Haga H, Shibata H, Ueno M, Nagai H, Yasumura S, Suyama Y, Matsuzaki T, Suzuki K, Iwasaki K, Sawaguchi S
Tokyo Metropolitan Institute of Gerontology.
Nihon Koshu Eisei Zasshi. 1991 Oct;38(10):783-9.
The purpose of the present study is to examine the relationship of self-rated health to mortality. Subjects consisted of 1096 elderly (471 men, 625 women) aged 65 years and over in 1983, living in the town of Yuwa in Akita Prefecture. They were followed to determine survivorship status and relocation for 7 years after the baseline survey in 1983. The relationship of self-rated health to mortality was tested using a logistic model. The results obtained were as follows: (1) Poor self-rated health was significantly related to higher mortality in a graded fashion by univariate analyses. (2) The significant relationship of self-rated health to mortality was still observed after controlling for sex, age, education, drinking, smoking, physician visits, history of stroke, and activities of daily living. (3) The contribution of self-rated health to mortality differed by sex, age group (65-74, 75-), and period of follow-up (early, late). The contribution was greater in men, aged 75 and over, and during the latter part of the follow up.
本研究的目的是检验自评健康状况与死亡率之间的关系。研究对象为1983年居住在秋田县雄和町的1096名65岁及以上的老年人(471名男性,625名女性)。在1983年进行基线调查后,对他们进行了7年的随访,以确定生存状况和是否迁移。使用逻辑模型检验自评健康状况与死亡率之间的关系。得到的结果如下:(1)单因素分析显示,自评健康状况较差与较高的死亡率呈显著的分级相关。(2)在控制了性别、年龄、教育程度、饮酒、吸烟、就医次数、中风病史和日常生活活动能力后,仍观察到自评健康状况与死亡率之间的显著关系。(3)自评健康状况对死亡率的影响因性别、年龄组(65 - 74岁、75岁及以上)和随访期(早期、晚期)而异。在男性、75岁及以上的人群以及随访后期,这种影响更大。