McGuire Lisa C, Strine Tara W, Vachirasudlekha Stephanie, Anderson Lynda A, Berry Joyce T, Mokdad Ali H
Division of Adult and Community Health, Centers for Disease Control and Prevention, 4770 Buford Highway NE, Atlanta, GA 30341-3724, USA.
Int J Public Health. 2009 Jun;54 Suppl 1:84-93. doi: 10.1007/s00038-009-0011-4.
The associations between serious psychological distress (SPD), chronic health conditions, healthy behaviors, healthy weight, and use of preventive services were examined among adults 65 years old and older using the 2007 Behavioral Risk Factor Surveillance System (BRFSS).
Participants (N = 35,845) completed a scale of nonspecific psychological distress for the past 30 days. Chronic health conditions were investigated in addition to having a healthy weight (body mass index 18.5-24.9 kg/m(2)), not smoking, consuming < or = 1 alcoholic beverage per day, consuming at least five fruits or vegetables daily, participating in moderate-to-vigorous physical activity during the average week, receiving an annual influenza immunization, and ever receiving a pneumococcal immunization.
People with SPD were more likely than those without SPD to report chronic health conditions and less likely to be nonsmokers. No differences were found for the remaining healthy behaviors, healthy body weight, and use of preventive services.
Older adults with SPD have a similar pattern of engagement in health behaviors, healthy weight, and use of preventive services compared to those without SPD despite reporting worse health status and presence of multiple chronic health conditions.
利用2007年行为危险因素监测系统（BRFSS），对65岁及以上成年人中严重心理困扰（SPD）、慢性健康状况、健康行为、健康体重与预防服务使用之间的关联进行了研究。
参与者（N = 35845）完成了过去30天的非特异性心理困扰量表。除了健康体重（体重指数18.5 - 24.9 kg/m²）、不吸烟、每天饮用≤1杯酒精饮料、每天至少食用5份水果或蔬菜、平均每周参加中度至剧烈体育活动、每年接受流感疫苗接种以及曾接受肺炎球菌疫苗接种外，还对慢性健康状况进行了调查。
与无SPD的人相比，有SPD的人更有可能报告慢性健康状况，且不太可能是不吸烟者。在其余健康行为、健康体重和预防服务使用方面未发现差异。
尽管报告的健康状况较差且存在多种慢性健康状况，但与无SPD的老年人相比，有SPD的老年人在健康行为参与、健康体重和预防服务使用方面具有相似的模式。
