann M A
Department of Public Health and Preventive Medicine and Department of Physiology, Texas College of Osteopathic Medicine, Fort Worth 76107.
Am J Health Promot. 1991 May-Jun;5(5):378-83. doi: 10.4278/0890-1171-5.5.378.
The purpose of this study was to determine if the Healthier People Health Risk Appraisal and the RiskPlan Report, two different methods for measuring health risks of an employee population, produce the same estimates of health risk prevalence.
The prevalence of each of seven risk factors, directly measured by the Healthier People Health Risk Appraisal and predicted by the RiskPlan Report using demographic and normative data, were compared for a group of 239 employees participating in a voluntary health screening. Further, the 239 participants and 426 nonparticipants were compared with respect to demographic factors gleaned from personnel records, and risk factor prevalence derived from the RiskPlan Report.
Significant differences were found in the prevalence of six of the seven risk factors measured by the Healthier People Health Risk Appraisal and predicted by the RiskPlan Report. Also, risk factor prevalence predicted by the RiskPlan Report was not significantly different in the participants and nonparticipants although three critical sociodemographic variables were significantly different.
The results suggest that the prevalence of health risks based on normative data and the demographic profile of a population are not similar to those directly measured, and some doubt is raised about predicting health risks based on these data.
本研究的目的是确定“更健康人群健康风险评估”和“风险计划报告”这两种衡量员工群体健康风险的不同方法，是否能得出相同的健康风险患病率估计值。
对参与自愿健康筛查的239名员工，比较了通过“更健康人群健康风险评估”直接测量的七个风险因素中每个因素的患病率，以及使用人口统计学和标准数据由“风险计划报告”预测的患病率。此外，还根据从人事记录中收集的人口统计学因素，以及从“风险计划报告”得出的风险因素患病率，对239名参与者和426名非参与者进行了比较。
在通过“更健康人群健康风险评估”测量并由“风险计划报告”预测的七个风险因素中，有六个因素的患病率存在显著差异。此外，尽管三个关键的社会人口统计学变量存在显著差异，但“风险计划报告”预测的风险因素患病率在参与者和非参与者中并无显著差异。
结果表明，基于标准数据和人群人口统计学特征的健康风险患病率与直接测量的患病率不相似，这引发了对基于这些数据预测健康风险的一些质疑。
