Darviri Christina, Fouka Georgia, Gnardellis Charalambos, Artemiadis Artemios K, Tigani Xanthi, Alexopoulos Evangelos C
Postgraduate Course Stress Management and Health Promotion, School of Medicine, University of Athens, Soranou Ephessiou Street, 4, 11527 Athens, Greece.
Int J Environ Res Public Health. 2012 Mar;9(3):943-54. doi: 10.3390/ijerph9030943. Epub 2012 Mar 16.
Self-rated health (SRH) is a health measure related to future health, mortality, healthcare services utilization and quality of life. Various sociodemographic, health and lifestyle determinants of SRH have been identified in different populations. The aim of this study is to extend SRH literature in the Greek population. This is a cross-sectional study conducted in rural communities between 2001 and 2003. Interviews eliciting basic demographic, health-related and lifestyle information (smoking, physical activity, diet, quality of sleep and religiosity) were conducted. The sample consisted of 1,519 participants, representative of the rural population of Tripoli. Multinomial regression analysis was conducted to identify putative SRH determinants. Among the 1,519 participants, 489 (32.2%), 790 (52%) and 237 (15.6%) rated their health as "very good", "good" and "poor" respectively. Female gender, older age, lower level of education and impaired health were all associated with worse SRH, accounting for 16.6% of SRH variance. Regular exercise, healthier diet, better sleep quality and better adherence to religious habits were related with better health ratings, after adjusting for sociodemographic and health-related factors. BMI and smoking did not reach significance while exercise and physical activity exhibited significant correlations but not consistently across SRH categories. Our results support previous findings indicating that people following a more proactive lifestyle pattern tend to rate their health better. The role of stress-related neuroendocrinologic mechanisms on SRH and health in general is also discussed.
自评健康状况（SRH）是一种与未来健康、死亡率、医疗服务利用和生活质量相关的健康衡量指标。在不同人群中已确定了SRH的各种社会人口统计学、健康和生活方式决定因素。本研究的目的是扩展希腊人群中关于SRH的文献。这是一项于2001年至2003年在农村社区进行的横断面研究。进行了访谈，以获取基本人口统计学、健康相关和生活方式信息（吸烟、体育活动、饮食、睡眠质量和宗教信仰）。样本包括1519名参与者，代表了的黎波里农村人口。进行了多项回归分析以确定假定的SRH决定因素。在1519名参与者中，489人（32.2%）、790人（52%）和237人（15.6%）分别将他们的健康状况评为“非常好”、“好”和“差”。女性、年龄较大、教育水平较低和健康受损均与较差的SRH相关，占SRH变异的16.6%。在调整社会人口统计学和健康相关因素后，规律运动、更健康的饮食、更好的睡眠质量和更好地坚持宗教习惯与更好的健康评级相关。BMI和吸烟未达到显著水平，而运动和体育活动表现出显著相关性，但在不同SRH类别中并不一致。我们的结果支持先前的研究结果，表明遵循更积极生活方式模式的人往往对自己的健康评价更高。还讨论了与压力相关的神经内分泌机制在SRH和总体健康中的作用。
