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挪威劳动人口的现代健康忧虑、主观健康抱怨、医疗保健利用和病假。

Modern health worries, subjective health complaints, health care utilization, and sick leave in the Norwegian working population.

机构信息

Health UMB, IHA, Norwegian University of Life sciences, Ås, Norway,

出版信息

Int J Behav Med. 2013 Sep;20(3):371-7. doi: 10.1007/s12529-012-9246-1.

DOI:10.1007/s12529-012-9246-1
PMID:22729981
Abstract

BACKGROUND

Modern health worries (concerns about aspects of modern life affecting health) heve been associated with subjective health complaints and health care utilization.

PURPOSE

The aim of this study was to investigate the association between modern health worries (MHW) and subjective health complaints (SHC), health care utilization, and sick leave related to such complaints in the Norwegian working population.

METHODS

A sample of the Norwegian working population (N = 569) answered a questionnaire which included the Subjective Health Complaints Inventory and a Norwegian version of the Modern Health Worries Scale.

RESULTS

Ninety-one percent of the participants reported at least one complaint in the past 30 days, and 96 % of the participants reported concerns for at least one of the items in the MHW scale. Women reported significantly more and more severe complaints compared to men and significantly more concern about aspects of modern life affecting health. Participants who reported a high level of MHW showed nearly twice the risk of reporting a high level of SHC (odds ratio (OR) = 1.83; 95 % confidence interval (CI) = 1.30-2.71; p = 0.001), and they showed twice the risk for self-certified sick leave related to SHC (OR = 2.04; 95 % CI = 1.01-3.92; p = 0.048). High levels of MHW showed no significant association with health care utilization or doctor-certified sick leave.

CONCLUSIONS

Subjective health complaints and concerns about aspects of modern life affecting health are very common, even among healthy workers. Women have more complaints and more concerns compared to men. Within the health care system, it may be advantageous to pay close attention to the association between high levels of MHW and high levels of SHC.

摘要

背景

现代健康忧虑(对现代生活影响健康的方面的担忧)与主观健康抱怨和卫生保健利用有关。

目的

本研究旨在调查现代健康忧虑(MHW)与主观健康抱怨(SHC)、卫生保健利用以及与这些抱怨相关的病假之间的关系在挪威工作人群中的关系。

方法

挪威工作人群的样本(N=569)回答了一份问卷,其中包括主观健康抱怨清单和挪威版现代健康忧虑量表。

结果

91%的参与者报告在过去 30 天内至少有一个抱怨,96%的参与者报告对现代健康忧虑量表中的至少一个项目表示关注。女性报告的抱怨数量明显多于男性,且抱怨程度更严重,对现代生活影响健康的方面表示关注的程度也明显更高。报告高水平 MHW 的参与者报告高水平 SHC 的风险几乎高出两倍(优势比(OR)=1.83;95%置信区间(CI)=1.30-2.71;p=0.001),并且与 SHC 相关的自我认证病假的风险高出两倍(OR=2.04;95%CI=1.01-3.92;p=0.048)。高水平的 MHW 与卫生保健利用或医生认证的病假没有显著关联。

结论

主观健康抱怨和对现代生活影响健康的方面的担忧非常普遍,即使在健康的工人中也是如此。与男性相比,女性的抱怨更多,担忧也更多。在医疗保健系统中,密切关注高水平 MHW 与高水平 SHC 之间的关联可能是有利的。

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