Cott C A, Gignac M A, Badley E M
Arthritis Community Research and Evaluation Unit, Toronto Hospital, Canada.
J Epidemiol Community Health. 1999 Nov;53(11):731-6. doi: 10.1136/jech.53.11.731.
To identify the factors associated with self rated health of people with and without chronic health conditions or long term disability.
Canadian household population.
Analysis of 1994/95 National Population Health Survey interview data with 13,995 respondents aged 20 years and older. Determinants of poor and good compared with excellent health were examined using multivariate nominal logistic regression. Factors included in the analyses were illness related (chronic disease, long and short-term disability, and pain) demographic, lifestyle (smoking, physical activity, drinking), and social psychological resources (mastery, chronic stress, distress, self esteem, and social support).
Illness related variables were associated with poor health, with smaller but significant contributions from demographic and lifestyle factors. Psychological resources, especially high mastery and self esteem, are associated with better health in those with chronic conditions or disability.
The determinants of self rated health for people with chronic illness and disability make the greatest contribution to the findings for the overall population.
确定患有和未患有慢性健康状况或长期残疾的人群自我评估健康状况的相关因素。
加拿大家庭人口。
对1994/95年全国人口健康调查中13995名20岁及以上受访者的访谈数据进行分析。使用多变量名义逻辑回归分析与健康状况良好和较差相比健康状况极佳的决定因素。分析中纳入的因素包括与疾病相关的（慢性病、长期和短期残疾以及疼痛）、人口统计学、生活方式（吸烟、体育活动、饮酒）以及社会心理资源（掌控感、慢性压力、痛苦、自尊和社会支持）。
与疾病相关的变量与健康状况较差相关，人口统计学和生活方式因素的贡献较小但具有显著性。心理资源，尤其是高掌控感和自尊，与患有慢性疾病或残疾者的更好健康状况相关。
慢性病和残疾人群自我评估健康状况的决定因素对总体人群的研究结果贡献最大。
