MMWR Morb Mortal Wkly Rep. 1994 May 27;43(20):375-80.
A fundamental goal of the year 2000 national health objectives is to increase the span of healthy life for all persons in the United States. Public health programs, improved social conditions, and private medical care have contributed to the prolongation of life expectancy of U.S. residents at birth from 47 years in 1900 to 75 years in 1989. However, for some persons, increased life expectancy includes periods of diminished health and function (i.e., lowered health-related quality of life [HR-QOL]). Because population-based surveillance of good health has been limited, questions to assess HR-QOL were added to the 1993 Behavioral Risk Factor Surveillance System (BRFSS). This report summarizes the preliminary findings about HR-QOL from the 1993 BRFSS and describes an index used to identify population subgroups with high and low HR-QOL.
2000年国家健康目标的一个基本目标是延长所有美国民众的健康生活跨度。公共卫生项目、改善的社会状况以及私人医疗保健都促使美国居民出生时的预期寿命从1900年的47岁延长至1989年的75岁。然而，对一些人来说，预期寿命的增加包括健康和功能下降的时期（即与健康相关的生活质量[HR-QOL]降低）。由于基于人群的健康状况监测一直有限，1993年行为危险因素监测系统（BRFSS）中增加了评估HR-QOL的问题。本报告总结了1993年BRFSS中关于HR-QOL的初步调查结果，并描述了一个用于识别HR-QOL高和低的人群亚组的指数。
