Rohrer James E, Borders Tyrone F
Health Services Research, Texas Tech University Health Sciences Center, Amarillo, TX 79130, USA.
Prev Med. 2004 Dec;39(6):1234-7. doi: 10.1016/j.ypmed.2004.04.038.
To investigate the relationship between medical skepticism and overall self-rated health and to identify disparities in health for vulnerable subgroups among the elderly.
A cross-sectional telephone survey involving multiple callbacks. Independent variables included three measures of medical skepticism and disparities variables (low income, low education, race/ethnicity, gender, rural residence) along with several control variables (body weight, marital status, employment, insurance coverage, number of medical visits).
West Texas, a sparsely populated 108-county region.
Five thousand six persons aged 65 and over.
Multiple logistic regression analysis revealed that medical skepticism (believing that one can overcome illnesses without the help of a medical professional) was independently related to better self-rated overall health. Disparities in health were found for income, race/ethnicity, and low education but not for residents of rural or frontier areas (vs. urban residents).
Belief in one's own ability to manage most illnesses may or may not be causally related to better health. However, the association is promising and deserves further investigation. Programs promoting self-care among groups facing health disparities should be considered.
探讨医学怀疑主义与总体自评健康之间的关系，并确定老年人中弱势群体亚组的健康差异。
一项涉及多次回访的横断面电话调查。自变量包括医学怀疑主义的三项指标和差异变量（低收入、低教育程度、种族/民族、性别、农村居住情况）以及几个控制变量（体重、婚姻状况、就业情况、保险覆盖范围、就诊次数）。
西德克萨斯，一个人口稀少的108县地区。
5606名65岁及以上的老年人。
多元逻辑回归分析显示，医学怀疑主义（即相信无需医疗专业人员帮助就能战胜疾病）与更好的总体自评健康独立相关。在收入、种族/民族和低教育程度方面发现了健康差异，但农村或偏远地区居民（与城市居民相比）未发现健康差异。
相信自己有能力应对大多数疾病可能与更好的健康存在因果关系，也可能不存在。然而，这种关联很有前景，值得进一步研究。应考虑为面临健康差异的群体开展促进自我保健的项目。
Zotero 插件