健康控制源与死亡率：基于人群的前瞻性队列研究。
Health locus of control and mortality: a population-based prospective cohort study.
机构信息
Social Medicine and Health Policy, Department of Clinical Sciences, Malmö University Hospital Lund University, S-205 02, Malmö, Sweden.
Social Medicine and Health Policy, Department of Clinical Sciences, Malmö University Hospital Lund University, S-205 02, Malmö, Sweden; Department of Community Medicine and Public Health, Sahlgrenska Academy, Institute of Medicine, University of Gothenburg, Sweden.
出版信息
Public Health. 2020 Aug;185:209-211. doi: 10.1016/j.puhe.2020.05.005. Epub 2020 Jul 10.
OBJECTIVES
The objective of the study was to estimate associations between health locus of control (HLC) and mortality.
STUDY DESIGN & METHODS: The public health survey in Scania 2008 was linked to the Swedish cause of death register. In this study of 10,757 men and 12,322 women aged 18-80 years, 421 men and 235 women died during the 5.3-year follow-up. Survival analyses were conducted.
RESULTS
Respondents with only some or no internal HLC had significantly higher hazard rate ratios (HRRs) compared with respondents with high HLC. For women, the HRRs of those with low HLC did not significantly differ from the reference group after final adjustments for health-related behaviours.
CONCLUSIONS
HLC is a predictor of mortality, and this association is to an important extent mediated by health-related behaviours.
目的
本研究旨在评估健康控制源（HLC）与死亡率之间的关联。
研究设计与方法
2008 年在斯科讷进行的公共卫生调查与瑞典死因登记处相联系。在这项针对 10757 名男性和 12322 名 18-80 岁女性的研究中，421 名男性和 235 名女性在 5.3 年的随访期间死亡。进行了生存分析。
结果
与高 HLC 相比，仅有部分或没有内在 HLC 的受访者的危险率比（HRR）显著更高。对于女性，在对健康相关行为进行最终调整后，低 HLC 组的 HRR 与参考组无显著差异。
结论
HLC 是死亡率的预测因素，这种关联在很大程度上是由健康相关行为介导的。
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