Shields M, Shooshtari S
Health Statistics Division, Statistics Canada, Ottawa, Ontario, K1A 0T6.
Health Rep. 2001 Dec;13(1):35-52.
This article examines determinants of self-perceived health. Factors associated with very good/excellent rather than good health are compared with those associated with fair/poor rather than good health.
The data are from the household cross-sectional and longitudinal components of the first three cycles (1994/95, 1996/97 and 1998/99) of Statistics Canada's National Population Health Survey (NPHS).
Cross-tabulations from the 1998/99 NPHS cross-sectional file were used to estimate the prevalence of very good/excellent and fair/poor health by sex and age group. Based on the longitudinal file, predictors of health perceptions in 1998/99 were studied in a multivariate model using generalized logistic regression.
While physical conditions were strongly related to health perceptions, some lifestyle, socio-economic and psychosocial factors were also statistically significant. Heavy smoking, irregular exercise and overweight were associated with fair/poor health ratings. Unhealthy changes in lifestyle were associated with fair/poor rather than good health. Distress, low self-esteem and low socio-economic status were negatively associated with very good/excellent health.
本文研究自我认知健康的决定因素。将与非常好/极好健康状况相关的因素与与一般/较差健康状况相关的因素进行比较。
数据来自加拿大统计局全国人口健康调查（NPHS）前三个周期（1994/95、1996/97和1998/99）的家庭横断面和纵向部分。
使用1998/99年NPHS横断面文件的交叉表，按性别和年龄组估计非常好/极好以及一般/较差健康状况的患病率。基于纵向文件，在多变量模型中使用广义逻辑回归研究1998/99年健康认知的预测因素。
虽然身体状况与健康认知密切相关，但一些生活方式、社会经济和心理社会因素也具有统计学意义。大量吸烟、不定期锻炼和超重与一般/较差的健康评级相关。生活方式的不健康变化与一般/较差而非良好的健康状况相关。痛苦、自卑和低社会经济地位与非常好/极好的健康状况呈负相关。
