Tobiasz-Adamczyk B, Brzyski P
Department of Medical Sociology, Jagiellonian University Medical College, Krakow, Poland.
Cent Eur J Public Health. 2005 Sep;13(3):117-24.
Changes in self-rated health and its determinants have been analyzed in the group of 551 community-dwelling older age citizens of Krakow during the 12-year interval observation. Multidimensional model showed that changes in self-rated health between the studies have been significantly determined by such variables like age and self-evaluation of health status in the Ist study. Self-rated health was also less markedly decreased in men, who continued professional activity in the Ist study. Among variables analyzed in the IInd study it was age-related functional disability reported by men and reported chronic conditions that deteriorated self-rated health significantly. Changes in self-rated health between the Ist and the IInd study among women were determined by the same variables as in men (except for the continuation of professional activities in the Ist study). Significantly diminished scores were found in women with higher level of functional activity in the Ist study and greater independence in performing daily activities in the IInd study. Analysis of the summary effect of chronic diseases on self-rated health has shown significantly greater deterioration of self-rated health between the first and the second study related to the number of diseases reported in the Ist study.
在对551名居住在克拉科夫社区的老年公民进行的为期12年的间隔观察中，分析了自评健康状况及其决定因素的变化。多维度模型显示，两次研究之间自评健康状况的变化主要由年龄和第一次研究中的健康状况自我评估等变量决定。在第一次研究中继续从事职业活动的男性，其自评健康状况下降也不太明显。在第二次研究中分析的变量中，男性报告的与年龄相关的功能残疾和报告的慢性病显著降低了自评健康状况。第一次和第二次研究之间，女性自评健康状况的变化与男性由相同变量决定（第一次研究中继续从事职业活动这一变量除外）。在第一次研究中功能活动水平较高且在第二次研究中日常生活活动独立性较强的女性，得分显著降低。对慢性病对自评健康状况的综合影响分析表明，与第一次研究中报告的疾病数量相关，第一次和第二次研究之间自评健康状况的恶化明显更大。
