Discipline for General Practice, University of Queensland.
Aust N Z J Public Health. 2010 Dec;34(6):598-601. doi: 10.1111/j.1753-6405.2010.00627.x. Epub 2010 Nov 25.
Self-rated health status provides insights into the health beliefs of a population. This will be important for framing public health messages in the context of the need to 'close the gap' for Australian Indigenous people. Our primary objectives were to describe the self-rated health status of Indigenous people attending the Inala Indigenous Health service, identify associations with positive and negative self-rated health status and identify targets for public health awareness raising activity.
Using a convenience sample, we approached all Indigenous patients attending the Inala Indigenous Health Service for an Indigenous adult health check between June 2007 and July 2008. From Indigenous adult health check data we analysed self-rated health status and chronic disease risk factors.
Out of a possible 509, 413 patients were recruited (response rate 81%). The number of participants who rated their health as fair or poor was 47%. The association of greatest magnitude and statistical significance with Indigenous patients' self rated health status (negative versus positive) was waist circumference followed by smoking, depression and age. Chronic disease risk factors not associated with self-rated health status included systolic blood pressure, harmful alcohol use, marijuana use, presence of diabetes and lack of exercise.
High rates of negative self-rated health status were found. Public health awareness-raising for Indigenous audiences should consider targeting chronic disease risk factors such as systolic blood pressure, harmful alcohol use, marijuana use, presence of diabetes and lack of exercise.
自评健康状况能深入了解人群的健康观念。这对于在需要“缩小差距”的背景下为澳大利亚原住民制定公共卫生信息非常重要。我们的主要目标是描述参加伊拉纳原住民健康服务的原住民的自评健康状况，确定与积极和消极自评健康状况相关的因素，并确定公共卫生宣传活动的目标。
我们采用便利抽样的方法，对 2007 年 6 月至 2008 年 7 月期间参加伊拉纳原住民健康服务的所有原住民成人健康检查患者进行了调查。从原住民成人健康检查数据中，我们分析了自评健康状况和慢性病危险因素。
在可能的 509 名患者中，有 413 名患者（应答率为 81%）被招募。自评健康状况为“一般”或“较差”的参与者人数占 47%。与原住民患者自评健康状况（负面与正面）关联度最大且具有统计学意义的因素是腰围，其次是吸烟、抑郁和年龄。与自评健康状况不相关的慢性病危险因素包括收缩压、有害饮酒、大麻使用、糖尿病存在和缺乏运动。
发现负面自评健康状况的发生率很高。针对原住民受众的公共卫生宣传活动应考虑针对慢性病危险因素，如收缩压、有害饮酒、大麻使用、糖尿病存在和缺乏运动。
