Idler E L, Angel R J
Department of Sociology, Rutgers University, New Brunswick, NJ 08903.
Am J Public Health. 1990 Apr;80(4):446-52. doi: 10.2105/ajph.80.4.446.
The ability of self-rated health status to predict mortality was tested with data from the National Health and Nutrition Examination Survey (NHANES-I) Epidemiologic Follow-Up Study (NHEFS), conducted from 1971-84. The sample consists of adult NHANES-I respondents ages 25-74 years (N = 6,440) for whom data from a comprehensive physical examination at the initial interview and survival status at follow-up are available. Self-rated health consists of the response to the single item, "Would you say your health in general is excellent, very good, good, fair, or poor?" Proportional hazards analyses indicated that, net of its association with medical diagnoses given in the physical examination, demographic factors, and health related behaviors, self-rated health at Time 1 is associated with mortality over the 12-year follow-up period among middle-aged males, but not among elderly males or females of any age.
利用1971年至1984年开展的美国国家健康与营养检查调查（NHANES - I）流行病学随访研究（NHEFS）的数据，对自我评定健康状况预测死亡率的能力进行了测试。样本包括年龄在25至74岁之间的成年NHANES - I受访者（N = 6440），这些人在初次访谈时接受了全面体检，且有随访时的生存状况数据。自我评定健康状况由对单一问题的回答组成：“您会说您总体的健康状况是极佳、非常好、良好、一般还是差？” 比例风险分析表明，在排除其与体检中给出的医学诊断、人口统计学因素以及健康相关行为的关联后，中年男性在第1时间点的自我评定健康状况与12年随访期内的死亡率相关，但老年男性或任何年龄段的女性则不然。
