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学习医学对你的健康有益吗?英格兰和威尔士国民健康服务体系纵向研究中临床医学专业毕业生队列的长期健康结果。

Is studying medicine good for your health? Long-term health outcomes of a cohort of clinical medicine graduates in England and Wales in the ONS Longitudinal Study.

机构信息

Department of Epidemiology and Public Health, Centre for Longitudinal Study Information and User Support (CeLSIUS), UCL, London, UK

Department of Information Studies, UCL, London, UK.

出版信息

BMJ Open. 2021 Mar 18;11(3):e041224. doi: 10.1136/bmjopen-2020-041224.

Abstract

OBJECTIVE

To quantify the potential protective effect on health associated with study of a clinical medicine degree.

DESIGN

Prospective population-based cohort data collected at census and linked over time: cohort born before 1976 and survived to 2011. Subgroup analysis on those who reported having a degree at 1991 census.

SETTING

England and Wales population-based, including institutions.

PARTICIPANTS

159 116 men and 174 062 women; 13 390 men with degrees and 8143 women with degrees.

MAIN OUTCOME MEASURE

Self-reported general health in 2011 based on logistic regression analysis.

RESULTS

Male graduates had 92% higher odds of having good or very good health than male non-graduates after adjustment for age and socioeconomic position (CI 1.82 to 2.03). Female graduates had 85% higher odds of having good or very good health than female non-graduates after adjustment for age and socioeconomic position (CI 1.73 to 1.98). Male clinical medicine graduates had 45% higher odds of having good or very good health than male humanities graduates after adjustment for age and socioeconomic position (CI 1.09 to 1.92). Male physical sciences graduates also had higher odds of having good or very good health than male humanities graduates after adjustment for age and socioeconomic position, but life sciences and social science graduates did not. There were no significant differences by degree subject for women.

CONCLUSIONS

Male graduates in clinical medicine have higher odds of good self-reported health. Knowledge of medicine may confer a health advantage for men above that of other degrees.

摘要

目的

量化学习临床医学学位对健康的潜在保护作用。

设计

基于人口的前瞻性队列数据,在人口普查时收集,并随时间进行链接:队列出生于 1976 年之前,且存活至 2011 年。对 1991 年人口普查时报告有学位的人进行亚组分析。

地点

英格兰和威尔士基于人群,包括机构。

参与者

159116 名男性和 174062 名女性;13390 名男性有学位,8143 名女性有学位。

主要结局测量

2011 年基于逻辑回归分析的自我报告一般健康状况。

结果

调整年龄和社会经济地位后,男性毕业生比非毕业生具有更好或非常好的健康状况的可能性高 92%(CI 1.82 至 2.03)。调整年龄和社会经济地位后,女性毕业生比非毕业生具有更好或非常好的健康状况的可能性高 85%(CI 1.73 至 1.98)。调整年龄和社会经济地位后,男性临床医学毕业生比男性人文科学毕业生具有更好或非常好的健康状况的可能性高 45%(CI 1.09 至 1.92)。男性物理科学毕业生在调整年龄和社会经济地位后也比男性人文科学毕业生具有更好或非常好的健康状况的可能性更高,但生命科学和社会科学毕业生则不然。对于女性来说,不同学位科目之间没有显著差异。

结论

男性临床医学毕业生自我报告的健康状况较好的可能性更高。医学知识可能会给男性带来比其他学位更高的健康优势。

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