Jarallah J S, Al-Shammari S A
Department of Family and Community Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
J Cross Cult Gerontol. 1999 Dec;14(4):323-34. doi: 10.1023/a:1006600701746.
To study the pattern and determinants of health perception among Saudi elderly a cross-sectional house-hold survey of 6,139 elderly in Saudi Arabia performed between January 1994 and December 1995. A stratified two stage sampling technique was used to select the elderly subjects (60 years and above). Using a pre-designed, pre-tested questionnaire, the subjects' physical, mental, social and environmental health status and health perception were assessed via personal interviews completed by trained researchers. The poor health perception was predominant among females and more with advanced age (75 years and more). It was also found to be associated with more social and economical underprivileges, and independence as measured by an Activity of Daily Living (ADL) scale. Multivariate analysis revealed the most significant determinants of poor perception of health as follows: inability to perform prayers standing (OR = 3.36; p < 0.0000), and the number of diagnoses (OR = 3.33; p = 0.000). A significant correlation was found between hospital visits, number of diagnoses and health perception. These socio-demographic and socio-medical factors found to be important determinants of health perception among Saudi elderly need to be modified.
为研究沙特老年人的健康认知模式及决定因素,于1994年1月至1995年12月期间对沙特阿拉伯6139名老年人进行了一项横断面家庭调查。采用分层两阶段抽样技术选取老年受试者(60岁及以上)。通过训练有素的研究人员进行个人访谈,使用预先设计并经过预测试的问卷,对受试者的身体、心理、社会和环境健康状况以及健康认知进行评估。健康认知较差在女性中更为普遍,且在高龄(75岁及以上)人群中更为明显。还发现其与更多的社会和经济劣势以及通过日常生活活动(ADL)量表衡量的独立性有关。多因素分析揭示了健康认知较差的最显著决定因素如下:无法站立祈祷(比值比[OR]=3.36;p<0.0000)以及诊断次数(OR=3.33;p=0.000)。在就诊次数、诊断次数和健康认知之间发现了显著相关性。这些被发现是沙特老年人健康认知重要决定因素的社会人口学和社会医学因素需要加以改善。