糖尿病患者的自评健康状况与死亡率
Self-rated health and mortality in people with diabetes.
作者信息
Dasbach E J, Klein R, Klein B E, Moss S E
机构信息
Department of Preventive Medicine, University of Wisconsin-Madison.
出版信息
Am J Public Health. 1994 Nov;84(11):1775-9. doi: 10.2105/ajph.84.11.1775.
OBJECTIVES
This study examined whether self-rated health is an independent and significant predictor of mortality in people with diabetes, using data collected in the Wisconsin Epidemiologic Study of Diabetic Retinopathy.
METHODS
Participants were asked to rate their health in comparison with others their age. A proportional hazards model was used to regress survival time on self-rated health and a number of covariates measuring physical health.
RESULTS
People with younger onset diabetes (n = 891) who rated their health relative to their peers as "worse" or "don't know" were no more likely to die than those rating their health as "the same" or "better" when physical health status was controlled. In contrast, those with older onset diabetes (n = 987) who rated their health as "worse" or "don't know" were almost twice as likely to die as those rating their health as "the same" or "better" when physical health status was controlled.
CONCLUSIONS
Self-rated health is a significant predictor of mortality in people with older onset diabetes but not in those with younger onset diabetes when physical health status is controlled.
目的
本研究利用糖尿病视网膜病变威斯康星流行病学研究收集的数据，检验自我评估健康状况是否为糖尿病患者死亡率的独立且显著的预测因素。
方法
参与者被要求将自己的健康状况与同龄人的健康状况进行比较。使用比例风险模型对自我评估健康状况以及一些衡量身体健康的协变量的生存时间进行回归分析。
结果
在控制身体健康状况后，糖尿病发病年龄较小的人群（n = 891）中，将自己的健康状况相对于同龄人评为“较差”或“不知道”的人与将自己的健康状况评为“相同”或“较好”的人相比，死亡可能性并无差异。相比之下，在控制身体健康状况后，糖尿病发病年龄较大的人群（n = 987）中，将自己的健康状况评为“较差”或“不知道”的人死亡可能性几乎是将自己的健康状况评为“相同”或“较好”的人的两倍。
结论
在控制身体健康状况时，自我评估健康状况是糖尿病发病年龄较大人群死亡率的显著预测因素，但不是糖尿病发病年龄较小人群死亡率的显著预测因素。
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