计划生育门诊患者的自尊、压力与自评健康状况
Self-esteem, stress and self-rated health in family planning clinic patients.
作者信息
Rohrer James E, Young Rodney
机构信息
Department of Family and Community Medicine, Texas Tech University Health Sciences Center, USA.
出版信息
BMC Fam Pract. 2004 Jun 3;5:11. doi: 10.1186/1471-2296-5-11.
BACKGROUND
The independent effects of stress on the health of primary care patients might be different for different types of clinic populations. This study examines these relationships in a low-income female population of patients attending a family planning clinic.
METHODS
This study investigated the relevance of different sources of personal stress and social support to self-rated health, adjusting for mental health, health behavior and demographic characteristics of subjects. Five hundred women who attended family planning clinics were surveyed and 345 completed the form for a response rate of 72 percent.
RESULTS
Multiple logistic regression analysis revealed that liking oneself was related to good self-rated health (Odds ratio = 7.11), but stress or support from children, parents, friends, churches or spouses were not significant. White non-Hispanic and non-white non-Hispanic respondents had lower odds of reporting good self-rated health than Hispanic respondents (odds ratios were 2.87 and 2.81, respectively). Exercising five or more days per week also was related to good self-rated health. Smoking 20 or more cigarettes per day, and obese III were negatively related to good self-rated health (odds ratios were.19 and.22, respectively with corresponding p-values equal to.0043 and.0332).
CONCLUSIONS
Among younger low-income women, addressing low self-esteem might improve health status.
背景
压力对初级保健患者健康的独立影响可能因诊所人群类型的不同而有所差异。本研究在一家计划生育诊所的低收入女性患者群体中考察了这些关系。
方法
本研究调查了不同来源的个人压力和社会支持与自评健康的相关性，并对受试者的心理健康、健康行为和人口统计学特征进行了校正。对500名前往计划生育诊所的女性进行了调查，345人完成了问卷，回复率为72%。
结果
多元逻辑回归分析显示，自我喜欢与良好的自评健康相关（优势比=7.11），但来自子女、父母、朋友、教会或配偶的压力或支持并不显著。非西班牙裔白人及非西班牙裔非白人受访者报告良好自评健康的几率低于西班牙裔受访者（优势比分别为2.87和2.81）。每周锻炼五天或更多天也与良好的自评健康相关。每天吸烟20支或更多以及III级肥胖与良好的自评健康呈负相关（优势比分别为0.19和0.22，相应的p值分别为0.0043和0.0332）。
结论
在年轻的低收入女性中，解决自卑问题可能会改善健康状况。
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