Helmert U
Zentrum für Sozialpolitik, Universität Bremen.
Gesundheitswesen. 2003 Jan;65(1):47-54. doi: 10.1055/s-2003-36913.
Many international studies underline the importance of the health indicator "perceived general health" (PGH). For Germany, only few Longitudinal studies are available from recent years, dealing with the question whether PGH is a predictor for overall mortality. Based on a Mortality-Follow-up Study (n = 7212) under the auspices of the Federal Institute for Population Research the importance of the indicator PGH for the prediction of the mortality experience in the general population has been analysed for the period 1984 - 1998. The age-adjusted relative risk of "less than good health" for overall mortality is 2.11 (p <0.001) for males and 2.05 (p <0.001) for females (reference category: "good/very good health"). The relative risks for "poor health" are 4.32 (p <0,001) in males and 3.07 (p <0.001) in females. An inclusion of several control variables remarkably reduces these relative risks. The results indicate that the indicator "perceived general health" is an important predictor of overall mortality in Germany.
许多国际研究都强调了健康指标“自我感知总体健康状况”（PGH）的重要性。对于德国而言，近年来仅有少数纵向研究探讨了PGH是否为全因死亡率的预测指标这一问题。基于联邦人口研究所主持开展的一项死亡率随访研究（样本量n = 7212），分析了1984年至1998年期间PGH指标对普通人群死亡率预测的重要性。“健康状况不佳”相对于全因死亡率的年龄调整相对风险，男性为2.11（p <0.001），女性为2.05（p <0.001）（参照类别：“健康/非常健康”）。“健康状况差”的相对风险，男性为4.32（p <0.001），女性为3.07（p <0.001）。纳入几个控制变量后，这些相对风险显著降低。结果表明，“自我感知总体健康状况”指标是德国全因死亡率的重要预测指标。
