Pérula de Torres L A, Martínez de la Iglesia J, Ruiz Moral R, Fonseca del Pozo J
Unidad Docente de Medicina de Familia y Comunitaria de Córdoba, Centro de Salud Occidente.
Aten Primaria. 1995 Oct 15;16(6):323-9.
To study the self-perceived health status (PHS) of a community and its relationship to socio-economic variables of morbidity and frequency of attendance at the doctor's.
A descriptive, crossover study.
A base Health District (HD).
The general catchment area for the Occidente HD, Córdoba (N = 12,801 inhabitants) provided a random sample (for a p = 0.5, alpha error = 0.05 and with precision - 5%) of individuals over 15 (N = 384).
By means of a survey with a personal interview at home, socio-demographic data, PHS, chronic morbidity, consumption of pharmaceuticals and attendance at the doctor's were gathered. 32.9% (C.I. 95%: 27.4-37.1) stated a negative PHS. It was confirmed that older age (O.R. = 1.6; C.I. 1.04 - 1.08) and the existence of an acknowledged chronic pathology (O.R. = 6.84); C.I. 2.0 - 23.33) were the variables most strongly associated to a negative PHS. Chronic pathologies which were most intensely related to an unfavorable PHS were: Bronchitis (O.R. = 8.08; C.I. 3.02 - 21.5), Diabetes Mellitus (O.R. = 6.35; C.I., 1.03 - 38.9), Arthrosis (O.R. = 3.53; C.I. 2.03 - 6.13), Depression (O.R. = 3.53; C.I. 1.79 - 6.96), Arterial Hypertension (O.R. = 3.52; C.I. 1.63 - 7.63) and peptic ulcer (O.R. = 2.05; C.I. 1.02 - 4.11).
The PHS could be useful as an overall indicator of the level of health of the population, as it is easy to obtain and has been shown to be linked to explanatory variables such as age and the presence of chronic disorders.
研究某社区的自我感知健康状况（PHS）及其与发病率和就医频率的社会经济变量之间的关系。
一项描述性交叉研究。
一个基础健康区（HD）。
科尔多瓦西方健康区的一般服务区域（N = 12,801名居民）提供了一个15岁以上个体的随机样本（p = 0.5，α误差 = 0.05，精度 = 5%）（N = 384）。
通过在家中进行的个人访谈式调查，收集了社会人口统计学数据、PHS、慢性病发病率、药品消费情况和就医情况。32.9%（95%置信区间：27.4 - 37.1）的人表示自我感知健康状况为负面。经证实，年龄较大（比值比 = 1.6；置信区间1.04 - 1.08）和存在公认的慢性疾病（比值比 = 6.84；置信区间2.0 - 23.33）是与负面自我感知健康状况关联最紧密的变量。与不良自我感知健康状况关联最强烈的慢性疾病有：支气管炎（比值比 = 8.08；置信区间3.02 - 21.5）、糖尿病（比值比 = 6.35；置信区间1.03 - 38.9）、关节炎（比值比 = 3.53；置信区间2.03 - 6.13）、抑郁症（比值比 = 3.53；置信区间1.79 - 6.96）、动脉高血压（比值比 = 3.52；置信区间1.63 - 7.63）和消化性溃疡（比值比 = 2.05；置信区间1.02 - 4.11）。
自我感知健康状况可作为人群健康水平的总体指标，因为它易于获取，且已证明与年龄和慢性疾病等解释变量相关。
