Bucquet D, Curtis S
Soc Sci Med. 1986;23(7):737-44. doi: 10.1016/0277-9536(86)90122-x.
This paper addresses the question of the prevalence of self reported morbidity in the community and reports on results obtained using the Nottingham Health Profile in a population survey of morbidity. The variation between demographic and social groups and the relationship with GP are considered. The results show that certain aspects of morbidity vary according to social group more markedly than other aspects, and that some dimensions of self reported morbidity are predictive of recent consultation reported by the respondents. The interpretation of data of this sort for health planning purposes is considered. For example, the manual groups were particularly susceptible to tiredness and sleep disturbance, but these were not conditions associated with more frequent consultation. The manual groups also reported higher levels of pain and emotional distress, which were associated with propensity to consult. Other types of morbidity associated with consultation with the general practitioner were physical symptoms of pain and feelings of social isolation, but these did not show a strong class difference.
本文探讨了社区中自我报告的发病率问题，并报告了在一项发病率人群调查中使用诺丁汉健康量表所获得的结果。文中考虑了不同人口统计学和社会群体之间的差异以及与全科医生的关系。结果表明，发病率的某些方面在不同社会群体之间的差异比其他方面更为明显，而且自我报告发病率的某些维度可预测受访者最近的就诊情况。文中还考虑了此类数据在卫生规划中的解读。例如，体力劳动者群体特别容易出现疲劳和睡眠障碍，但这些并非与更频繁就诊相关的病症。体力劳动者群体还报告了更高程度的疼痛和情绪困扰，这些与就诊倾向有关。与全科医生就诊相关的其他类型的发病率是疼痛的身体症状和社会孤立感，但这些并未显示出强烈的阶层差异。
