Kraja Fatjona, Kraja Bledar, Cakerri Luljeta, Burazeri Genc
University Clinic of Oncology, University Hospital Center Mother Teresa, Tirana Albania; Department of Biomedical Sciences, Faculty of Medicine, University of Medicine, Tirana Albania.
Department of Biomedical Sciences, Faculty of Medicine, University of Medicine, Tirana Albania; University Clinic of Gastrohepatology, University Hospital Center Mother Teresa, Tirana Albania.
Mater Sociomed. 2016 Jun;28(3):173-7. doi: 10.5455/msm.2016.28.173-177. Epub 2016 Jun 1.
Self-perceived health is considered a suitable health indicator, based on a single item asking individuals to rate their health. It has been recommended as a reliable factor to assess the population health. Several socio-demographic and lifestyle determinants of self-perceived health status have been documented in different population. The aim of our study was to assess the socio-demographic and lifestyle correlates of self-perceived health status in a population-based sample of Albanian adult men and women.
Data from 12,554 individuals aged ≥35 years collected by the Albania Living Standard Measurement Survey (LSMS) 2012, which is a national population-based cross-sectional study, were analyzed. The study participants rated their health in five categories: very good, good, average, poor and very poor, which in the analyses were dichotomized into "not poor" and "poor health". Other variables included demographic characteristics, economic level, employment status, smoking and alcohol intake. Binary logistic regression was used to assess the association of self-perceived health with demographic and lifestyle factors.
Upon multivariate adjustment for all covariates in a backward stepwise elimination procedure, strong and significant "predictors" of poor self-perceived health status were older age (OR=3.0, 95%CI=2.4-3.7), unemployment (OR=5.6, 95%CI=4.0-7.8), male gender (OR=1.2, 95%CI=1.0-1.5), low education (OR=2.0, OR=1.3-3.0), current smoking (OR=1.7, 95%CI=1.2-2.4) and alcohol abstinence (OR=1.4, 95%CI=1.1-1.7).
Our findings indicate that the low socioeconomic groups in Albania have a significantly lower self-perceived health status. Furthermore, smoking was a significant "determinant" of poor self-perceived health in this study population, which is compatible with previous reports from other countries.
基于一项要求个体对自身健康进行评分的单一项目，自我认知健康被视为一个合适的健康指标。它已被推荐为评估人群健康的一个可靠因素。在不同人群中，已有多项社会人口学和生活方式决定因素与自我认知健康状况相关的记录。我们研究的目的是在以阿尔巴尼亚成年男性和女性为基础的样本中，评估社会人口学和生活方式与自我认知健康状况的相关性。
分析了2012年阿尔巴尼亚生活水平测量调查（LSMS）收集的12554名年龄≥35岁个体的数据，该调查是一项基于全国人口的横断面研究。研究参与者将他们的健康状况分为五类：非常好、好、一般、差和非常差，在分析中被二分法分为“不差”和“健康状况差”。其他变量包括人口统计学特征、经济水平、就业状况、吸烟和饮酒情况。采用二元逻辑回归来评估自我认知健康与人口统计学和生活方式因素之间的关联。
在向后逐步排除程序中对所有协变量进行多变量调整后，自我认知健康状况差的强有力且显著的“预测因素”为年龄较大（比值比[OR]=3.0，95%置信区间[CI]=2.4 - 3.7）、失业（OR=5.6，95%CI=4.0 - 7.8）、男性（OR=
