预测自我报告的健康状况：CORDIS研究。

Predicting self-reported health: the CORDIS study.

作者信息

Froom Paul, Melamed Samuel, Triber Israel, Ratson Nava Z, Hermoni Doron

机构信息

National Institute of Occupational and Environmental Medicine, Raanana and Sackler Medical School, University of Tel Aviv, Israel.

出版信息

Prev Med. 2004 Aug;39(2):419-23. doi: 10.1016/j.ypmed.2004.02.006.

DOI:10.1016/j.ypmed.2004.02.006

PMID:15226055

Abstract

BACKGROUND

There have been few attempts to determine factors important in predicting subsequent self-reported health (SRH) in population studies of men or women.

METHODS

In the following study, we determine the predictive value of behavioral and biomedical risk factors for self-evaluated health 7.7-11.5 years later in 2,962 male industrial workers.

RESULTS

We found that age [odds ratio (OR) per 10 years = 1.5, 95% confidence interval (CI) = 1.30,1.74], current smoking (OR = 1.63, 95% CI = 1.23,2.16), higher systolic blood pressure (SBP) measurements (OR = 1.16 per 10 mm Hg, 95% CI = 1.03,1.31), use of chronic medications (OR =2.75, 95% CI = 2.03,3.71), diabetes mellitus (OR = 2.83, 95% CI = 1.73-4.63), low educational status (OR = 1.67, 95% CI = 1.23, 2.25), and lack of regular leisure sports activity (OR = 1.67, 95% CI = 1.04, 2.17) significantly added to a logistic regression model predicting poorer self-evaluated health 7.7-11.5 years later ]area under the receiver-operator curve (ROC) = 76.0%]. There was a trend for poorer self-rated health in the obese workers (OR = 1.40, 95% CI = 0.97-2.01).

CONCLUSIONS

Behavioral and biomedical risk factors for mortality predict self-evaluated health 7.7-11.5 years later.

摘要

背景

在针对男性或女性的人群研究中，很少有人尝试确定对预测后续自我报告健康状况（SRH）至关重要的因素。

方法

在以下研究中，我们确定了行为和生物医学风险因素对2962名男性产业工人在7.7至11.5年后自我评估健康状况的预测价值。

结果

我们发现年龄[每10岁的优势比（OR）= 1.5，95%置信区间（CI）= 1.30，1.74]、当前吸烟（OR = 1.63，95% CI = 1.23，2.16）、较高的收缩压（SBP）测量值（每10 mmHg的OR = 1.16，95% CI = 1.03，1.31）、使用慢性药物（OR = 2.75，95% CI = 2.03，3.71）、糖尿病（OR = 2.83，95% CI = 1.73 - 4.63）、低教育水平（OR = 1.67，95% CI = 1.23，2.25）以及缺乏定期休闲体育活动（OR = 1.67，95% CI = 1.04，2.17）在预测7.7至11.5年后较差的自我评估健康状况的逻辑回归模型中具有显著增加作用[受试者工作特征曲线（ROC）下面积 = 76.0%]。肥胖工人的自我健康评分有较差的趋势（OR = 1.40，95% CI = 0.97 - 2.01）。