Kim Eric S, Kubzansky Laura D, Smith Jacqui
Department of Psychology.
Department of Social and Behavioral Sciences, Harvard School of Public Health.
Health Psychol. 2015 Jul;34(7):779-82. doi: 10.1037/hea0000174. Epub 2014 Nov 24.
Although a growing body of research shows that life satisfaction is linked with enhanced health behaviors and physical health, no study has examined life satisfaction's association with use of preventive health care services. From prior research the authors hypothesized that people with higher life satisfaction would be more proactive in taking care of their health, hence more likely to use preventive health care services.
Multiple logistic regression models were used to examine the association between life satisfaction and preventive services. Participants were drawn from the Health and Retirement Study, a prospective and nationally representative panel study of adults (age >50). Participants' use of preventive services was collected over 2 years of follow-up.
In models adjusting for sociodemographic factors, each standard deviation increase in life satisfaction was associated with a higher likelihood that people would obtain a cholesterol test. Further, women with higher life satisfaction were more likely to obtain a mammogram-x-ray or pap smear and also regularly check their breasts for lumps, whereas men were more likely to obtain a prostate exam.
Higher life satisfaction was associated with higher use of several preventive services. A growing body of randomized controlled trials targeting life satisfaction has shown that levels of life satisfaction are modifiable. Thus, if these findings are replicated, life satisfaction may provide an important target for interventions aimed at enhancing preventive behaviors and health.
尽管越来越多的研究表明生活满意度与更健康的行为及身体健康相关,但尚无研究考察生活满意度与预防性医疗服务使用之间的关联。基于先前的研究,作者假设生活满意度较高的人在照顾自身健康方面会更积极主动,因此更有可能使用预防性医疗服务。
采用多元逻辑回归模型来考察生活满意度与预防性服务之间的关联。参与者来自健康与退休研究,这是一项针对成年人(年龄>50岁)的前瞻性全国代表性面板研究。在2年的随访期间收集参与者对预防性服务的使用情况。
在对社会人口学因素进行调整的模型中,生活满意度每增加一个标准差,人们进行胆固醇检测的可能性就更高。此外,生活满意度较高的女性更有可能进行乳房X光造影或巴氏涂片检查,并且会定期检查乳房是否有肿块,而男性则更有可能进行前列腺检查。
较高的生活满意度与更多地使用多种预防性服务相关。越来越多针对生活满意度的随机对照试验表明,生活满意度水平是可以改变的。因此,如果这些研究结果得到重复验证,生活满意度可能为旨在增强预防行为和健康的干预措施提供一个重要目标。