Department of Health Sciences, Mid Sweden University , Sundsvall, Sweden.
Department of Research and Development, Region Västernorrland , Sundsvall, Sweden.
Int J Circumpolar Health. 2021 Dec;80(1):1867439. doi: 10.1080/22423982.2020.1867439.
The aim of our study was to explore the association between self-reported health factors and self-rated health (SRH) among an older rural population in northern Sweden and whether confounders optimistic outlook or daily moderate-intensity physical activity could moderate the association between self-reported health factors and SRH, controlling for age. The study is based on a sample (N = 1946) from the "Health on Equal Terms" Västernorrland survey 2018 aged 65-84. Prevalence and multivariate logistic regression analyses were performed. The results indicated most rural older people perceived very good or good SRH, though physical and mental health issues and impaired mobility increased with advanced age. Mental well-being exhibited a stronger association with poor SRH than physical health or impaired mobility. In addition, confounders optimistic outlook and daily moderate-intensity physical activity, separately and together could moderate the association between health factors and poor SRH. In conclusion, older people in a rural setting perceived good health, despite common physical and mental health issues. Promoting daily moderate-intensity physical activity and activities contributing to an optimistic outlook can protect against poor SRH in old age.
我们的研究目的是探讨在瑞典北部的一个农村老年人群体中，自我报告的健康因素与自我评估的健康（SRH）之间的关联，以及是否存在混杂因素——乐观的态度或日常适度的体力活动——可以调节自我报告的健康因素与 SRH 之间的关联，同时控制年龄因素。该研究基于 2018 年“平等健康”韦斯特兰调查的样本（N=1946），年龄在 65-84 岁之间。进行了患病率和多变量逻辑回归分析。结果表明，大多数农村老年人对自己的 SRH 评价非常好或好，但身体和心理健康问题以及行动不便会随着年龄的增长而增加。心理健康与较差的 SRH 关联比身体健康或行动不便更强。此外，混杂因素乐观态度和日常适度的体力活动，单独和一起都可以调节健康因素与较差 SRH 之间的关联。总之，农村老年人尽管存在常见的身体和心理健康问题，但他们对自己的健康状况评价良好。促进日常适度的体力活动和有助于乐观态度的活动可以预防老年时期较差的 SRH。
