家庭沟通对夫妻自评健康的影响：初级保健中的家庭队列研究的横断面分析。
Impact of family communication on self-rated health of couples who visited primary care physicians: A cross-sectional analysis of Family Cohort Study in Primary Care.
机构信息
Department of Family Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
出版信息
PLoS One. 2019 Mar 13;14(3):e0213427. doi: 10.1371/journal.pone.0213427. eCollection 2019.
INTRODUCTION
Self-rated health (SRH) is a subjective health measurement that predicts mortality and morbidity and reflects mental health and socioeconomic status. Since a couple's relationship can influence the health status of the individuals involved, poor family communication can negatively influence the health status of its members. The aim of this study was to investigate the factors affecting SRH among married couples in primary care and evaluated the effect of family communication on SRH.
MATERIAL AND METHODS
In this cross-sectional analysis of Family Cohort Study in Primary Care, 469 couples (938 participants) were analyzed to evaluate the relationship between SRH and family communication. Participants answered questionnaires on demographic characteristics and lifestyle factors. The Korean version of the Family Communication Scale of Family Adaptation and Cohesion Evaluation Scale-IV was used to assess family communication, and a 5-point scale of SRH questions was used to assess the SRH status. Multivariate logistic regression analyses were performed in order to evaluate the relationship between family communication and SRH and identify associated factors for good SRH.
RESULTS
Wives with a high family communication level had higher OR for good SRH. When the husband and wife both reported high family communication levels, the OR for good SRH increased in wives; however, the relationship between family communication and SRH was not significant in husbands. In the multi-adjusted model, the OR for good SRH of husbands increased in those with >12 years of education, moderate drinkers and decreased in current smokers. The OR for good SRH of wives increased in those with age of 60 to 69, those with >12 years of education, and those who participated in vigorous physical activity, and decreased in those with diabetes and depressive mood.
CONCLUSIONS
Our results indicate that improvement in family communication may contribute to better SRH.
简介
自感健康（SRH）是一种主观的健康测量指标，可预测死亡率和发病率，并反映心理健康和社会经济地位。由于夫妻关系会影响个体的健康状况，不良的家庭沟通可能会对其成员的健康状况产生负面影响。本研究旨在探讨初级保健中已婚夫妇的 SRH 相关影响因素，并评估家庭沟通对 SRH 的影响。
材料和方法
在初级保健中的家庭队列研究的这项横断面分析中，分析了 469 对夫妇（938 名参与者），以评估 SRH 与家庭沟通之间的关系。参与者回答了关于人口统计学特征和生活方式因素的问卷。使用家庭适应和凝聚力评估量表-IV 的家庭沟通量表的韩语版本评估家庭沟通，使用 SRH 问题的 5 分制评估 SRH 状况。为了评估家庭沟通与 SRH 之间的关系，并确定良好 SRH 的相关因素，进行了多变量逻辑回归分析。
结果
具有较高家庭沟通水平的妻子具有较高的良好 SRH 的 OR。当丈夫和妻子都报告家庭沟通水平较高时，妻子的良好 SRH 的 OR 增加；然而，在丈夫中，家庭沟通与 SRH 之间的关系并不显著。在多调整模型中，丈夫的良好 SRH 的 OR 在具有>12 年教育程度、中度饮酒者和当前吸烟者中增加。妻子的良好 SRH 的 OR 在年龄为 60 至 69 岁、具有>12 年教育程度、参加剧烈身体活动的人群中增加，在患有糖尿病和抑郁情绪的人群中减少。
结论
我们的结果表明，改善家庭沟通可能有助于提高 SRH。
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