Manderbacka K, Lahelma E, Martikainen P
Department of Public Health, University of Helsinki, Finland.
Int J Epidemiol. 1998 Apr;27(2):208-13. doi: 10.1093/ije/27.2.208.
The study examines whether self-rated health forms a continuum from poor through average to good health in terms of two groups of health-related variables.
The data come from the 1994 Finnish Survey on Living Conditions, a representative sample of Finnish men and women aged 25 years or older (n = 7290). Logistic regression analysis was used with two dependent variables: (1) average versus good/excellent self-rated health and (2) poor versus good/excellent self-rated health. Two groups of independent variables were used: (1) risk factors and (2) ill-health indicators. Separate analyses were made for men and women controlling for sociodemographic background variables.
Of the risk factors, BMI and physical exercise were associated both with average and poor self-rated health whereas frequency of drinking was only associated with poor health. All used indicators of ill health were strongly associated with average as well as poor self-rated health. With the exception of BMI, the associations of both risk factors and ill health were stronger with poor than with average health.
The study suggests that self-rated health forms a continuum from poor to good health when risk factors and indicators of ill health are considered, and that there are only minor differences in the continuity of self-rated health between men and women.
本研究考察了在两组与健康相关的变量方面，自我评定健康状况是否构成从健康状况差到一般再到良好的连续体。
数据来自1994年芬兰生活条件调查，这是一个25岁及以上芬兰男性和女性的代表性样本（n = 7290）。使用逻辑回归分析，有两个因变量：（1）自我评定健康状况为一般与良好/优秀；（2）自我评定健康状况为差与良好/优秀。使用两组自变量：（1）风险因素；（2）健康不佳指标。对控制了社会人口背景变量的男性和女性分别进行分析。
在风险因素中，体重指数（BMI）和体育锻炼与自我评定健康状况为一般和差均相关，而饮酒频率仅与健康状况差相关。所有使用的健康不佳指标均与自我评定健康状况为一般以及差密切相关。除BMI外，风险因素和健康不佳与健康状况差的关联均强于与健康状况一般的关联。
该研究表明，当考虑风险因素和健康不佳指标时，自我评定健康状况构成从差到好的连续体，并且男性和女性在自我评定健康连续性方面只有微小差异。
