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身体健康状况的结构。比较代理受访者和自我受访者。

The structure of physical health status. Comparing proxies and self-respondents.

作者信息

Lawrence R H

出版信息

J Aging Health. 1995 Feb;7(1):74-98. doi: 10.1177/089826439500700104.

DOI:10.1177/089826439500700104
PMID:10165962
Abstract

Because gerontological studies often need to rely on the use of proxy respondents, the comparability of proxy and self-respondents is of particular interest. However, it is often impossible to evaluate response agreement between proxy and self-respondents because the necessary data are not available. This study addresses the problem by using a model of health status to evaluate differences between proxy and self-respondents regarding the conceptualization of health status. The model included three dimensions of physical health: chronic illness, functional limitations, and subjective health. Three groups of respondents who differ regarding proxy status and/or physical health status were compared. A subset of matched self-respondents (n = 146) was selected to be comparable in objective health status to respondents who have proxies (n = 140). The third group consisted of physically healthier self-respondents (n = 1,425). Data came from the Study of Well-Being of Older People in Cleveland, OH. No support was found for the expectation that proxies and self-respondents would weight objective health information differently when providing summary statements of subjective health. The results suggest that proxies rely on a conceptualization similar to self-respondents when providing information about another person's health.

摘要

由于老年学研究常常需要依赖代理受访者,因此代理受访者与自行受访者之间的可比性尤其受到关注。然而,由于缺乏必要数据,往往无法评估代理受访者与自行受访者之间的回答一致性。本研究通过使用健康状况模型来解决这一问题,以评估代理受访者与自行受访者在健康状况概念化方面的差异。该模型包括身体健康的三个维度:慢性病、功能受限和主观健康。比较了三组在代理身份和/或身体健康状况方面存在差异的受访者。选择了一部分匹配的自行受访者(n = 146),使其在客观健康状况上与有代理受访者的受访者(n = 140)具有可比性。第三组由身体更健康的自行受访者(n = 1425)组成。数据来自俄亥俄州克利夫兰市老年人幸福感研究。对于代理受访者和自行受访者在提供主观健康总结陈述时会对客观健康信息进行不同加权的预期,未找到支持证据。结果表明,代理受访者在提供他人健康信息时,所依赖的概念化方式与自行受访者相似。

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