有和没有智力残疾的成年人中主观社会经济地位与健康的关系。
The relationship between subjective socioeconomic status and health in adults with and without intellectual disability.
机构信息
Division of Health Research, Lancaster University, Lancaster, UK.
Health and Community Services Government of Jersey, Jersey, UK.
出版信息
J Appl Res Intellect Disabil. 2022 Nov;35(6):1390-1402. doi: 10.1111/jar.13028. Epub 2022 Aug 24.
BACKGROUND
This study investigated if subjective socioeconomic status (SSS) is related to self-rated health (SRH) and objective indicators of health in people with and without intellectual disability.
METHODS
Participants were 217 adults with, and 2350 adults without intellectual disability in Jersey. In the intellectual disability sample, 85 (39.2%) participants consented independently, while 132 (60.8%) participants consented through proxy procedures. The MacArthur Scale of Subjective Social Status was used to measure SSS. The Euro-Qol EQ-5D-5L and a five-point scale ranging from poor to excellent health were used to measure SRH.
RESULTS
Higher SSS and younger age were predictors of better SRH for the proxy-report intellectual disability group. Being employed was associated with higher EQ-5D-5L index values for all intellectual disability groups.
CONCLUSION
As SSS was only related to SRH in the proxy intellectual disability group, further research with a larger intellectual disability sample is needed to explore its utility further.
背景
本研究旨在探讨主观社会经济地位（SSS）与智障人士和非智障人士的自评健康（SRH）和健康客观指标之间的关系。
方法
泽西岛的参与者包括 217 名智障成年人和 2350 名非智障成年人。在智障人群样本中，85 名（39.2%）参与者独立同意，而 132 名（60.8%）参与者通过代理程序同意。使用麦克阿瑟主观社会地位量表来衡量 SSS。使用欧洲五维健康量表-5 维度和五分制（从差到优）来衡量 SRH。
结果
对于代理报告的智障人群组，较高的 SSS 和较年轻的年龄是 SRH 更好的预测因素。对于所有智障人群组，就业与更高的 EQ-5D-5L 指数值相关。
结论
由于 SSS 仅与代理智障人群组的 SRH 相关，因此需要对更大的智障人群样本进行进一步研究，以进一步探索其效用。
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