Mildestvedt Thomas, Herikstad Vibeke V, Undheim Ida, Bjorvatn Bjørn, Meland Eivind
a Department of Global Public Health and Primary Care , University of Bergen , Bergen , Norway.
Scand J Prim Health Care. 2018 Sep;36(3):317-322. doi: 10.1080/02813432.2018.1499590. Epub 2018 Aug 23.
Self-rated health (SRH) measures one's current general health and is a widely used health indicator. Sleep problems, somatic health complaints, and unmet needs in interpersonal relationships are suspected to influence SRH, but studies in primary health care settings are sparse.
To examine the associations between patients' self-rated health and their sleep problems, somatic health complaints, and unmet needs in interpersonal relationships.
We collected data via questionnaires for this cross-sectional study from general practice.
Primary health care in Norway.
1302 consecutive patients participated.
The questionnaire included a single question about SRH, the Bergen Insomnia Scale (BIS), five questions on somatic health complaints, and three questions from the Basic Psychological Needs Scale (BPNS) pertaining to the relationships domain. We analyzed our data using ordinal logistic regression models.
Our response rate was 74%. The prevalence of fair/poor SRH was 26%, with no gender differences. We revealed a significant association between increasing age and reduced SRH. The study showed that sleep problems and somatic health complaints were strongly associated with SRH, and unmet needs in relationships were also significantly and independently associated with reduced SRH in a full model analysis.
Sleep problems, somatic health complaints, and unmet needs in interpersonal relationships were all associated with reduced SRH. These factors are all modifiable and could be managed both within and outside a primary care setting in order to improve SRH. Key Points There was a high prevalence of reduced SRH in clinical general practice Sleep problems, somatic health complaints, and unmet needs in interpersonal relationships were all associated with reduced SRH These predictors are all modifiable with a potential to improve SRH.
自评健康（SRH）衡量的是一个人当前的总体健康状况，是一种广泛使用的健康指标。睡眠问题、躯体健康主诉以及人际关系中未满足的需求被怀疑会影响自评健康，但在初级卫生保健机构中的相关研究较少。
探讨患者自评健康与他们的睡眠问题、躯体健康主诉以及人际关系中未满足的需求之间的关联。
我们通过问卷调查收集了此项横断面研究的数据，研究对象来自全科医疗。
挪威的初级卫生保健机构。
1302名连续就诊的患者参与了研究。
问卷包括一个关于自评健康的单项问题、卑尔根失眠量表（BIS）、五个关于躯体健康主诉的问题，以及来自基本心理需求量表（BPNS）中与人际关系领域相关的三个问题。我们使用有序逻辑回归模型分析数据。
我们的应答率为74%。自评健康状况为中等/较差的患病率为26%，无性别差异。我们发现年龄增长与自评健康状况下降之间存在显著关联。研究表明，睡眠问题和躯体健康主诉与自评健康密切相关，并且在完整模型分析中，人际关系中未满足的需求也与自评健康状况下降显著且独立相关。
睡眠问题、躯体健康主诉以及人际关系中未满足的需求均与自评健康状况下降有关。这些因素都是可以改变的，并且可以在初级保健机构内外进行管理，以改善自评健康状况。要点：临床全科医疗中自评健康状况下降的患病率较高；睡眠问题、躯体健康主诉以及人际关系中未满足的需求均与自评健康状况下降有关；这些预测因素都是可以改变的，有可能改善自评健康状况。
