Miilunpalo S, Vuori I, Oja P, Pasanen M, Urponen H
UKK Institute for Health Promotion Research, Tampere, Finland.
J Clin Epidemiol. 1997 May;50(5):517-28. doi: 10.1016/s0895-4356(97)00045-0.
The validity of various self-reported health assessments in predicting physician contracts and all-cause mortality was investigated in a prospective study in Finland. The follow-up periods were one year for the use of physician services and ten years ten months for the mortality. The study cohort comprised 1340 men and 1500 women, 35-63 years of age at the beginning of the study. The initial health assessments were derived from postal questionnaires in 1980 (response rate 77.5%). The survey was repeated one year later to verify the stability of the respondents' perceived health status. The data on the physician contacts and mortality were registered independently. The stability of perceived health status was relatively good and the perceived health was inversely associated with the number of physician contacts per year. A consistent inverse association, standardized by age, sex and social status, was observed between perceived health status and perceived physical fitness and mortality, while the predictive value of self-reported chronic diseases was low. The results suggest that the subjective health assessments are valid health status indicator in middle-aged populations, and they can be used in cohort studies and population health monitoring.
在芬兰的一项前瞻性研究中，对各种自我报告的健康评估在预测就医情况和全因死亡率方面的有效性进行了调查。就医情况的随访期为一年，死亡率的随访期为十年零十个月。研究队列包括1340名男性和1500名女性，研究开始时年龄在35至63岁之间。初始健康评估来自1980年的邮政问卷（回复率77.5%）。一年后重复进行调查以验证受访者感知健康状况的稳定性。就医情况和死亡率的数据是独立记录的。感知健康状况的稳定性相对较好，且感知健康与每年的就医次数呈负相关。在按年龄、性别和社会地位进行标准化后，观察到感知健康状况与感知身体健康和死亡率之间存在一致的负相关，而自我报告的慢性病的预测价值较低。结果表明，主观健康评估是中年人群有效的健康状况指标，可用于队列研究和人群健康监测。
