Pai Chih-Wen, Hagen Susan E, Bender Joel, Shoemaker David, Edington Dee W
Health Management Research Center, University of Michigan, MI 48104, USA.
J Occup Environ Med. 2009 Apr;51(4):429-34. doi: 10.1097/JOM.0b013e3181a039a4.
To examine the association between repeat participation in health risk appraisal (HRA) and change in health status. If low-risk individuals get worse in their health status, the amount of cost increase tends to be greater than the amount of cost reduction when high-risk individuals improve their health status. Thus, "no change" in health status was considered a desired change along with "getting better" in this study.
Longitudinal data (1997 to 2004) were used to measure change in health status and participation in HRAs and wellness programs.
Taking an HRA more than once between 2002 and 2004 was associated with a desired change in health status (staying no change or getting better) (P < 0.0001). Additionally, participation in wellness programs during the same time period was also positively associated with a desired change (P < 0.05).
These results highlight the effect of continued engagement in health promotion activities on health status change. Combined with other education and intervention programs, HRAs can be useful tools in promoting and maintaining healthy lifestyles.
研究重复参与健康风险评估（HRA）与健康状况变化之间的关联。如果低风险个体的健康状况变差，其成本增加幅度往往大于高风险个体健康状况改善时的成本降低幅度。因此，在本研究中，健康状况“无变化”与“变好”一样被视为理想的变化。
使用纵向数据（1997年至2004年）来衡量健康状况的变化以及参与健康风险评估和健康促进项目的情况。
在2002年至2004年间多次进行健康风险评估与健康状况的理想变化（保持不变或变好）相关（P < 0.0001）。此外，同一时期参与健康促进项目也与理想变化呈正相关（P < 0.05）。
这些结果凸显了持续参与健康促进活动对健康状况变化的影响。与其他教育和干预项目相结合，健康风险评估可以成为促进和维持健康生活方式的有用工具。
