Golenbock Samuel, Kazman Josh B, Krauss Stephen, Deuster Patricia A
Department of Military and Emergency Medicine, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD, 20814, USA.
Qual Life Res. 2017 Jul;26(7):1839-1851. doi: 10.1007/s11136-017-1523-7. Epub 2017 Feb 25.
Poor self-rated health (SRH) is linked to an increased risk of injury, future healthcare services utilization, and morbidity and mortality. This study aimed to identify correlates of a single-item measure of health in 8070 US Army personnel.
Responses were collected from the Army's global assessment tool (GAT) 2.0, an online questionnaire that assesses physical and psychosocial health. SRH was measured by the item, "How do you consider your health?" (four response categories: "poor," "fair," "good," and "excellent"). Ordinal logistic regression (OLR) was used to evaluate how various health and psychosocial factors contribute to Soldiers' ratings of SRH. Unadjusted and adjusted cumulative odds ratios (ORs) are presented and discussed.
Most participants reported "good" health (57%), followed by "excellent" (24%), "fair" (17%), and "poor" (2%). Sleep quality (OR 2.48; 95% CI 2.34, 2.63) was the largest correlate of SRH, followed by obesity (OR 0.50; 95% CI 0.43, 0.58), emotional fitness (OR 1.68, 95% CI 1.56, 1.82), and Army physical fitness test (APFT) scores (OR 1.43; 95% CI 1.36, 1.51).
Single-item measures of self-reported health can cover a broad spectrum across physical and mental health. Among a large US Army sample, sleep quality was most strongly associated with SRH, followed by emotional fitness and APFT scores. In contrast, service-component and other sociodemographic characteristics had relatively small effects on general health. Military investigators and leaders who must rely on various subjective general health measures should interpret them as a combination of these factors.
自我评定健康状况差（SRH）与受伤风险增加、未来医疗服务利用以及发病率和死亡率相关。本研究旨在确定8070名美国陆军人员中单项健康测量指标的相关因素。
从陆军全球评估工具（GAT）2.0收集回复，这是一份评估身体和心理社会健康的在线问卷。SRH通过“你如何看待自己的健康状况？”这一项目进行测量（四个回答类别：“差”“一般”“好”和“优秀”）。采用有序逻辑回归（OLR）来评估各种健康和心理社会因素如何影响士兵对SRH的评级。呈现并讨论了未调整和调整后的累积比值比（OR）。
大多数参与者报告健康状况为“好”（57%），其次是“优秀”（24%）、“一般”（17%）和“差”（2%）。睡眠质量（OR 2.48；95%CI 2.34，2.63）是与SRH相关性最大的因素，其次是肥胖（OR 0.50；95%CI 0.43，0.58）、情绪健康（OR 1.68，95%CI 1.56，1.82）和陆军体能测试（APFT）分数（OR 1.43；95%CI 1.36，1.51）。
自我报告健康状况的单项测量指标可以涵盖身心健康的广泛范围。在美国陆军的一个大样本中，睡眠质量与SRH的关联最为强烈，其次是情绪健康和APFT分数。相比之下，军种组成和其他社会人口学特征对总体健康的影响相对较小。必须依赖各种主观总体健康测量指标的军事研究人员和领导者应将这些指标视为这些因素的综合体现。
