Nummela Olli, Sulander Tommi, Rahkonen Ossi, Uutela Antti
Health Promotion Unit, Department of Health Promotion and Chronic Disease Prevention, National Public Health Institute (KTL), Mannerheimintie 166, FIN-00300 Helsinki, Finland.
Arch Gerontol Geriatr. 2009 Nov-Dec;49(3):339-42. doi: 10.1016/j.archger.2008.11.010. Epub 2009 Jan 10.
This study examined whether trust predicted subsequent self-rated health over time at 3 years follow-up among aging people, and whether changes in trust were associated with self-rated health. Longitudinal, questionnaire-based data were collected from three age cohorts (born in 1926-1930, 1936-1940, and 1946-1950) living in the Province of Päijät-Häme, southern Finland. The response rate at the baseline in 2002 was 66% (n=2815). The follow-up was carried out in 2005, with 79% of eligible individuals participating (n=2216). Logistic regression analyses were used to derive the results. High trust was a strong predictor for good self-rated health at the follow-up. Adjusting for background variables, however, attenuated the association. In addition, good self-rated health was most common among men with sustained high trust, among women the association was somewhat weaker. Among men improvement in trust was associated with good self-rated health, but this correlation weakened after multiple adjustments. Thus, longitudinally trust is an important contributor to self-rated health among aging people. Moreover, improvement of trust but also the stability of high trust especially among men indicate better self-rated health. Trust has a positive effect on health and should therefore be seen as a significant element in health promotion.
本研究探讨了在3年随访期内，信任是否能预测老年人随后的自评健康状况，以及信任的变化是否与自评健康状况相关。我们从居住在芬兰南部派亚特-海梅省的三个年龄队列（出生于1926 - 1930年、1936 - 1940年和1946 - 1950年）中收集了基于问卷的纵向数据。2002年基线调查的回复率为66%（n = 2815）。2005年进行了随访，79%的符合条件个体参与（n = 2216）。采用逻辑回归分析得出结果。高信任是随访时良好自评健康状况的有力预测因素。然而，在调整背景变量后，这种关联减弱。此外，良好的自评健康状况在持续保持高信任的男性中最为常见，在女性中这种关联则稍弱。在男性中，信任的改善与良好的自评健康状况相关，但在多次调整后这种相关性减弱。因此，从纵向来看，信任是老年人自评健康的一个重要因素。此外，信任的改善以及高信任的稳定性，尤其是在男性中，表明自评健康状况更好。信任对健康有积极影响，因此应被视为健康促进的一个重要因素。
