高血压标签与幸福感
Hypertension labeling and sense of well-being.
作者信息
Bloom J R, Monterossa S
出版信息
Am J Public Health. 1981 Nov;71(11):1228-32. doi: 10.2105/ajph.71.11.1228.
Seventy-one individuals were mislabeled on the basis of a prevalence survey (N = 1,031) conducted in low-income community. They were told by a physician that they were hypertensive but were later judged normotensive on the basis of three blood pressure measures. None of these persons was taking antihypertensive medication or under medical care. Compared to the total normotensive sample, the mislabeled group reported more depressive symptoms (P = .005), lower present health (p = .001), and a worsening of their health over the past five years (p = .035). Compared to a control group matched on gender, age, ethnicity, education, and marital status, the mislabeled group reported even more depressive symptoms (p = .005), and lower present health (p = .034). They did not, however, have a worsening of health over the past five years (p = .074). These findings could not be explained by greater utilization of medical care or comorbidity. It is suggested that these findings are a result of people being falsely labeled as hypertensive.
在一项针对低收入社区开展的患病率调查（N = 1031）中，有71人被错误标记。医生告知他们患有高血压，但后来根据三次血压测量结果判定他们血压正常。这些人都未服用抗高血压药物，也未接受医疗护理。与全部血压正常的样本相比，被错误标记的群体报告有更多抑郁症状（P = 0.005），当前健康状况更差（p = 0.001），且在过去五年中健康状况恶化（p = 0.035）。与在性别、年龄、种族、教育程度和婚姻状况上匹配的对照组相比，被错误标记的群体报告有更多抑郁症状（p = 0.005），当前健康状况更差（p = 0.034）。然而，他们在过去五年中健康状况并未恶化（p = 0.074）。这些发现无法通过更多地利用医疗护理或合并症来解释。研究表明，这些发现是人们被错误标记为高血压的结果。
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