Baubinas Algirdas, Gurevicius Romualdas, Jankauskiene Konstancija, Salyga Jonas, Kairys Jonas, Jurkstiene Vilma, Kevelaitis Egidijus
Institute of Public Health, Vilnius University, Ciurlionio 21, 10222 Vilnius, Lithuania.
Medicina (Kaunas). 2009;45(7):557-64.
The aim of the study was to analyze self-rated health among physicians depending on their sex, age, workplace (hospital or polyclinic), and specialty. MATERIAL AND METHODS. The studied group consisted of 377 26-70-year-old physicians randomly selected from various county hospitals and polyclinics of Lithuania. There were 85 men and 292 women. The inquiry was performed using the complemented (by the authors of the study) version of the WHO anonymous questionnaire of the quality of life (1995). Responses were evaluated based on physicians' evaluation of their own health, which was rated as very good, good, satisfactory, poor, and very poor. RESULTS. Only 8.2% of males and 5.8% of females evaluated their health as very good (P>0.05). More men, compared to women, evaluated their health as good (62.3% and 53.1%, respectively; P<0.05), whereas more females evaluated their health as satisfactory, compared to males (36.0% and 25.9%, respectively; P<0.05); 2.4% of males and 5.1% of females (p>0.05) stated that their health was poor. In most cases, physicians of different age groups presented equal evaluations of their health except for physicians in the age groups of 26-37 and 38-43 years - those who evaluated their health as very good comprised a significantly higher percentage (P<0.05), compared to other age groups. As expected, a higher percentage of older physicians evaluated their health as satisfactory. In addition to that, more hospital physicians, compared to those working in polyclinics, evaluated their health as good (12.8% and 1.8%, respectively; P<0.05) and vice versa - significantly more physicians working in polyclinics evaluated their health as satisfactory, compared to those working in hospitals (38.1% and 26.8%, respectively; P<0.05). A significantly higher percentage of surgeons, compared to general practitioners or therapists, evaluated their health as very good (15.8%, 4.5%, and 6.1%, respectively; P<0.05) and a significantly lower percentage - as satisfactory (P<0.05). CONCLUSIONS. Irrespectively of sex, 6.4% of the studied physicians evaluated their health as very good; 55.2%, as good; 33.7%, as satisfactory; 4.7%, as poor; and 0.3%, as very poor. A higher percentage of physicians who evaluated their health as very good or good were 26-37 and 38-43 years of age, whereas more physicians in older age groups evaluated their health as satisfactory. A higher percentage of physicians working in hospital evaluated their health as very good, whereas more physicians who worked in polyclinics evaluated their health as satisfactory. Compared to general practitioners and therapists, surgeons more frequently evaluated their health as very good and significantly less frequently - as satisfactory.
本研究旨在根据医生的性别、年龄、工作场所（医院或门诊）及专业，分析其自评健康状况。材料与方法：研究组由377名年龄在26至70岁之间的医生组成，他们是从立陶宛各县级医院和门诊随机选取的。其中男性85名，女性292名。调查采用了（由本研究作者补充后的）世界卫生组织1995年生活质量匿名调查问卷。根据医生对自身健康状况的评估进行回应评价，评估等级分为非常好、好、满意、差、非常差。结果：只有8.2%的男性和5.8%的女性将自身健康评为非常好（P>0.05）。与女性相比，更多男性将自身健康评为好（分别为62.3%和53.1%；P<0.05），而与男性相比，更多女性将自身健康评为满意（分别为36.0%和25.9%；P<0.05）；2.4%的男性和5.1%的女性（P>0.05）表示自身健康状况差。在大多数情况下，不同年龄组的医生对自身健康的评价相同，但26至37岁和38至43岁年龄组的医生除外——与其他年龄组相比，将自身健康评为非常好的医生所占百分比显著更高（P<0.05）。正如预期的那样，年龄较大的医生中，将自身健康评为满意的比例更高。此外，与在门诊工作的医生相比，更多在医院工作的医生将自身健康评为好（分别为12.8%和1.8%；P<0.05），反之亦然——与在医院工作的医生相比，在门诊工作的医生中，将自身健康评为满意的比例显著更高（分别为38.1%和26.8%；P<0.05）。与全科医生或治疗师相比，外科医生中将自身健康评为非常好的比例显著更高（分别为15.8%、4.5%和6.1%；P<0.05），而评为满意的比例显著更低（P<0.05）。结论：无论性别如何，6.4%的参与研究医生将自身健康评为非常好；55.2%评为好；33.7%评为满意；4.7%评为差；0.3%评为非常差。将自身健康评为非常好或好的医生中，年龄在26至37岁和38至43岁的比例更高，而年龄较大组的医生中，将自身健康评为满意的比例更高。在医院工作的医生中，将自身健康评为非常好的比例更高，而在门诊工作的医生中，将自身健康评为满意的比例更高。与全科医生和治疗师相比，外科医生更频繁地将自身健康评为非常好，而显著更不频繁地评为满意。
