Schuler Brittany R
Health Soc Work. 2015 Aug;40(3):225-32. doi: 10.1093/hsw/hlv045.
Marginalized populations may be predisposed to poor health outcomes due to health dis parities. Although much of the research on health and quality of life is from the perspective of the impact of clinical diagnosis, there is a need for more diverse inquiries and recognition of the individuals' perceptions and preferences. The present study examined the importance of an individual's perception of his or her current health in predicting quality of life over and beyond the presence of physical or mental health conditions. The sample included 150 low-income adults, of which 84.7 percent were African American and 15.4 percent were of another minority race or ethnicity. Participants had an average monthly income of $703. Having a better perception of health was significantly associated with increased quality of life scores. Subjective perceptions of current health were a better predictor of quality of life than the presence of a serious physical or mental health condition. The article ends with a discussion of appropriate interventions to improve health perceptions in similar populations predisposed to poor health outcomes.
由于健康差距,边缘化人群可能更容易出现不良健康结果。尽管关于健康和生活质量的许多研究都是从临床诊断影响的角度进行的,但仍需要进行更多样化的调查,并认识到个人的看法和偏好。本研究探讨了个人对其当前健康状况的认知在预测生活质量方面的重要性,这一重要性超越了身体或心理健康状况的存在与否。样本包括150名低收入成年人,其中84.7%是非裔美国人,15.4%属于其他少数种族或族裔。参与者的月平均收入为703美元。对健康状况有更好的认知与生活质量得分的提高显著相关。与存在严重的身体或心理健康状况相比,对当前健康状况的主观认知是生活质量的更好预测指标。文章最后讨论了针对类似的、易出现不良健康结果人群改善健康认知的适当干预措施。