Chirikos T N, Nickel J T
Soc Sci Med. 1986;22(12):1329-35. doi: 10.1016/0277-9536(86)90096-1.
Functional disablement of persons with chronic disease is a complex outcome shaped by a variety of medical and socioeconomic factors, including those influencing the competing risk of death from the disease. The increasingly important task of explaining trends in the functional health status of various populations requires more detailed knowledge about the respective roles of these disability determinants. This paper reports the results of an analysis of the determinants of continuing functional incapacity after an episode of heart disease. A proportional hazards regression model is used to estimate the relative effects of socioeconomic and disease factors on the duration of work disablement and functional incapacitation of 976 surviving and nonsurviving patients hospitalized for presumptive myocardial infarction. The analysis shows that socioeconomic variables play a prominent role in disability outcomes, especially in work resumption. Evidence of aging effects on disability prevalence is also found.
慢性病患者的功能残疾是一个复杂的结果，由多种医学和社会经济因素塑造，包括那些影响因疾病死亡的竞争风险的因素。解释不同人群功能健康状况趋势这一日益重要的任务，需要更详细地了解这些残疾决定因素各自的作用。本文报告了对心脏病发作后持续功能丧失的决定因素的分析结果。采用比例风险回归模型来估计社会经济和疾病因素对976名因疑似心肌梗死住院的存活和非存活患者的工作致残持续时间和功能丧失的相对影响。分析表明，社会经济变量在残疾结果中起着显著作用，尤其是在恢复工作方面。还发现了衰老对残疾患病率影响的证据。
