Frankenberg Elizabeth, Jones Nathan R
Department of Sociology, University of California, Los Angeles, 264 Haines Hall, Los Angeles, CA 90095-1551, USA.
J Health Soc Behav. 2004 Dec;45(4):441-52. doi: 10.1177/002214650404500406.
Although a relationship between poor self-reported health status and excess mortality risk has been well-established for industrialized countries, almost no research considers developing countries. We use data from Indonesia to show that in a low-income setting, as in more advantaged parts of the world, individuals who perceive their health to be poor are significantly more likely to die in subsequent follow-up periods than their counterparts who view their health as good. This result characterizes both men and women, holds for multiple time periods, and remains after inclusion of measures of nutritional status, physical functioning, symptoms of poor physical health and depression, and hypertension. We also consider the correlates of self-rated health. Symptoms and physical functioning are strong predictors of reporting poor rather than good health, but neither these indicators nor other covariates we consider distinguish between reports of excellent rather than good health.
虽然在工业化国家，自我报告的健康状况不佳与过高的死亡风险之间的关系已得到充分证实，但几乎没有研究关注发展中国家。我们利用印度尼西亚的数据表明，在低收入环境中，与世界上更具优势的地区一样，认为自己健康状况不佳的个体在随后的随访期内死亡的可能性明显高于那些认为自己健康状况良好的个体。这一结果在男性和女性中都有体现，在多个时间段内都成立，并且在纳入营养状况、身体功能、身体健康不佳和抑郁症状以及高血压等指标后依然存在。我们还考虑了自我评定健康的相关因素。症状和身体功能是报告健康状况不佳而非良好的有力预测因素，但我们所考虑的这些指标以及其他协变量都无法区分报告的是极佳健康状况还是良好健康状况。
