职业史、自我报告的慢性病与死亡率：对25586名瑞典男性和女性的随访
Occupational history, self reported chronic illness, and mortality: a follow up of 25,586 Swedish men and women.
作者信息
Ostlin P
机构信息
Department of Social Medicine, University of Uppsala, Sweden.
出版信息
J Epidemiol Community Health. 1990 Mar;44(1):12-6. doi: 10.1136/jech.44.1.12.
STUDY OBJECTIVE
The aim of the study was to analyse the extent to which mortality can be predicted from data on self assessed chronic illness.
DESIGN
The study used data obtained from ongoing surveys of living conditions conducted by Statistics Sweden using annual interviews of cohorts of about 8000 people.
SETTING
The study was a population based survey of the whole of Sweden.
PARTICIPANTS
The analysis involved a group of 25,586 respondents (males 12,812, females 12,774), aged 25-74 years, interviewed in 1977 and 1979-81.
MEASUREMENTS AND RESULTS
Mortality and occupational health selection were analysed in different occupational categories. The association between mortality and self reported morbidity was assessed. Level of physical strain at work was associated with mortality in men. Occupational health selection could be detected for men but not for women when mortality from all causes was investigated. Self assessment of health predicted mortality.
CONCLUSIONS
Subjective assessments of health through surveys are valuable as predictors of mortality for both men and women.
研究目的
本研究旨在分析根据自我评估的慢性病数据预测死亡率的程度。
设计
本研究使用了瑞典统计局通过对约8000人的队列进行年度访谈而获得的有关生活状况的持续调查数据。
研究背景
该研究是一项基于瑞典全体人口的调查。
参与者
分析涉及一组25586名受访者（男性12812人，女性12774人），年龄在25至74岁之间，于1977年以及1979 - 1981年接受访谈。
测量与结果
在不同职业类别中分析了死亡率和职业健康选择情况。评估了死亡率与自我报告的发病率之间的关联。工作中的体力劳动强度水平与男性死亡率相关。在调查所有原因导致的死亡率时，可检测到男性存在职业健康选择，但女性未出现这种情况。健康的自我评估可预测死亡率。
结论
通过调查进行的健康主观评估作为男性和女性死亡率的预测指标具有重要价值。
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