Mavrinac Gorka Vuletić, Sersić Darja Maslić, Mujkić Aida
"Andrija Stampar" School of Public Health, School of Medicine, University of Zagreb, Zagreb, Croatia.
Coll Antropol. 2009 Apr;33 Suppl 1:99-106.
The purpose of this study was to explore biomedical and behavioral risk factors in relation to self-assessed physical, mental and general health status in an open adult Croatian population sample. Subjective experience of health status was assessed with the Short Form 36 Health Survey questionnaire (SF-36). Out of 9070 respondents, we defined two groups with respect to cardiovascular (CV) risk factors: (1) a healthy group of individuals who did not state the presence of any covered chronic disease or disorder (N = 1,817), and (2) a group with CV risk which included individuals who reported having high blood pressure or high blood cholesterol or high blood sugar diagnosed (N = 360). When adjusted for socio-demographic characteristics, these two groups differed in self-assessed health status. The group with CV risk factors showed an average lower level of subjective health status than the healthy group. At the level of specific health dimensions, the group with CV risks reported significantly lower general and mental health, but they reported healthier behaviors at the present time. We analyzed the measured health behaviors in predicting individual differences in the physical, mental and general health of the healthy group. Physical activity was revealed as a significant predictor of all three aspects of subjective health. Socio-economic variables of age, gender and self-assessed economic status contributed significantly to the explanation of all three aspects of subjective health. Our findings emphasize that psychological, physical, and social factors are inextricably linked in maintaining cardiovascular health, thus showing the importance of targeting health-related behaviors, especially physical activity, in preventive strategies and programs.
本研究的目的是在一个开放的克罗地亚成年人群样本中，探索与自我评估的身体、心理和总体健康状况相关的生物医学和行为风险因素。使用简短健康调查问卷（SF-36）评估健康状况的主观体验。在9070名受访者中，我们根据心血管（CV）风险因素定义了两组：（1）一组健康个体，他们未表明存在任何涵盖的慢性病或疾病（N = 1817），以及（2）一组有CV风险的个体，其中包括报告被诊断患有高血压、高胆固醇血症或高血糖的个体（N = 360）。在对社会人口学特征进行调整后，这两组在自我评估的健康状况方面存在差异。有CV风险因素的组主观健康状况的平均水平低于健康组。在特定健康维度层面，有CV风险的组报告的总体和心理健康水平显著较低，但他们目前报告的行为更健康。我们分析了所测量的健康行为对健康组个体在身体、心理和总体健康方面差异的预测作用。身体活动被揭示为是主观健康所有三个方面的重要预测因素。年龄、性别和自我评估经济状况等社会经济变量对主观健康所有三个方面的解释有显著贡献。我们的研究结果强调，心理、身体和社会因素在维持心血管健康方面有着千丝万缕的联系，从而表明在预防策略和项目中针对与健康相关的行为，尤其是身体活动的重要性。
