Barry Hultquist Teresa, Laux Kaiser Katherine, Rajaram Shireen
a Omaha Division, College of Nursing , University of Nebraska Medical Center , Omaha , Nebraska , USA.
Women Health. 2015;55(4):378-99. doi: 10.1080/03630242.2015.1022684. Epub 2015 Mar 11.
Transition throughout midlife can affect women's perception of their health status. Multiple factors are potentially related to self-reported health status (SRHS), but it was not clear what factors are related to SRHS for midlife women, especially those with low income. This study examined factors related to SRHS in low income midlife women over time. A multi-step linear regression of longitudinal Medicaid Managed Care (MMC) data (n = 310) from July 2000 through November 2006 was used. Participants completed SRHS at initial (baseline) enrollment into MMC (T1), with a second assessment completed 11 to 23 months later for those retaining MMC eligibility (T2). Results indicated that disability and number of medical conditions were the factors most related to SRHS. SRHS scores differed significantly between non-disabled and disabled women. For disabled women, SRHS improved significantly between T1 and T2 (p < .001), but not for non-disabled women. Those with lower SRHS scores used community agencies more often. Further studies of SRHS and health-related factors are needed as SRHS is frequently an indicator of population health. Greater evidenced-based knowledge of SRHS in midlife women will inform preventive interventions for this population.
中年时期的转变会影响女性对自身健康状况的认知。多种因素可能与自我报告的健康状况（SRHS）相关，但尚不清楚哪些因素与中年女性的SRHS相关，尤其是低收入女性。本研究长期考察了低收入中年女性中与SRHS相关的因素。使用了2000年7月至2006年11月纵向医疗补助管理式医疗（MMC）数据（n = 310）进行多步线性回归分析。参与者在初次（基线）加入MMC（T1）时完成了SRHS评估，对于那些仍符合MMC资格的参与者，在11至23个月后进行了第二次评估（T2）。结果表明，残疾和疾病数量是与SRHS最相关的因素。非残疾女性和残疾女性的SRHS得分存在显著差异。对于残疾女性，SRHS在T1和T2之间显著改善（p <.001），但非残疾女性则没有。SRHS得分较低的女性更频繁地使用社区机构。由于SRHS常常是人群健康的一个指标，因此需要对SRHS和健康相关因素进行进一步研究。关于中年女性SRHS的更多循证知识将为针对该人群的预防干预提供依据。
